AmTrust Financial Services, Inc.

  • Temp - Sr. Claims Examiner

    Job Locations US-CA-Irvine
    Requisition ID
    2018-6625
    Category
    Claims
    Position Type
    Contractor
  • Overview

    AmTrust has an immedidate need for a Workers Compensation Claims Examiner for a Temp assignment.  This position will be located in our Irvine, CA office. This candidate will responsible 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. 

     

     

     

    Responsibilities

    • 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

    Qualifications

    • 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

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