AmTrust Financial Services, Inc.

  • Disability Claims Adjuster I

    Job Locations US-NJ-Jersey City
    Requisition ID
    2018-7126
    Category
    Claims
    Position Type
    Regular Full-Time
  • Overview

    AmTrust Financial Services, Inc., a multinational insurance holding company headquartered in New York City, is looking for a Disability Claims Adjuster I to work in the Jersey City, NJ office. 

    Responsibilities

    The Disability Claims Adjuster I will examine and determine the eligibility of claims submitted. The claims must be examined in accordance with state laws, rules and regulations, and the company’s claims philosophy and procedures.

    Qualifications

    • Working knowledge of the State Disability Benefit Law.
    • Knowledge of medical terminology, diagnosis and ICD-10 codes.
    • Minimum of two years experience in Disability Claims.
    • Typing and mathematical skills.
    • Good verbal and written communication skills.
    • Good customer service skills.
    • Completes tasks within allotted time frame.
    • Ability to work independently without close supervision.
    • Team player.

     

    Must have:

     

    • NJ TDB (Temporary Disability Benefit)
    • NY DBL (Disability Benefits Law)
    • NY PFL (Paid Family Leave)

     

     

    ESSENTIAL FUNCTIONS:

     

     

    • Answer incoming calls.
    • Examine initial claims (DB-450) for payment or rejection.
    • Verify eligibility.
    • Accept liability.
    • Establish claim estimate.
    • Call employer, doctor and/or claimant if needed for additional information.
    • Determine payment type final, auto pay or non-auto pay.
    • Review incoming mail via image system for subsequent payments or rejection.
    • Determine if claimant should be set-up for an IME once the claim goes beyond initial estimate. Consult with management if needed.
    • Review all- correspondence from the Worker’s Comp Board and determines if benefits should be withheld or paid.
    • Review all Notices of Hearing and prepare the file for the hearing rep.
    • Review all Notices of Decision and act accordingly (comply or appeal).
    • Answer correspondence from employers.
    • Create and format letters.
    • Make follow-up routine phone calls.
    • Enter in checks and rejections.
    • Review auto pay daily payment report.
    • Review pay diary daily reminders.
    • Review and process all daily reminders.

      

    NON-ESSENTIAL FUNCTIONS:

     

    • Performs miscellaneous duties as necessary.

      

    MENTAL DEMANDS:

     

    • Reading
    • Detailed work
    • Confidentiality
    • Problem solving
    • Verbal communication
    • Written communication
    • Stress
    • Reasoning
    • Training
    • Math
    • Client contact
    • Multiple concurrent tasks
    • Constant interruptions

      

    PHYSICAL DEMANDS:

    • Sitting or Standing
    • Speaking
    • Hearing
    • Writing
    • Walking
    • Attendance
    • Typing

     

    EQUIPMENT:

     

    • Computer
    • Telephone
    • Calculator
    • Word processor
    • Copier
    • Fax machine
    • Printers

     

    What We Offer:

     

    AmTrust Financial Services offers a great work environment, competitive compensation package and excellent career advancement opportunities. Our benefits include: Medical and Dental Plans, Life Insurance, Health Care Flexible Spending, Dependent Care, 401k Savings Plans, and Paid Time Off.   

     

    AmTrust Financial Services is committed to a policy of Equal Employment Opportunity.

     

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