Job Description

Claims Adjuster II, CA

Job Locations


US-CA-TBD

Requisition ID


JR1003915

Category


Claims - Workers Compensation

Position Type


Regular Full-Time

Overview

Responsible for the analysis, management, and resolution of lien cases. Negotiate resolution of provider liens assisting claims for workers' compensation claims. This position will work closely with the claim and medical bill review teams to ensure the efficient and cost-effective resolution of liens.

Those within a 50-mile radius of an AmTrust office will be expected to abide by a hybrid schedule

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

Responsibility for the completion of lien settlement negotiations, including oversight of demands and offers through email, fax, mail and telephonic communications.
• Update strategy and reserves as information becomes available.
• Review and appropriately respond to incoming lien related correspondence, pleadings, records, offers to resolve; ensure all responses, objections and other communications are made timely pursuant to all pertinent Workers' Compensations laws and regulations.
• Review claim files and determine AmTrust's liability/exposure, if any, to outstanding liens.
• Implement lien strategy/resolution plans for closure of all liens on a claim file, ensuring thoroughly document of resolution plans and activities in the claim file.
• Ensure the efficient and cost-effective resolution of liens; negotiate liens within financial authority, utilizing resources such as staff counsel, management and outside vendors to ensure results are in accordance with all applicable laws and regulations.
• Draft correspondence and documentation to include electronically filed documents with various agencies, while ensuring these records are properly and timely filed.
• Assist Managing lien litigation calendar to make sure all required appearances before the WCAB are made by Defense Attorneys/Hearing Representatives.
• Assist in maintaining a record of metrics that measure efficiency and cost-effectiveness of all lien resolutions.

#LI-EG1

#LI-REMOTE

Qualifications

• Ability to communicate effectively and clearly, both orally and in writing.
• Time management skills, organizational skills and ability to prioritize issues and tasks.
• Must have outstanding attention to detail and accuracy.
• Must have ability to comprehend written material.
• Strong analytical skills.
• Customer service skills or prior experience in negotiations.
• Ability to effectively operate computer equipment and applications.

Education/Experience

• Knowledge of the California Labor Code statutes, Rules and Regulations, case law, and California fee schedules.
• Minimum of 2+ years of Workers' Compensation indemnity claims adjusting experience.
• Previous Collections or Workers' Compensation experience preferred.
• Previous Workers' Compensation lien negotiations 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.

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. AmTrust Financial

Job Tags

Full time, Remote job, Flexible hours,

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