Program Claims Manager - Worker's Compensation

Program Claims Manager - Worker's Compensation

Job Locations: US-United States

Requisition ID: 2024-17783

Category: Claims - Specialty Lines

Position Type: Regular Full-Time

Overview

Amtrust Financial Services, a fast growing commercial insurance company, is seeking a Program Claims Manager. This position can be located in one of our claims offices, with the possibility of working remotely. The successful candidate will provide oversight of Third Party Administrators in the handling of Workers' Compensation related claims. The successful candidate will evaluate coverage and compensability issues and risk transfer opportunities as well as ensure appropriate investigation of the underlying facts and circumstances, proactive management of medical and disability issues, the proper utilization of experts where necessary, selection and utilization of counsel is appropriate, and proper litigation strategy is employed. This position reports to a line of business Director.

Responsibilities

• Provides guidance, feedback, information to drive results through Third Party Administrators
• Recognize exposures and ensure reserving is appropriate and timely
• Evaluate and provide guidance on coverage and compensability issues, investigation, proactive medical and disability management, utilization of vendors and experts, litigation management, exposure mitigation and optimal claim resolution
• Effectively communicate exposures both internally and externally
• Perform Claim Audits
• Position may require periodic travel to attend mediations, trials and/or other related meetings
• Perform other duties as assigned

Qualifications

• Minimum of 7+ years' experience in the handling of complex workers' compensation claims
• Proficient computer skills required to navigate our paperless claim file system
• Possesses a high level of technical claim and legal knowledge and skills
• Excellent communication skills both written and verbal
• Ability to professionally interact at a high level with parties both internal and external to AmTrust
• Easily adapts to changing situations requirements or priorities
• Ability to effectively influence others without damaging relationships
• Skillful negotiator
• Proficient in Microsoft Word, Excel and PowerPoint preferred
• Texas designated home state adjuster license preferred
• CPCU designation/AIC certification preferred

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.

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