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Workers Compensation Claims Examiner
2 months ago
AmTrust Financial Services, Inc. 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 the prompt and efficient examination, investigation, settlement or declination of worker's compensation insurance claims.
Key Responsibilities- Thoroughly investigate workers' compensation claims by contacting injured workers, medical providers, and employer representatives.
- Determine if claims are valid under applicable workers' comp statutes.
- Communicate with medical providers to develop and authorize appropriate treatment plans.
- Review and analyze medical bills to confirm charges and treatment are workers' comp injury-related and in accordance with the treatment plan.
- Ensure payments for medical bills and income replacement are remitted on a timely basis in accordance with applicable fee schedules and statute.
- Answer questions regarding the status of pending claims from claimants, policyholders, and medical providers.
- Consult with attorneys regarding litigation management, settlement strategy, and claim resolution.
- 3+ years of experience as a Workers Comp adjuster with NY jurisdiction knowledge and experience.
- 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.
- A competitive compensation package.
- Excellent career advancement opportunities.
- A diverse and inclusive culture where thoughts and ideas of all employees are appreciated and respected.
- A comprehensive benefits package, including medical and dental plans, life insurance, and 401k savings plans.