About this opportunity
AmTrust Financial Services, Inc. lists this Workers Compensation Claim Examiner - Multiple Roles Available! opportunity in princeton, New Jersey. Review the employer’s description below for duties, qualifications and application requirements.
Job description
Overview:
Please ensure you read the below overview and requirements for this employment opportunity completely.
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)
Effective negotiation skills
Strong verbal and written communication skills
Ability to prioritize work load to meet deadlines
Ability to manage multiple tasks in a fast-paced environment
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.
AmTrust strives to create a diverse and inclusive culture where thoughts and ideas of all employees are appreciated and respected. This concept encompasses but is not limited to human differences with regard to race, ethnicity, gender, sexual orientation, culture, religion or disabilities.
AmTrust values excellence and recognizes that by embracing the diverse backgrounds, skills, and perspectives of its workforce, it will sustain a competitive advantage and remain an employer of choice. Diversity is a business imperative, enabling us to attract, retain and develop the best talent available. We see diversity as more than just policies and practices. xhmxlyz It is an integral part of who we are as a company, how we operate and how we see our future.
Worksite address
princeton, NJ, 08543, US
Who can apply
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