Claims Examiner

Workers' Compensation Claims Examiner I

AmTrust has an immediate need for a Workers' Compensation Claims Examiner I. Responsible for the prompt and efficient examination, investigation, and settlement or declination of insurance claims through effective research, negotiation, and interaction with insureds and claimants, ensuring that company resources are utilized in a cost‑effective manner.

• Thoroughly investigate workers' compensation claims by contacting injured workers, medical providers, and employer representatives; determine if claims are valid مذاکرات applicable workers' comp statutes.
• Communicate with medical providers to develop and authorize appropriate treatment plans.
• Review and analyze medical bills to confirm charges and treatment are workers' comp injury‑related and in accordance with the treatment plan.
• Ensure 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.

• 2+ years experience as a Workers Comp adjuster handling California and Arizona claims.
• SIP adjuster license preferred.
• Must be current on continued education units.
• Experience 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.

AmTrust Financial Services offers a competitive compensation package and excellent career advancement opportunities. Benefits include medical and dental plans, life insurance (including eligible spouses and children), health care flexible spending, dependent care, 401(k) savings plans, and paid time off.

AmTrust strives to create a diverse and inclusive culture where thoughts and ideas of all employees are appreciated and respected. This concept encompasses, but is not limited to, human differences with regard to race, ethnicity, gender, sexual orientation, culture, religion, or disabilities. AmTrust values excellence and recognizes that by embracing diverse backgrounds, skills, and perspectives, it sustains a competitive advantage and remains an employer of choice.

Seniority level:
Not Applicable;

Employment type:

Full-time;
Job function:
Finance and Sales;
Industry: Insurance.