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AmTrust Financial Services, Inc. · 3 hours ago

Claim Examiner I

Nashua, NH

Full-time

Onsite

Entry Level

3+ years exp

AmTrust Financial Services is a fast-growing commercial insurance company seeking a Claims Adjuster I - WC. The role involves the examination, investigation, settlement or declination of workers' compensation insurance claims through effective research, negotiation, and interaction with insurers and claimants.

FinanceFinancial ServicesInsurance

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

Qualification

Workers Comp experienceLicenses in NHVTRIMS Office experiencePrioritize workloadManage multiple tasksEffective negotiation skillsVerbal communicationWritten communication