Workers' Compensation Claims Adjuster II
Company: AmTrust Financial Services, Inc.
Posted on: November 26, 2022
AmTrust has an immediate need for a Workers' Compensation Claims
Adjuster II. Responsible for the prompt and efficient examination,
investigation and settlement or declination of insurance claims
through effective research, negotiation and interaction with
insureds and claimants, ensuring that company resources are
utilized in a cost effective manner in the process.
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.
3+ years experience as a Workers Comp adjuster
Must have CA Adjuster license
Must be current on Continued Education Units
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
Keywords: AmTrust Financial Services, Inc., Irvine , Workers' Compensation Claims Adjuster II, Other , Irvine, California
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