AmTrust Financial
Claims Adjuster, Medical Only
AmTrust Financial, Maitland, Florida, us, 32794
Claims Adjuster, Medical Only
Job Locations
US-FL-Maitland
Requisition ID
2024-17347
Category
Claims - Workers Compensation
Position Type
Regular Full-Time
Overview
The Worker's Compensation Medical Only Claims Adjuster is responsible for the prompt and effective investigation of worker's compensation claims involving injuries that require medical treatment but no wage loss. Claim adjudication requires interaction with Insureds, claimants, medical providers and other parties to ensure adequate medical treatment is provided while utilizing Company resources in a cost-effective manner.Responsibilities
Ability to multitask and prioritize work in a fast-paced environment and manage time effectively
Investigates losses of low to moderate severity to determine cause, scope and extent of injury and/or liability for potential subrogationVerifies coverage and confirms policy conditions have been metObtains missing information and ensures data integrity for Regulatory reportingCommunicates effectively with claimants, policyholders, Underwriters, agents, and other internal and external stakeholdersAuthorizes medical treatment and schedules medical appointments.Establishes medical reserves, approves medical bills and reviews/requests medical recordsDocuments all correspondence, reports, discussions and decisions in Claim file notesKnowledge of multiple state jurisdictions (if applicable)Obtain appropriate Adjuster licensing (If applicable)Performs other related duties as assigned
Qualifications
RequiredProficiency with MS Word, Excel and other business applicationsDemonstrated skills in critical thinking and independent decision makingState licensing requirements (if applicable)Preferred:Minimum of 2 years handling Medical Only or other Workers Compensation Claims experienceBasic knowledge of medical conditions, treatment plans and casual relation to occupational injury/illnessDrive and desire to use this position as a starting point to potentially enter the Claim Associate training program and become a lost time adjuster in the future.
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.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.Connect With Us!
Not ready to apply? Connect with us for general consideration.
Job Locations
US-FL-Maitland
Requisition ID
2024-17347
Category
Claims - Workers Compensation
Position Type
Regular Full-Time
Overview
The Worker's Compensation Medical Only Claims Adjuster is responsible for the prompt and effective investigation of worker's compensation claims involving injuries that require medical treatment but no wage loss. Claim adjudication requires interaction with Insureds, claimants, medical providers and other parties to ensure adequate medical treatment is provided while utilizing Company resources in a cost-effective manner.Responsibilities
Ability to multitask and prioritize work in a fast-paced environment and manage time effectively
Investigates losses of low to moderate severity to determine cause, scope and extent of injury and/or liability for potential subrogationVerifies coverage and confirms policy conditions have been metObtains missing information and ensures data integrity for Regulatory reportingCommunicates effectively with claimants, policyholders, Underwriters, agents, and other internal and external stakeholdersAuthorizes medical treatment and schedules medical appointments.Establishes medical reserves, approves medical bills and reviews/requests medical recordsDocuments all correspondence, reports, discussions and decisions in Claim file notesKnowledge of multiple state jurisdictions (if applicable)Obtain appropriate Adjuster licensing (If applicable)Performs other related duties as assigned
Qualifications
RequiredProficiency with MS Word, Excel and other business applicationsDemonstrated skills in critical thinking and independent decision makingState licensing requirements (if applicable)Preferred:Minimum of 2 years handling Medical Only or other Workers Compensation Claims experienceBasic knowledge of medical conditions, treatment plans and casual relation to occupational injury/illnessDrive and desire to use this position as a starting point to potentially enter the Claim Associate training program and become a lost time adjuster in the future.
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.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.Connect With Us!
Not ready to apply? Connect with us for general consideration.