Claims Adjuster III - Workers Compensation

AmTrust Financial; Dallas (TX); Hybrid; USD 50,000 - 80,000; Full time

Job summary

Join a dynamic team at a forward-thinking company where you will play a crucial role in managing Worker's Compensation claims. As an Adjuster III, you will leverage your expertise to investigate, evaluate, and negotiate claims while ensuring compliance with company standards. This position offers the opportunity to work in a fast-paced environment, build strong relationships with clients, and contribute to the success of a company that values diversity and inclusion. With competitive salary and benefits, this role is perfect for those looking to grow their career in the insurance industry.

Benefits

Medical & Dental Insurance

Life Insurance

401(k)

Paid Time Off

Flexible Spending Accounts

Qualifications

• 3+ years of experience in handling Worker's Compensation claims.
• Strong knowledge of insurance principles and practices.

Responsibilities

• Investigate claims by contacting involved parties and analyzing coverage.
• Negotiate non-litigated claims and document findings clearly.

Skills

Claims Handling

Investigation Skills

Negotiation Skills

Analytical Skills

MS Office Proficiency

Education

Bachelor's Degree

Job description

Job Locations

US-TX-Dallas

Requisition ID
2025-18693

Category
Claims - Workers Compensation

Position Type
Regular Full-Time

Overview

Assigned to our Worker's Compensation Line of Business, the Adjuster III is responsible for prompt and independent review of insurance claims through effective research, evaluation, investigation, negotiation, and interaction with insureds or claimants. The Adjuster III typically handles mid-size or mid-complexity claims in this line of business. The role requires a solid understanding of AmTrust's mission, vision, and values, and adherence to the standards of AmTrust and the Claims organization. Experience handling Worker's Compensation Claims is required.

Responsibilities

1. Investigate claims or coverage by making timely contact with involved parties, including insured or employer representatives, claimants or injured workers, witnesses, and producers.
2. Analyze coverage applicability based on policy or statutes, consult with supervisors as needed, and draft position statements.
3. Establish reserves based on estimated outcomes, adjusting reserves as facts and circumstances evolve.
4. Collaborate with internal or legal counsel on claims involving legal considerations, building strong relationships and applying company standards.
5. Negotiate non-litigated claims effectively, gaining trust through appropriate timing and communication.
6. Coordinate with Managed Care and Medical resources for treatment plans and billing, obtaining necessary medical and other reports.
7. Leverage critical thinking to assess and interpret key issues.
8. Document findings clearly and succinctly in claims files and communications.
9. Learn technical materials and improve through experience.
10. Manage time efficiently, prioritizing tasks in a fast-paced environment.
11. Build and maintain effective relationships with customers, earning their respect and trust.
12. Perform other duties as required.

Qualifications

• Bachelor's degree or equivalent experience
• 3+ years claims handling experience specific to Worker's Compensation
• State licensure as required
• Proficiency in MS Office
• Skills in investigation, evaluation, and negotiation
• Strong knowledge of insurance principles and practices
• Ability to travel as needed

Preferred:

• Licensure in Texas, Louisiana, Oklahoma, Arizona

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What We Offer

AmTrust offers a competitive salary and career growth opportunities. Benefits include Medical & Dental, Life Insurance (including spouses and children), Flexible Spending Accounts, 401(k), Paid Time Off, and more.

We value diversity and inclusion, fostering a culture where all employees' ideas and backgrounds are respected and appreciated. Diversity is integral to our success and future growth.

Connect With Us!

If you're not ready to apply, connect with us for general consideration. All candidate information is kept secure and confidential. Please apply directly through the employer’s website.