AmTrust Financial Services, Inc.

  • Sr. Workers' Comp Claims Examiner

    Job Locations US-CA-San Diego
    Requisition ID
    2018-6442
    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 Examiner. This position will be located in our San Diego, CA office. 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. 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
    • 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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