AmTrust Financial Services, Inc.

  • Workers Compensation Claims Adjuster II

    Job Locations US-TX-Dallas
    Requisition ID
    2018-7475
    Category
    Claims
    Position Type
    Regular Full-Time
  • Overview

    Overview:

    The Workers Compensation Claims Adjuster II 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

    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

    Qualifications:

    Bachelor's degree preferred

    At least 2 years as Lost time adjuster for WC claims, 3-5 preferred

    Louisiana, Oklahoma and Arizona experience a plus
    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
    Good knowledge of insurance theory and practices; insurance contracts and their application

    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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