AmTrust Financial Services, Inc.

Workers' Compensation Claims Adjuster

US-FL-Maitland
Requisition ID
2017-5814
Category
Claims
Position Type
Regular Full-Time

Overview

Amtrust Financial Services, a fast growing commercial insurance company, has an immediate need for a Workers Compensation Claims Adjuster. The adjuster is responsible for the prompt and efficient examination, investigation and settlement or declination of Worker’s 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. This position will handle Workers' Compensation claims for the state of Florida.  The adjuster reports to a WC Supervisor

Responsibilities

• Review, process and conclude Workers’ Compensation  claims or those limited in exposure but occasionally complex in nature
• Oversee and direct claims, directing and controlling the work and expenses of investigative services or attorneys
• Assess coverage and review claims for purposes of investigations, action plans, evaluation, fraud and resolution potential
• Conduct a thorough analysis of the claim; continually assess exposure and evaluate for accurate reserves
• Complete 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 efforts
• Maintains appropriate financial accountabilities (reserving) and controls loss adjustment expenses
• Fulfill state licensing agreements/requirements (if applicable) and apply knowledge of state laws and regulations pertaining to the insurance industry

Qualifications

  • Bachelor’s degree preferred
  • Maintain valid adjusters' license(s) in states assigned or an ability to obtain same
  • Insurance coursework (e.g. IIA, CPCU, SCLA and AEI) is beneficial
  • 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 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

 

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