Assigned to Worker's Compensation claims, the Adjuster I is responsible for prompt and efficient investigation, evaluation and settlement or declination of insurance claims through effective research, negotiation and interaction with insureds and claimants. The Adjuster I is often, though not always, assigned to least complex, severe and/or smaller claims than an Adjuster II or III in the Line of Business. Maintains a solid understanding of AmTrust's mission, vision, and values. Upholds the standards of the AmTrust and Claims organization.
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, claimant or injured workers, witnesses and producers.
Verifies coverage and policy conditions. Reviewed coverage issues as needed with supervisor. Typically utilized standardized language to draft positions if needed.
Depending on the type of claim may interact internally with Subrogation, Managed Care or SIU or externally with police or others to get information.
Establishes reserves based on estimating most likely outcome of a claim based on the facts for the case and company standard. Adjust reserves based on fact, company standard and experience.
Effectively settles and negotiates unlitigated claims.
Builds critical thinking and decision-making skills to gather, assess, analyze, question, verify, interpret and understand key or root issues.
Establishes and maintains effective relationships with customers and gains their respect and trust.
Demonstrates ability to learn technical materials and learns from mistakes in order to achieve best possible outcomes for claimant, customer and company.
Writes in a clear, succinct and fact-based manner in Claims files as well as in other communication.
Manages time and diary entries effective and efficiently, prioritizing work in a fast-paced environment.
Performs other functional duties as assigned.
Bachelor's degree or equivalent experience
State licensure as required
1 years claims handling experience
Demonstrated proficiency with MS Office suites
Demonstrated skills in investigation, evaluation and negotiation
Knowledge of insurance theory and practices
2 years of specific Worker's Compensation experience preferred
Ability to travel is required for some positions
What We Offer:
AmTrust Financial Services offers a competitive compensation package and excellent career advancement opportunities. Our benefits include: Medical & Dental Plans, Life Insurance, including eligible spouses & children, Health Care Flexible Spending, Dependent Care, 401k Savings Plans, Paid Time Off.
AmTrust strives to create a diverse and inclusive culture where thoughts and ideas of all employees are appreciated and respected. This concept encompasses but is not limited to human differences with regard to race, ethnicity, gender, sexual orientation, culture, religion or disabilities. Diversity is a business imperative, enabling us to attract, retain and develop the best talent available. We see diversity as more than just policies and practices. It is an integral part of who we are as a company, how we operate and how we see our future.
AmTrust values excellence and recognizes that by embracing the diverse backgrounds, skills, and perspectives of its workforce, it will sustain a competitive advantage and remain an employer of choice. Diversity is a business imperative, enabling us to attract, retain and develop the best talent available. We see diversity as more than just policies and practices. It is an integral part of who we are as a company, how we operate and how we see our future.
This job description is designed to provide a general overview of the requirements of the job and does not entail a comprehensive listing of all activities, duties, or responsibilities that will be required in this position. AmTrust has the right to revise this job description at any time.