Senior Claim Examiner I
AmTrust Financial Services, Inc., Overland Park, KS, United States
Overview
AmTrust Financial Services, a fast-growing commercial insurance company, has an immediate need for a Senior Claims Examiner - WC. The adjuster is responsible for the 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 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.
Answering questions regarding the status of pending claims from claimants, policyholders, and medical providers.
Consulting with attorneys regarding litigation management, settlement strategy, and claim resolution.
Qualifications
5+ years experience as a Workers Comp adjuster
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
What We Offer AmTrust Financial Services offers a competitive compensation package and excellent career advancement opportunities. 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.
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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.
Answering questions regarding the status of pending claims from claimants, policyholders, and medical providers.
Consulting with attorneys regarding litigation management, settlement strategy, and claim resolution.
Qualifications
5+ years experience as a Workers Comp adjuster
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
What We Offer AmTrust Financial Services offers a competitive compensation package and excellent career advancement opportunities. 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.
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