Review, process and conclude moderate severity claims that may be limited in exposure but occasionally complex in nature Verifies coverage and policy conditions Completes quality investigation by gathering all pertinent information (recorded statements, review of police and medical reports, photographs and appraisals/estimates of damages, etc.). Determines if subrogation exists and takes steps necessary to initiate recovery efforts Documents all correspondence, reports, discussions and decisions Fulfill state licensing agreements/requirements (if applicable) and apply knowledge of state laws and regulations pertaining to the insurance industry
Title_WC- Loss Time Adjuster III_
About the OrganizationAmTrust Financial Services, Inc., (Nasdaq: AFSI) headquartered in New York City, is a multinational insurance holding company, which, through its insurance carriers, offers specialty property and casualty insurance products, including workers' compensation, commercial automobile and general liability; extended service and warranty coverage.
PositionWC Claims Examiner II
DescriptionThe workers compensation claims adjuster is responsible for the prompt and efficient examination, investigation, and 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. Duties include but are not limited to:
Ability to manage relationships in a fast paced environment, while demonstrating persistence along with problem solving and decision making skills to work with customers through a variety of challenging situations Good analytical abilities to review, exercise judgment and evaluate claims in order to make sound decisions Knowledge of claim procedures, policies, technology, state and federal laws and insurance regulations Experience with Workers Compensation Claims – lost time claims required Ability to multi-task and handle large volumes of work in a short period of time Ability to carry out detailed written or verbal instructions, ability to respond to requests effectively and efficiently and exhibit good common sense Time management skills, organizational skills and ability to prioritize issues and tasks Knowledge of Microsoft Office Applications and ability to learn new software programs Bachelor's degree preferred; however employee should possess such skills and knowledge as are normally gained in the successful completion of a four-year college program Minimum of five years' experience handling workers compensation claims Insurance coursework (e.g. IIA, CPCU, SCLA and AEI) is beneficial Good knowledge of insurance theory and practices; insurance contracts and their application
Number of Openings1
Employee Referral Eligible
Employee Referral PayoutThis position is currently accepting applications.