Workers Compensation Claim Examiner - Multiple Roles Available!

AmTrust Financial Services, Inc.; Overland Park (KS); Hybrid; USD 77,500 - 105,000; Full time

Benefits offered by this job

Medical & Dental Plans

Life Insurance

401k Savings Plans

Paid Time Off

Job summary

AmTrust Financial Services, Inc. is seeking experienced professionals for their Workers’ Compensation team in Overland Park, Kansas. The roles include Senior Claim Examiner and Lead Claim Examiner, critical for managing claims and ensuring compliance. Both positions require strong technical knowledge and extensive experience in workers' compensation claims.

The expected salary range is between $77,500 and $105,000 annually, reflecting a competitive compensation package with various benefits including medical and dental plans, life insurance, and a 401k savings plan.

Qualifications

• 5+ years of workers’ compensation claims experience for Senior Claim Examiner.
• 3+ years of workers’ compensation claims experience for Lead Claim Examiner.
• Strong technical knowledge in workers' compensation.

Responsibilities

• Manage complex workers’ compensation claims from start to resolution.
• Investigate claims, determine compensability, and negotiate settlements.
• Thoroughly investigate claims by contacting injured workers and medical providers.
• Ensure timely payments for medical bills and income replacement.

Skills

MS Office experience (Work, Excel, Outlook)

Strong verbal and written communication skills

Ability to prioritize workload

Job description

We are seeking experienced professionals to join our Workers’ Compensation team in two key roles: Senior Claim Examiner and Lead Claim Examiner. Both positions play a critical role in managing workers compensation claim files and ensuring compliance with state regulations while delivering exceptional service.

Senior Claim Examiner

• Manage complex and high-exposure workers’ compensation claims from start to resolution.
• Investigate claims, determine compensability, set reserves, and negotiate settlements.
• Serve as a resource for junior examiners and assist with mentoring.
• Requires 5+ years of workers’ compensation claims experience and strong technical knowledge.

Lead Claim Examiner

• Responsible for prompt and efficient investigation, evaluation and settlement or declination of insurance claims through effective research, negotiation and interaction with insureds, claimants and medical providers.
• Maintains a solid understanding of AmTrust’s mission, vision, and values. Upholds the standards of AmTrust and the Claims organization.
• Requires 3+ years of workers’ compensation claims experience and strong technical knowledge.

Responsibilities

• Thoroughly investigating workers’ compensation claims by contacting injured workers, medical providers, and employer representatives. Determining if claims are valid under applicable workers’ comp statutes. Communicating with medical providers to develop and authorize appropriate treatment plans.
• Reviewing and analyzing medical bills to confirm charges and treatment are workers’ comp injury-related and in accordance with the treatment plan.
• Ensuring payments for medical bills and income replacement are remitted on a timely basis in accordance with applicable fee schedules and statute
• 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.

Qualifications

• MS Office experience (Work, Excel, Outlook)
• Strong verbal and written communication skills
• Ability to prioritize work load to meet deadlinesAbility to manage multiple tasks in a fast-paced environment

The expected salary range for these roles range from $77,500-$105,000 annual.

Please note that the salary information shown above is a general guideline only. Salaries are based upon a wide range of factors considered in making the compensation decision, including, but not limited to, candidate skills, experience, education and training, the scope and responsibilities of the role, as well as market and business considerations.

What We Offer

AmTrust Financial Services offers a competitive compensation package and excellent career advancement opportunities. Our benefits include: Medical & Dental Plans, Life Insurance, including eligible spouses & children, Health Care Flexible Spending, Dependent Care, 401k Savings Plans, Paid Time Off.