AmTrust Financial Services, Inc.

  • Workers Compensation Claims Examiner

    Job Locations US-CA-Irvine
    Requisition ID
    2018-6139
    Category
    Claims
    Position Type
    Regular Full-Time
  • Overview

    Amtrust Financial Services, a fast growing commercial insurance company, has an immediate need for a Sr. Workers Compensation Claims Examiner. This role will be located in our Irvine, CA office.  The adjuster is responsible for the prompt and efficient examination, investigation, 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. The adjuster reports to a WC Supervisor.

    Responsibilities

    • Review, process and conclude high exposure liability claims or those limited in exposure but occasionally complex in nature
    • Oversee and direct a majority of litigated or potentially litigated 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 liability and damages; 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
    • 5 to 6 years’ experience in handling workers comp claims
    • Maintain valid adjusters' license(s) in states assigned or an ability to obtain same
    • 2 years’ experience in job-related functions or equivalent • Insurance coursework (e.g. IIA, CPCU, SCLA and AEI) is beneficial
    • Good knowledge of insurance theory and practices; insurance contracts and their application

    What We Offer

    AmTrust Financial Services offers a competitive compensation package and excellent career advancement opportunities.  Our benefits include Medical & Dental Plans, Life Insurance, including eligible spouses & children, Health Care Flexible Spending, Dependent Care, 401k Savings Plans, Paid Time Off.

     

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