Requisition Title Lead Claim Examiner I
AmTrust Financial Services, Inc. is a multinational property and casualty insurance company headquartered in New York City. The company offers a range of insurance products, including workers' compensation, general liability, business owners policies (BOP), cyber liability, and employment practices liability (EPLI). Operating across North America, the United Kingdom, and mainland Europe, AmTrust is recognized for its commitment to customer care and employee success.
The Lead Claim Examiner I plays a pivotal role within AmTrust's Claims department, focusing on the prompt and efficient investigation, evaluation, and settlement or declination of insurance claims. This position involves effective research, negotiation, and interaction with insureds, claimants, and medical providers. The Lead Examiner is often assigned to larger or more complex claims, ensuring that AmTrust's mission, vision, and values are upheld throughout the claims process.
Key responsibilities include managing claims in accordance with AmTrust policies and procedures, investigating claims by contacting involved parties such as insureds, claimants, witnesses, and medical providers, and evaluating and adjusting reserves based on facts and company standards. The role also requires skillful negotiation to resolve claims efficiently, leveraging critical thinking and decision-making skills to assess and understand key issues. Additionally, the Lead Examiner establishes effective relationships with internal or assigned counsel, coordinates with internal managed care and medical resources, and ensures exceptional customer service.
Candidates should possess a bachelor's degree or equivalent experience, with a minimum of 3 years of workers' compensation claims handling experience. Proficiency in Microsoft Office Suite is essential, along with demonstrated skills in investigation, evaluation, and negotiation. A strong knowledge of insurance theory and practices is also required to effectively perform the duties of this role.
AmTrust Financial Services offers a comprehensive benefits package that supports work-life balance, including generous paid time off and wellness programs. The company has been recognized as one of the Best and Brightest Companies to Work For, reflecting its commitment to employee engagement and satisfaction.
AmTrust fosters a diverse and inclusive culture where the thoughts and ideas of all employees are appreciated and respected. The company values excellence, innovation, integrity, responsibility, inclusion, and teamwork, creating an environment that encourages personal and professional growth.