Senior Claim Examiner I
Job Location: Alpharetta, GA
Overview At AmTrust Financial Services, a fast-growing commercial insurance company, we need a Senior Claims Examiner - WC.
The adjuster is responsible for prompt and efficient examination, investigation, settlement or declination of workers’ compensation insurance claims through effective research, negotiation, and interaction with insures and claimants, ensuring that company resources are utilized in a cost-effective manner. The adjuster reports to a WC Supervisor.
Responsibilities
Thoroughly investigate workers’ compensation claims by contacting injured workers, medical providers, and employer representatives. Determine the validity of claims under applicable workers’ compensation statutes and develop appropriate treatment plans with medical providers.
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 statutes.
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.
Qualifications
5+ years experience as a Workers Comp adjuster.
Experience handling claims in the jurisdiction of GA, AL, or KT.
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.
The expected salary range for this role is $88,000-$105,000 annual. 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, and 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.
Connect With Us! Not ready to apply? Connect with us for general consideration.
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Overview At AmTrust Financial Services, a fast-growing commercial insurance company, we need a Senior Claims Examiner - WC.
The adjuster is responsible for prompt and efficient examination, investigation, settlement or declination of workers’ compensation insurance claims through effective research, negotiation, and interaction with insures and claimants, ensuring that company resources are utilized in a cost-effective manner. The adjuster reports to a WC Supervisor.
Responsibilities
Thoroughly investigate workers’ compensation claims by contacting injured workers, medical providers, and employer representatives. Determine the validity of claims under applicable workers’ compensation statutes and develop appropriate treatment plans with medical providers.
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 statutes.
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.
Qualifications
5+ years experience as a Workers Comp adjuster.
Experience handling claims in the jurisdiction of GA, AL, or KT.
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.
The expected salary range for this role is $88,000-$105,000 annual. 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, and 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.
Connect With Us! Not ready to apply? Connect with us for general consideration.
#J-18808-Ljbffr