Review, process and conclude higher severity and complex Workers Compensation claims. Oversees and directs some litigated and potentially litigated cases, directing and controlling the work and expenses of investigative services and/or attorneys. Provides quality service to all customers. Verifies coverage's 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. Maintains appropriate financial accountabilities (reserving) and controls loss adjustment expenses. 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. Other tasks as assigned by supervisor/manager.
Title_Workers Compensation Adjuster_
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 Adjuster
DescriptionEssential Job Functions
Position RequirementsPosition Qualifications 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. Advanced analytical abilities to review, exercise judgment and evaluate claims in order to make sound decisions Advanced knowledge of claim procedures, policies, technology, state and federal laws and insurance regulations. Ability to multi-task and handle large volumes of work in a short period of time Ability to communicate effectively and clearly, both orally and in writing. Ability to carry out detailed written or verbal instructions, ability to respond to requests effectively and efficiently and exhibit good common sense Ability to work independently with self-initiative. Time management skills, organizational skills and ability to prioritize issues and tasks. Ability to effectively operate computer equipment and applications. Education/Experience College degree is not a prerequisite for this position; however employee should possess such skills and knowledge as are normally gained in the successful completion of a four-year college program. Maintain valid adjusters' license(s) in states assigned or an ability to obtain same. Minimum of four years' experience in job-related functions or equivalent Insurance coursework (e.g. IIA, CPCU, SCLA and AEI) is beneficial. Excellent knowledge of insurance theory and practices; insurance contracts and their application. Experience handling PA, DE and NJ claims. #LI-Post
Number of Openings1
Employee Referral Eligible
Employee Referral PayoutThis position is currently accepting applications.