Senior Claims Specialist
2 weeks ago
The Senior Workers' Compensation Claims Specialist position at AmTrust Financial entails managing claims with precision and expertise through comprehensive investigation, assessment, and negotiation. This role demands exceptional analytical skills and the capacity to foster relationships with various stakeholders involved in the claims process. The Specialist also contributes significantly to formulating return-to-work strategies and rehabilitation plans for injured employees.
Key Responsibilities:- Complies with organizational policies and protocols for claims management
- Conducts thorough investigations by engaging with insured parties, claimants, witnesses, and healthcare providers
- Assesses and modifies reserves in accordance with company guidelines and experience
- Negotiates claims effectively to facilitate prompt resolutions
- Works in conjunction with internal legal counsel to devise defense strategies
- Coordinates with medical professionals to establish treatment plans
- Offers guidance to colleagues and maintains well-organized claims documentation
- Exhibits outstanding customer service
- Undertakes additional responsibilities as assigned
Bachelor's degree or equivalent professional experience
- Minimum of 5 years of experience in Workers' Compensation claims management
- Valid CA Adjusting License
- Proficient in MS Office applications
- In-depth understanding of insurance practices
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Senior Claims Specialist
2 weeks ago
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