AmTrust Financial Services, Inc.

  • Claims Adjuster III

    Job Locations US-CA-San Diego
    Requisition ID
    2019-8560
    Category
    Claims
    Position Type
    Regular Full-Time
  • Overview

     Amtrust Financial Services, a fast growing commercial insurance company, has an immediate need for a Claims Adjuster III - WC. This role will be located in our San Diego, 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

    • Thoroughly investigating workers’ compensation claims by contacting injured workers, medical providers, and employer representatives.Determining if claims are valid under applicable workers’ comp statutes.Communicating with medical providers to develop and authorize appropriate treatment plans.
    • Reviewing and analyzing medical bills to confirm charges and treatment are workers’ comp injury-related and in accordance with the treatment plan.
    • Ensuring payments for medical bills and income replacement are remitted on a timely basis in accordance with applicable fee schedules and statute
    • Answer questions regarding the status of pending claims from claimants, policyholders and medical providers.
    • Consult with attorneys regarding litigation management, settlement strategy and claim resolution.

    Qualifications

    •  7 plus years experience as a Workers Comp adjuster
    • Must have CA Adjuster license
    • Must be current on Continued Education Units
    • MS Office experience (Work, Excel, Outlook)
    • Effective negotiation skills
    • Strong verbal and written communication skills
    • Ability to prioritize work  load to meet deadlines
    • Ability to manage multiple tasks in a fast-paced environment

     

    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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