Senior Workers' Comp Claim Examiner & Complex Claims Leader

AmTrust Financial Services, Inc.; Dallas (TX); On-site; USD 70,000 - 95,000; Full time

Job summary

AmTrust Financial Services, Inc. in Texas seeks an experienced Senior Claim Examiner to manage complex workers' compensation claims from intake to resolution.

You will investigate, determine compensability, set reserves, and negotiate settlements while ensuring regulatory compliance and service excellence. The role includes mentoring junior examiners, coordinating with medical providers, claimants, and policyholders, and collaborating with attorneys on litigation strategy.

Qualifications

• 5+ years of workers' compensation claims experience.
• Strong negotiation and communication skills.
• Ability to prioritize workload and meet deadlines.
• Experience in a fast-paced environment with multiple tasks.

Responsibilities

• Investigate claims, determine compensability, set reserves, and negotiate settlements.
• Manage complex and high-exposure workers' compensation claims from start to resolution.
• Communicate with injured workers, medical providers, and employer representatives.
• Review medical bills to ensure relation to work injury and adherence to plans.
• Collaborate with attorneys on litigation strategy and claim resolution.

Skills

MS Office

Negotiation

Communication

Prioritization

Multitasking

Job description

AmTrust Financial Services, Inc. in Texas seeks an experienced Senior Claim Examiner to manage complex workers' compensation claims from intake to resolution.

You will investigate, determine compensability, set reserves, and negotiate settlements while ensuring regulatory compliance and service excellence. The role includes mentoring junior examiners, coordinating with medical providers, claimants, and policyholders, and collaborating with attorneys on litigation strategy.