Senior Workers' Comp Claims Examiner

AmTrust Financial Services, Inc.; Princeton (NJ); On-site; USD 75,000 - 110,000; Full time

Job summary

AmTrust Financial Services, Inc. is seeking a Workers' Compensation Examiner Lead to oversee prompt investigation, evaluation and settlement or declination of claims, coordinating with insureds, claimants and medical providers.

This senior role handles larger or more complex files, guiding reserves, negotiations and strategic defense with internal counsel, while upholding AmTrust's standards. Requirements include a bachelor’s degree or equivalent, 3+ years WC claims handling and proficiency with

Qualifications

• Bachelor’s degree or equivalent experience.
• 3+ years WC claims handling experience.
• Proficient in MS Office.
• Strong investigation, evaluation and negotiation skills.
• Knowledge of insurance theory and practices.

Responsibilities

• Follows AmTrust policies and procedures in managing claims.
• Investigates the claim and coverage by contacting involved parties.
• Evaluates, establishes, maintains, and adjusts reserves.
• Negotiates claims to reach timely resolutions.
• Gathers, assesses, analyzes and verifies key issues.
• Collaborates with internal counsel on defense planning and cost.
• Coordinates with managed care and medical resources for return-to-work strategies.
• Obtains medical, police, ambulance and other reports as required.
• Documents in claims files clearly and concisely.
• Provides exceptional customer service.
• Performs other duties as requested.

Skills

Investigation

Negotiation

Claims handling

Communication

Return-to-work planning

Education

Bachelor’s degree or equivalent experience

Tools

MS Office

Job description

AmTrust Financial Services, Inc. is seeking a Workers' Compensation Examiner Lead to oversee prompt investigation, evaluation and settlement or declination of claims, coordinating with insureds, claimants and medical providers.

This senior role handles larger or more complex files, guiding reserves, negotiations and strategic defense with internal counsel, while upholding AmTrust's standards. Requirements include a bachelor’s degree or equivalent, 3+ years WC claims handling and proficiency with