Senior Workers Compensation Claims Examiner

San Diego, California
Not Specified
Oct 03, 2016
Dec 02, 2016
Job Type
Not Specified
Career Level
Not Specified

Title_Senior Workers Compensation Claims Examiner_

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.

PositionClaims Ex Sr

LocationCA, San Diego

DescriptionResponsible for the prompt and efficient examination, investigation and settlement or declination of California State and Federal 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:
  • Review, process and conclude moderate severity California State and Federal 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

    Open Date9/9/2016

    Position Requirements+ Bachelor's degree preferred
  • 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
  • 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 #LI-Post


    Req NumberCLA-16-00057

    Shift-not applicable-

    Number of Openings1

    Employee Referral Eligible

    Employee Referral PayoutThis position is currently accepting applications.