Claims Examiner III
1 week ago
AmTrust Financial Services, Inc. is seeking a highly skilled Claims Examiner III to join our team. As a Claims Examiner III, you will be responsible for examining, investigating, and settling workers' 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' compensation statutes.
- Communicate with medical providers to develop and authorize treatment plans.
- Review and analyze medical bills to ensure 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 claim status from claimants, policyholders, and medical providers.
- Consult with attorneys regarding litigation management, settlement strategy, and claim resolution.
- 5+ years of experience as a workers' compensation adjuster.
- Proficiency in MS Office (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.
- Florida license required.
AmTrust Financial Services, Inc. is a leading commercial insurance company that offers a competitive compensation package and excellent career advancement opportunities. Our benefits include medical and dental plans, life insurance, health care flexible spending, dependent care, 401(k) savings plans, and paid time off.
We strive to create a diverse and inclusive culture where thoughts and ideas of all employees are appreciated and respected. Our company values excellence and recognizes that by embracing the diverse backgrounds, skills, and perspectives of our workforce, we will sustain a competitive advantage and remain an employer of choice.
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Maitland, Florida, United States AmTrust Financial Full time{"title": "Claims Adjuster III", "description": "Job SummaryAmTrust 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 workers compensation insurance claims in a prompt and efficient manner.Key ResponsibilitiesConduct thorough...
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Maitland, Florida, United States AmTrust Financial Full time{"h1": "Claims Adjuster III - WC", "p": "AmTrust Financial Services is seeking a skilled Claims Adjuster III - WC to join our team. As a key member of our claims team, you will be responsible for examining, investigating, and settling workers' compensation insurance claims in a prompt and efficient manner.Responsibilities:* Investigate workers' compensation...
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