Review, process and conclude moderate severity claims that may be limited in exposure but occasionally complex in natureVerifies coverage and policy conditionsCompletes 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 effortsDocuments all correspondence, reports, discussions and decisionsFulfill state licensing agreements/requirements (if applicable) and apply knowledge of state laws and regulations pertaining to the insurance industry
Title_Sr Claims Examiner - WC_
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 Sr. Claims Examiner
DescriptionResponsible for the prompt and efficient examination, investigation and settlement or declination of insurance claims through effective research, negotiation and interaction with insured's and claimants, ensuring that company resources are utilized in a cost effective manner in the process. Duties include but are not limited to:
Position Requirements+ Bachelor's degree preferredAbility 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 situationsGood analytical abilities to review, exercise judgment and evaluate claims in order to make sound decisionsKnowledge of claim procedures, policies, technology, state and federal laws and insurance regulationsExperience with Workers Compensation Claims requiredAbility to multi-task and handle large volumes of work in a short period of timeAbility to carry out detailed written or verbal instructions, ability to respond to requests effectively and efficiently and exhibit good common senseTime management skills, organizational skills and ability to prioritize issues and tasksKnowledge of Microsoft Office Applications and ability to learn new software programs #LI-Post
Number of Openings1
Employee Referral Eligible
Employee Referral PayoutThis position is currently accepting applications.