Senior Workers’ Comp Claims Specialist

AmTrust Financial Services Inc.; Overland Park (KS); On-site; USD 70,000 - 90,000; Full time

Job summary

AmTrust Financial Services Inc. in Overland Park, Kansas, seeks a Senior Claim Examiner to manage complex workers’ compensation claims from start to resolution, ensuring compliance with state regulations and delivering exceptional service.

The role emphasizes investigation, reserving, negotiation of settlements, mentoring junior examiners, and requires 5+ years of workers’ compensation claims experience with strong technical knowledge.

Qualifications

• MS Office experience (Word, Excel, Outlook)
• Effective negotiation skills
• Strong verbal and written communication skills
• Ability to prioritize workload and meet deadlines
• Ability to manage multiple tasks in a fast-paced environment

Responsibilities

• Investigate workers’ compensation claims by contacting injured workers, medical providers, and employer representatives; determine validity under applicable statutes.
• Review medical bills to confirm charges are related to the workers’ comp injury and consistent with the treatment plan.
• Ensure timely payments of medical bills and income replacement per fee schedules and statutes.
• Answer questions regarding the status of pending claims from claimants, policyholders, and medical providers.
• Consult with attorneys regarding litigation management, settlement strategy and claim resolution.

Skills

Negotiation skills

Verbal & written communication

Prioritize workload

Multitasking

Tools

MS Office

Job description

AmTrust Financial Services Inc. in Overland Park, Kansas, seeks a Senior Claim Examiner to manage complex workers’ compensation claims from start to resolution, ensuring compliance with state regulations and delivering exceptional service.

The role emphasizes investigation, reserving, negotiation of settlements, mentoring junior examiners, and requires 5+ years of workers’ compensation claims experience with strong technical knowledge.