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Claims Adjuster III

2 months ago

Nashua, New Hampshire, United States AmTrust Financial Full time
Job Summary

AmTrust Financial Services is seeking a highly skilled Claims Adjuster III - WC to join our team. As a key member of our claims department, you will be responsible for examining, investigating, and settling workers' compensation insurance claims in a prompt and efficient manner.

Key Responsibilities
  • Claims Investigation: Conduct thorough investigations of workers' compensation claims, including contacting injured workers, medical providers, and employer representatives to gather information and determine claim validity.
  • Medical Bill Review: Review and analyze medical bills to ensure charges are related to the workers' compensation injury and in accordance with the treatment plan.
  • Payment Processing: Ensure timely payment of medical bills and income replacement in accordance with applicable fee schedules and statutes.
  • Claimant Communication: Respond to questions and concerns from claimants, policyholders, and medical providers regarding claim status.
  • Litigation Management: Collaborate with attorneys to manage litigation, develop settlement strategies, and resolve claims.
Requirements
  • 3-5 years of experience as a Workers Comp adjuster
  • MS Office experience (Word, Excel, Outlook)
  • Effective negotiation skills
  • Strong verbal and written communication skills
  • Ability to prioritize workload and meet deadlines
  • Ability to manage multiple tasks in a fast-paced environment
What We Offer

AmTrust Financial Services offers a competitive compensation package and excellent career advancement opportunities. Our benefits include:

  • Medical & Dental Plans
  • Life Insurance
  • Health Care Flexible Spending
  • Dependent Care
  • 401k Savings Plans
  • Paid Time Off

We strive to create a diverse and inclusive culture where thoughts and ideas of all employees are appreciated and respected. We value excellence and recognize that by embracing the diverse backgrounds, skills, and perspectives of our workforce, we will sustain a competitive advantage and remain an employer of choice.