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Workers' Compensation Claims Adjuster II

2 months ago

Las Vegas Nevada, United States AmTrust Financial Services, Inc. Full time
Job Summary

AmTrust Financial Services, Inc. is seeking a highly skilled Workers' Compensation Claims Adjuster II to join our team. As a key member of our claims department, you will be responsible for examining, investigating, and settling or declining workers' compensation claims in a prompt and efficient manner.

Key Responsibilities
  • Conduct thorough investigations of workers' compensation claims by contacting injured workers, medical providers, and employer representatives.
  • Determine the validity of claims under applicable workers' compensation statutes and communicate with medical providers to develop and authorize treatment plans.
  • Review and analyze medical bills to confirm charges and treatment are related to workers' compensation injuries and in accordance with treatment plans.
  • Ensure timely payments for medical bills and income replacement in accordance with applicable fee schedules and statutes.
  • Respond to inquiries regarding the status of pending claims from claimants, policyholders, and medical providers.
  • Consult with attorneys regarding litigation management, settlement strategy, and claim resolution.
Requirements
  • 3+ years of experience as a workers' compensation adjuster.
  • Nevada workers' compensation license.
  • Current on continued education units.
  • MS Office experience (Word, Excel, Outlook).
  • Effective negotiation skills.
  • Strong verbal and written communication skills.
  • Ability to prioritize workload to meet deadlines.
  • Ability to manage multiple tasks in a fast-paced environment.
What We Offer
  • Competitive compensation package.
  • Excellent career advancement opportunities.
  • Medical and dental plans.
  • Life insurance.
  • Health care flexible spending.
  • Dependent care.
  • 401(k) savings plans.
  • Paid time off.