Workers' Compensation Claims Adjuster II
1 week ago
Job Summary:
AmTrust Financial Services, Inc. is seeking a highly skilled Workers' Compensation Claims Adjuster II to join our team. As a key member of our claims department, you will be responsible for the prompt and efficient examination, investigation, and settlement or declination of insurance claims.
Key Responsibilities:
- Conduct thorough investigations of workers' compensation claims by contacting injured workers, medical providers, and employer representatives to gather relevant information.
- Determine the validity of claims under applicable workers' compensation statutes and 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.
- Collaborate with attorneys to manage litigation, develop settlement strategies, and resolve claims.
Requirements:
- Minimum 3 years of experience as a Workers' Compensation adjuster.
- Nevada Workers' Compensation License.
- Current on Continued Education Units.
- Proficiency in MS Office (Word, Excel, Outlook).
- Excellent negotiation and communication skills.
- Ability to prioritize workload and manage multiple tasks in a fast-paced environment.
What We Offer:
AmTrust Financial Services, Inc. offers a dynamic and challenging work environment, opportunities for professional growth and development, and a competitive compensation package.
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