Senior Claims Examiner

Workers Comp AdjusterResponsible 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 in the process.ResponsibilitiesThoroughly 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 statuteAnswer questions regarding the status of pending claims from claimants, policyholders and medical providers.Consult with attorneys regarding litigation management, settlement strategy and claim resolution.Qualifications5+ years experience as a Workers Comp adjuster with California claims or ArizonaMust be current on Continued Education UnitsMS Office experience (Work, Excel, Outlook)Effective negotiation skillsStrong verbal and written communication skillsAbility to prioritize work load to meet deadlinesAbility to manage multiple tasks in a fast-paced environment.Preferred:SIP licenseThis job description is designed to provide a general overview of the requirements of the job and does not entail a comprehensive listing of all activities, duties, or responsibilities that will be required in this position.

AmTrust has the right to revise this job description at any time.The expected salary range for this role is $87,600.00 - $112,000.00 annual.Please note that the salary information shown above is a general guideline only. Salaries are based upon a wide range of factors considered in making the compensation decision, including, but not limited to, candidate skills, experience, education and training, the scope and responsibilities of the role, as well as market and business considerations.