Claim Examiner I

AmTrust Financial Services•Tbd, NY

10d

About The Position

AmTrust Financial Services, a fast-growing commercial insurance company, has an immediate need for a Claims Adjuster II - WC. The adjuster is responsible for the prompt and efficient examination, investigation, settlement or declination of worker’s compensation insurance claims through effective research, negotiation and interaction with insures, and claimants, ensuring that company resources are utilized in a cost-effective manner in the process. The adjuster reports to a WC Supervisor. 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. AmTrust has the right to revise this job description at any time. The expected salary range for this role is $53,300-$73,000.00 per year . Please note that the salary information shown above is a general guideline only. Salaries are based upon a wide range of factors considered in making the compensation decision, including, but not limited to, candidate skills, experience, education and training, the scope and responsibilities of the role, as well as market and business considerations. What We Offer AmTrust Financial Services offers a competitive compensation package and excellent career advancement opportunities. Our benefits include Medical & Dental Plans, Life Insurance, including eligible spouses & children, Health Care Flexible Spending, Dependent Care, 401k Savings Plans, Paid Time Off. AmTrust strives to create a diverse and inclusive culture where thoughts and ideas of all employees are appreciated and respected. This concept encompasses but is not limited to human differences with regard to race, ethnicity, gender, sexual orientation, culture, religion or disabilities. AmTrust values excellence and recognizes that by embracing the diverse backgrounds, skills, and perspectives of its workforce, it will sustain a competitive advantage and remain an employer of choice. Diversity is a business imperative, enabling us to attract, retain and develop the best talent available. We see diversity as more than just policies and practices. It is an integral part of who we are as a company, how we operate and how we see our future.

Requirements

3+ years Workers Comp experience in New York.
Licenses in CT, NY
MS Office experience (Work, Excel, Outlook)
Effective negotiation skills
Strong verbal and written communication skills
Ability to prioritize work load to meet deadlines
Ability to manage multiple tasks in a fast-paced environment

Responsibilities

Thoroughly investigating workers’ compensation claims by contacting injured workers, medical providers, and employer representatives.
Determining if claims are valid under applicable workers’ comp statutes.
Communicating with medical providers to develop and authorize appropriate treatment plans.
Reviewing and analyzing medical bills to confirm charges and treatment are workers’ comp injury-related and in accordance with the treatment plan.
Ensuring 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