Lead Claims Examiner

AmTrust Financial Services, Inc.; Overland Park (KS); Hybrid; USD 77,500 - 87,000; Full time

Benefits offered by this job

Competitive compensation package

Medical & Dental Plans

401k Savings Plans

Paid Time Off

Job summary

A leading insurance company is searching for a Lead Claims Examiner to manage the investigation and settlement of insurance claims. This role begins remotely with a transition to a hybrid schedule in Overland Park, Kansas. Responsibilities include investigating claims, negotiating settlements, and ensuring effective communication with involved parties. The ideal candidate will have over 3 years of Workers Compensation adjusting experience and proficiency in MS Office. Compensation ranges from $77,500 to $87,000 annually, with competitive benefits.

Responsibilities

• Investigates claims contacting involved parties.
• Evaluates and adjusts reserves based on established facts.
• Negotiates claims to quick resolutions.
• Communicates with medical providers for treatment plans.
• Manages mail and diary entries effectively.

Skills

3+ years experience as a Workers Comp adjuster

MS Office experience (Word, Excel, Outlook)

Strong verbal and written communication skills

Ability to prioritize workload to meet deadlines

Ability to manage multiple tasks in a fast-paced environment

Job description

Join to apply for the Lead Claims Examiner 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. 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 our Overland Park, Kansas office.

Responsibilities:

• Follows AmTrust policies and procedures in managing claims.
• Investigates the claim and coverage by making timely and appropriate contact with involved or interested parties including but not limited to the insured, claimant, witnesses and medical providers.
• Evaluates, establishes, maintains and adjusts reserves based on fact, company standard and experience.
• Skillfully negotiates claims, turning adverse perspectives into quick resolution. Gains trust of other parties to negotiations and demonstrates good sense of timing. Approaches discussions from merits or strengths of case.
• Leverages strong critical thinking and decision-making skills to gather, assess, analyze, question, verify, interpret and understand key or root issues.
• Establishes effective relationships with internal or assigned counsel for customized defense plan. Applies company principles and standards including planning, organizing and monitoring legal panel services and cost in partnership with internal legal counsel.
• Communicates with internal managed care and medical resources to ensure coordination with medical providers, injured workers and employers in developing return to work strategies and treatment plans.
• Obtains medical records (past and present), police, ambulance and other agency reports as required.
• Provides insights and input when reviewing claims of others. May be sought out by others for advice.
• Writes in a clear, succinct and fact-based manner in claims files as well as in other communication.
• Manages mail and diary entries effectively and efficiently.
• Provides exceptional customer service.
• Performs other functional duties as requested or required.

Qualifications:

Required:

• 3+ years experience as a Workers Comp adjuster
• MS Office experience (Word, Excel, Outlook)
• 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.

What We Offer:

• Competitive compensation package and excellent career advancement opportunities.
• Medical & Dental Plans, Life Insurance, including eligible spouses & children.
• Health Care Flexible Spending, Dependent Care.
• 401k Savings Plans.
• 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 the diverse backgrounds, skills, and perspectives of its workforce, it will sustain a competitive advantage and remain an employer of choice. Diversity is a business imperative, enabling us to attract, retain and develop the best talent available. We see diversity as more than just policies and practices. It is an integral part of who we are as a company, how we operate and how we see our future.