Claims Adjuster III

4 weeks ago


White Plains, New York, United States AmTrust Financial Full time

Job Summary

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

Key Responsibilities

  • Conduct thorough investigations of workers' compensation claims, including contacting injured workers, medical providers, and employer representatives.
  • Determine the validity of claims under applicable workers' comp statutes and communicate with medical providers to develop and authorize treatment plans.
  • Review and analyze medical bills to ensure charges are related to workers' comp injuries and in accordance with treatment plans.
  • Ensure timely payments for medical bills and income replacement in accordance with applicable fee schedules and statutes.
  • Provide clear and concise information regarding claim status to claimants, policyholders, and medical providers.
  • Collaborate with attorneys to manage litigation, develop settlement strategies, and resolve claims.

Requirements

  • 3+ years of experience as a Workers Comp adjuster with NY jurisdiction knowledge and experience.
  • Proficiency in MS Office (Word, Excel, Outlook).
  • Effective negotiation and communication skills.
  • Ability to prioritize workload and manage multiple tasks in a fast-paced environment.

What We Offer

AmTrust Financial Services offers a competitive compensation package, excellent career advancement opportunities, and a diverse and inclusive culture. Our benefits include medical and dental plans, life insurance, health care flexible spending, dependent care, 401k savings plans, and paid time off.


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