Senior Workers’ Comp Claim Examiner — California

AmTrust Financial Services, Inc.; Irvine (CA); On-site; USD 62,000 - 74,000; Full time

Benefits offered by this job

Medical & Dental Plans

Life Insurance

401k Savings Plans

Paid Time Off

Job summary

AmTrust Financial Services, Inc. in Irvine, California seeks an experienced Senior Claim Examiner to manage complex workers’ compensation claims from start to resolution, ensuring compliance with state regulations and delivering exceptional service.

You will investigate claims, set reserves, negotiate settlements, and mentor junior examiners. Requires 5+ years of workers’ compensation claims experience and strong technical knowledge. Competitive benefits offered.

Qualifications

• 5+ years of workers’ compensation claims experience.
• Strong verbal and written communication skills.
• Ability to prioritize work load to meet deadlines.
• Ability to manage multiple tasks in a fast-paced environment.

Responsibilities

• Thoroughly investigating workers’ compensation claims by contacting injured workers, medical providers, and employer representatives.
• Determining claim validity under applicable workers’ comp statutes and developing treatment plans in collaboration with providers.
• Reviewing and analyzing medical bills to ensure they relate to the workers’ comp injury and treatment plan.
• Ensuring timely payments for medical bills and income replacement per fee schedules and statutes.
• Answering questions regarding claim status from claimants, policyholders, and medical providers.
• Consulting with attorneys regarding litigation management, settlement strategy, and claim resolution.

Skills

MS Office

Verbal & written communication

Prioritize workload

Multitasking

Job description

AmTrust Financial Services, Inc. in Irvine, California seeks an experienced Senior Claim Examiner to manage complex workers’ compensation claims from start to resolution, ensuring compliance with state regulations and delivering exceptional service.

You will investigate claims, set reserves, negotiate settlements, and mentor junior examiners. Requires 5+ years of workers’ compensation claims experience and strong technical knowledge. Competitive benefits offered.