AmTrust Financial Services, Inc. · 5 months ago
Senior Claim Examiner II, CA
Scottsdale, AZ
Full-time
Onsite
Mid, Senior Level
$49/hr - $59.50/hr
3+ years expAmTrust Financial Services, Inc. is actively seeking a skilled Resolution Examiner specializing in Workers' Compensation Claims. The primary focus will be on negotiating and settling claims efficiently and at a cost effective value, utilizing expertise in negotiation and settlement strategies to bring claims to resolution posture.
FinanceFinancial ServicesInsurance
Responsibilities
Proactively negotiate settlements for workers' compensation claims, ensuring fair and expedient resolutions that meet the needs of all parties involved
Conduct thorough investigations by engaging with insured representatives, claimants, and witnesses to gather critical information that supports settlement discussions
Analyze coverage issues and the applicability of benefits under relevant policies and statutes to facilitate informed negotiation outcomes
Establish and adjust reserves based on projected claim outcomes, ensuring alignment with corporate standards and settlement strategies
Collaborate closely with internal Managed Care and Medical resources to ensure that treatment plans and billing are managed effectively during the settlement process
Collect and evaluate essential documentation, including medical records and incident reports, to strengthen negotiation positions and expedite settlements
Utilize critical thinking and decision-making skills to assess claims and develop effective negotiation tactics aimed at achieving optimal settlement outcomes
Maintain clear, concise, and factual documentation in claims files and communications, supporting transparency throughout the settlement process
Manage time effectively, prioritizing negotiations and settlements in a fast-paced environment to meet deadlines and client expectations
Build and maintain strong relationships with customers, fostering their trust and confidence throughout the claims settlement process
Conduct compensability analysis based on AOE/COE investigations to identify valid claims and streamline settlement negotiations
Verify the nature and extent of injuries, adapting settlement strategies based on changes in claim exposure
Leverage a high level of technical knowledge in workers' compensation claims to facilitate effective and timely settlements
Exhibit exceptional communication skills, both written and oral, to professionally engage with all stakeholders involved in the claims process
Adapt to changing circumstances and priorities, demonstrating flexibility in negotiations to achieve the best outcomes
Qualification
Required
Bachelor's degree or equivalent experience
Minimum of 3 years of experience in handling and settling workers' compensation claims
State licensure as required
Proficiency with MS Office Suite and claims management software
Strong negotiation, investigation, and evaluation skills specific to workers' compensation claims
In-depth knowledge of workers' compensation laws and insurance practices
Ability to travel, as required for some positions
Preferred
Preferred experience in negotiating litigated or complex claims
Multijurisdictional experience may be required
CPCU, ARM, AIC, or other relevant claims certifications are 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