Lead Claims Examiner

Join to apply for the Lead Claims Examiner I role at AmTrust Financial Services, Inc.

The Lead Claims Examiner is responsible for prompt and efficient investigation, evaluation, and settlement or declination of insurance claims through effective research, negotiation, and interaction with insureds, claimants, and medical providers. Maintains a solid understanding of AmTrust’s mission, vision, and values, and upholds the standards of AmTrust and the Claims organization.

This position will start remotely with an expectation to transition to a hybrid schedule upon opening of the Overland Kansas office.

• Follow AmTrust policies and procedures in managing claims.
• Investigate the claim and coverage by making timely and appropriate contact with involved or interested parties including the insured, claimant, witnesses, and medical providers.
• Evaluate, establish, maintain, and adjust reserves based on fact, company standard, and experience.
• Skillfully negotiate claims, turning adverse perspectives into quick resolution and demonstrating good sense of timing.
• Leverage strong critical thinking and decision‑making skills to gather, assess, analyze, question, verify, interpret, and understand key or root issues.
• Establish effective relationships with internal or assigned counsel for customized defense plans and manage legal panel services and cost in partnership with internal legal counsel.
• Communicate with internal managed care and medical resources to coordinate with medical providers, injured workers, and employers in developing return‑to‑work strategies and treatment plans.
• Obtain medical records, police, ambulance, and other agency reports as required.
• Provide insights and input when reviewing claims of others; may be sought for advice.
• Write in a clear, succinct, and fact‑based manner in claims files and other communications.
• Manage mail and diary entries effectively and efficiently.
• Provide exceptional customer service.
• Perform other functional duties as requested or required.

• 3+ years experience as a Workers' Compensation adjuster.
• Proficient with MS Office (Word, Excel, Outlook).
• Effective negotiation skills.
• Strong verbal and written communication skills.
• Ability to prioritize workload to meet deadlines.
• Ability to manage multiple tasks in a fast‑paced environment.

The expected salary range for this role is $77,500–$87,000 annual. Salary information is a general guideline only and subject to various factors.

Competitive compensation package and excellent career advancement opportunities. Benefits include medical & dental plans, life insurance, flexible spending & health care, dependent care, 401(k) savings plan, and paid time off.

AmTrust strives to create a diverse and inclusive culture where ideas of all employees are appreciated and respected. Diversity encompasses race, ethnicity, gender, sexual orientation, culture, religion, and disabilities. By embracing diverse backgrounds, skills, and perspectives, we sustain a competitive advantage and remain an employer of choice.