Review, process and conclude high exposure liability claims or those limited in exposure but occasionally complex in natureOversee and direct a majority of litigated or potentially litigated claims, directing and controlling the work and expenses of investigative services or attorneysAssess coverage and review claims for purposes of investigations, action plans, evaluation, fraud and resolution potentialConduct a thorough analysis of liability and damages; continually assess exposure and evaluate for accurate reservesComplete quality investigations 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 effortsMaintains appropriate financial accountabilities (reserving) and controls loss adjustment expensesFulfill state licensing agreements/requirements (if applicable) and apply knowledge of state laws and regulations pertaining to the insurance industry
Title_Claims Examiner II_
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
LocationCA, San Diego
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 in the process. Specifically, this position will handle workers comp claims for multiple states. Duties include but are not limited to:
Position Requirements+ 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.Good 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.A valid California adjusters' licenseMinimum of five years experience in workers compensation claimsInsurance 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.