AmTrust Financial Services, Inc. · 3 months ago
Senior Claim Examiner I, CA
US-CA-TBD
Full-time
Hybrid
Senior Level
$33.64/hr - $47.12/hr
5+ years expAmTrust Financial Services, Inc. is a company focused on providing insurance solutions, and they are seeking a Senior Claim Examiner I to efficiently review and disposition insurance claims. The role involves investigating claims, determining coverage, negotiating outcomes, and maintaining effective relationships with clients and legal counsel.
FinanceFinancial ServicesInsurance
Responsibilities
Investigates the claim or coverage by making timely and appropriate contact with involved or interested parties including but not limited to the insured or employer representatives, claimants or injured workers, witnesses and producers
Determines, reviews and analyzes coverage. While operating autonomously, elevates coverage issues as needed with appropriate resources and drafts positions as required
Responsible for setting of timely and accurate reserves based on facts, company standard and experience
Establishes effective litigation plan and build relationship with internal or panel counsel. Applies company principles and standards including planning, organizing and monitoring legal panel services and cost in partnership with internal legal counsel
Leverages strong critical thinking and decision-making skills to gather, assess, analyze, question, verify, interpret and understand key or root issues
Skillfully negotiates claims after gaining effective leverage points to effectuate optimal outcome. Gains trust of other parties to negotiations and demonstrates good sense of timing. Approaches discussions from merits or strengths of case
Depending on the type of claim may: 1. Communicate with internal Managed Care and Medical resources to ensure coordination with Medical providers on the development and authorization of appropriate treatment plans as well as accurate billing. 2. Obtain medical records and reports, police, ambulance and agency reports; photographs and measurements
As part of a team, provides insights and input when reviewing claims of others. May be sought out by others for advice
Writes in a clear, succinct and fact-based manner in Claims files as well as in other communication
Demonstrates timeliness in managing the diary ensuring fact based and up to date entries
Establishes and maintains effective relationships with customers and gains their respect and trust
May serve as Acting Supervisor as requested; may mentor Adjusters with less experience
May be required to work overtime as assigned
Keeps current with market trends and demands
Performs other functionally related duties as assigned
Qualification
Required
Bachelor's degree or equivalent experience
5+ years claims handling experience
State licensure as required
Demonstrated proficiency with MS Office suites
Demonstrated skills in investigation, evaluation and negotiation
Strong knowledge of insurance theory and practices
Ability to travel is required for some positions
Preferred
Multijurisdictional experience
CPCU designation, AIC, ARM, or other claims certification preferred
Benefits
Medical & Dental Plans
Life Insurance, including eligible spouses & children
Health Care Flexible Spending
Dependent Care
401k Savings Plans
Paid Time Off
Company
AmTrust Financial Services, Inc.
AmTrust Financial Services, Inc., through its subsidiaries, operates as a multinational property and casualty insurance company.
5001-10000 employees
H1B Sponsorship
AmTrust Financial Services, Inc. has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (3)
2023 (3)
2022 (5)
Funding
Current Stage
Public CompanyTotal Funding
unknown2006-11-13IPO
Leadership Team
D
Daniel Pacicco
Executive Vice President, Chief Financial Officer
Carl Canales
Executive Vice President - North American Field Operations
Recent News
2025-11-07
2025-11-05
Company data provided by crunchbase