Senior Workers’ Comp Claims Examiner — Lead & Mentor

AmTrust Financial Services Inc.; Florida; Sur place; USD 60 000 - 90 000; Plein temps

Résumé du poste

AmTrust Financial Services Inc. in Florida seeks a Senior Claim Examiner to manage complex workers' compensation claims from start to resolution, ensuring compliance with state regulations while delivering exceptional service.

You will investigate claims, determine compensability, set reserves, and negotiate settlements; mentor junior examiners; collaborate with medical providers and attorneys to drive timely results in a fast-paced environment.

Qualifications

• 5+ years of workers' compensation claims experience.
• Strong technical knowledge in workers' comp.
• MS Office proficiency (Word, Excel, Outlook).

Responsabilités

• Investigate workers' compensation claims and determine validity.
• Review medical bills to ensure relation to WC and treatment plan.
• Ensure timely payments of medical bills and wage replacement.
• Respond to inquiries from claimants, policyholders, and providers.
• Consult with attorneys on litigation management, settlements.

Connaissances

Negotiation skills

Verbal and written communication

Prioritization

Multitasking

Outils

MS Word

MS Excel

MS Outlook

Description du poste

AmTrust Financial Services Inc. in Florida seeks a Senior Claim Examiner to manage complex workers' compensation claims from start to resolution, ensuring compliance with state regulations while delivering exceptional service.

You will investigate claims, determine compensability, set reserves, and negotiate settlements; mentor junior examiners; collaborate with medical providers and attorneys to drive timely results in a fast-paced environment.