OverviewThe Workers'' Compensation Adjuster II is 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 AmTrusts mission, vision, and values. Upholds the standards of AmTrust and the Claims organization.ResponsibilitiesThoroughly 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.Answering questions regarding the status of pending claims from claimants, policyholders and medical providers.Consulting with attorneys regarding litigation management, settlement strategy and claim resolution.Qualifications Bachelors degree or equivalent experience 1+ years WC claims handling experience Demonstrated proficiency with MS Office suites Demonstrated skills in investigation, evaluation and negotiation Strong knowledge of insurance theory and practiceWhat We OfferAmTrust 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. It is an integral part of who we are as a company, how we operate and how we see our future. #J-18808-Ljbffr
Job Title
Claims Adjuster II