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, and business owners policies. The Lead Claim Examiner I position is based in Boca Raton, Florida, and is integral to the Claims department, focusing on workers' compensation cases.
In this role, the Lead Claim Examiner I is responsible for the prompt and efficient investigation, evaluation, and settlement or declination of insurance claims. This involves effective research, negotiation, and interaction with insureds, claimants, and medical providers. The position often handles larger or more complex claims compared to Adjuster I or II roles. The Lead Examiner is expected to uphold AmTrust's mission, vision, and values, maintaining high standards within the Claims organization.
Key responsibilities include managing claims in accordance with AmTrust policies and procedures, investigating claims by contacting involved parties, evaluating and adjusting reserves based on facts and company standards, and skillfully negotiating claims to achieve quick resolutions. The Lead Examiner also establishes effective relationships with internal or assigned counsel, coordinates with internal managed care and medical resources, obtains necessary medical records and reports, provides insights when reviewing others' claims, and ensures exceptional customer service.
Candidates should possess a bachelor's degree or equivalent experience, with at least 3 years of workers' compensation claims handling experience. Proficiency in MS Office suites is required, along with demonstrated skills in investigation, evaluation, and negotiation. A strong knowledge of insurance theory and practices is essential.
AmTrust offers a competitive compensation package, including medical and dental plans, life insurance, health care flexible spending, dependent care, 401(k) savings plans, and paid time off. The company strives to create a diverse and inclusive culture where the thoughts and ideas of all employees are appreciated and respected. AmTrust has been recognized as one of the Best and Brightest Companies to Work For in the Nation, reflecting its commitment to employee engagement and satisfaction.