Apply on Employer Site

AmTrust Financial Services, Inc. · 2 weeks ago

Senior Claim Examiner II - Workers Compensation

US-IL-Chicago

Full-time

Onsite

Senior Level

$95K/yr - $123K/yr

5+ years exp

AmTrust Financial Services, a fast-growing commercial insurance company, has an immediate need for a Senior Claims Examiner - WC. The adjuster is responsible for the prompt and efficient examination, investigation, settlement or declination of worker’s 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