Claims Adjuster II, CA
US-CA-Irvine
careers
Req #: 18537
Type: Regular Full-Time
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Overview: Amtrust Financial Services, a fast growing commercial insurance company, has an immediate need for a Claims Adjuster II - WC. This role will be located in our Irvine, CA office. 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 insures, and claimants, ensuring that company resources are utilized in a cost effective manner in the process. The adjuster reports to a WC Supervisor. The salary range for this role is $36.79 an hour to $39.66 an hour. This range is only applicable for jobs to be performed in California. Base pay offered may vary depending on, but not limited to education, experience, skills, geographic location, travel requirements, sales or revenue-based metrics. This range may be modified in the future 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. Qualifications: * 3+ years experience as a Workers Comp adjuster * MS Office experience (Work, Excel, Outlook) * Effective negotiation skills * Strong verbal and written communication skills * Ability to prioritize work load to meet deadlines * Ability to manage multiple tasks in a fast-paced environment
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