Claims Examiner II
4 weeks ago
Job Summary:
AmTrust Financial Services, a leading commercial insurance company, is seeking a Claims Adjuster II - WC to join our team. The successful candidate will be responsible for examining, investigating, and settling workers' compensation insurance claims in a timely 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 claim status updates to claimants, policyholders, and medical providers.
- Collaborate with attorneys on litigation management, settlement strategy, and claim resolution.
Requirements:
- 2+ years of experience as a Workers Comp adjuster.
- Proficiency in MS Office (Word, Excel, Outlook).
- Effective negotiation and communication skills.
- Ability to prioritize workload and meet deadlines.
- Ability to manage multiple tasks in a fast-paced environment.
This job description is designed to provide a general overview of the requirements of the job and does not entail a comprehensive listing of all activities, duties, or responsibilities that will be required in this position.
What We Offer:
AmTrust Financial Services 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, 401k savings plans, and paid time off.
AmTrust strives to create a diverse and inclusive culture where thoughts and ideas of all employees are appreciated and respected.
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