Senior Workers Compensation Claims Adjuster

AmTrust Financial Services

(Dallas, Texas)
Full Time
Job Posting Details
About AmTrust Financial Services
AmTrust Financial Services, Inc., through its subsidiaries, operates as a multinational property and casualty insurance company. Founded in 1998 to provide workers’ compensation insurance to small businesses in the United States, the company now operates in three segments around the globe: Small Commercial Business Insurance, Specialty Risk and Extended Warranty, and Specialty Middle-Market Property and Casualty Program Insurance.
Summary
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. Duties include but are not limited to:
Responsibilities
* Review, process and conclude high exposure liability claims or those limited in exposure but occasionally complex in nature * Oversee and direct a majority of litigated or potentially litigated claims, directing and controlling the work and expenses of investigative services or attorneys * Assess coverage and review claims for purposes of investigations, action plans, evaluation, fraud and resolution potential * Conduct a thorough analysis of liability and damages * Continually assess exposure and evaluate for accurate reserves * Prepare Large Loss Reports and maintain ongoing claim updates * Complete quality investigations by gathering all pertinent information (recorded statements, review of police and medical reports, photographs and appraisals/estimates of damages, etc.) * Determines if subrogation exists and takes steps necessary to initiate recovery efforts * Maintains appropriate financial accountabilities (reserving) and controls loss adjustment expenses * Document all correspondence, reports, discussions and decisions * Fulfill state licensing agreements/requirements (if applicable) and apply knowledge of state laws and regulations pertaining to the insurance industry
Ideal Candidate
* College degree preferred * Maintain valid adjusters’ license(s) in states assigned or an ability to obtain same * Minimum of two year’s experience in job-related functions or equivalent * Insurance coursework (e.g. IIA, CPCU, SCLA and AEI) is beneficial * Ability to manage relationships in a fast paced environment, while demonstrating persistence along with problem solving and decision making skills to work with customers through a variety of challenging situations * Good analytical abilities to review, exercise judgment and evaluate claims in order to make sound decisions * Good knowledge of claim procedures, policies, technology, state and federal laws and insurance regulations * Time management skills, organizational skills and ability to prioritize issues and tasks * Ability to effectively operate computer equipment and applications

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