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Claims Manager

2 months ago

Dallas Texas, United States AmTrust Financial Services, Inc. Full time
Job Summary

AmTrust Financial Services, Inc. is seeking a highly skilled Claims Manager - Workers Compensation to join our team. As a Claims Manager - Workers Compensation, you will be responsible for supervising activities within the workers compensation lost time claims department.

Key Responsibilities
  • Supervise administrative tasks and staff, or oversee the investigation of insurance claims involving workers compensation, property or casualty claims based on coverage, appraisal and verifiable injury or damage.
  • Directly handle tasks and/or claims, in addition to supervising staff.
  • Report to the Director of WC Claims.
Responsibilities
  • Oversee the handling of all aspects of claims assigned to the unit, including reserving, communication, documentation, evaluation, negotiation and settlement.
  • Ensure all claims eligible or ineligible for payment conform to quality, production standards, and specifications.
  • Ensure claim processing is consistent with applicable policies, procedures and department guidelines.
  • Analyze and approve workers compensation claims.
  • Complete regular quality audits of staff's work, record results and counsel staff to bring work to or above standards.
  • Prepare regular periodic reports and monitor system reports to ensure adherence to corporate and regulatory standards.
  • Establish and execute controls to assure that the quality of the work meets or exceeds standards.
  • Review and analyze processes, procedures, and workflows to identify opportunities for process improvement and efficiency.
Qualifications
  • Bachelor's degree or equivalent combination of work experience and education required.
  • 5+ years' experience in workers compensation insurance industry.
  • Valid adjusters license in appropriate jurisdictions or ability to obtain such.
  • Basic understanding of laws, principles of coverage, liability, and insurance industry in general, with specific emphasis on workers compensation.
  • Leadership skills: ability to plan, organize, delegate, and develop corporate human resources.
  • Ability to work with little supervision and direction.
  • Ability to operate business technology.
  • Ability to manage personnel administration including employee evaluations and salary administration.