Share Email Opening

Claims Assistant II 

About the Organization AmTrust Financial Services, Inc., (Nasdaq: AFSI) headquartered in New York City, is a multinational insurance holding company, which, through its insurance carriers, offers specialty property and casualty insurance products, including workers' compensation, commercial automobile and general liability; extended service and warranty coverage. For more information about AmTrust, visit, or call AmTrust toll-free at 866.203.3037.  
Position Claim Assistant III  
Location CA, San Diego  
Description Claims Assistant
Location: San Diego, CA

Job Summary:
Responsible for managing an assigned number of Workers' Compensation claims, ensuring adherence to government regulations, timely, accurate and cost-effective management and settlement of each case. May serve as department expert in training staff and management.
Job Duties:
Responsibilities included but are not limited to:

o Provide superior customer service by returning a telephone calls and email correspondence within a timely manner and answering callers' basic questions regarding claims.
o Determine and resolve issues of coverage, compensability and liability, in order to delay, accept or deny claims within the statutory time constraints.
o Administer benefits of temporary disability, permanent disability, vocation rehabilitation and medical treatment in compliance with the CA State Workers' Compensation Laws, Federal Laws and company guidelines
o Prepare claims defense to mitigate liability by effectively using defense medical evaluations, QMEs, AMEs, investigations, depositions, and to pursue subrogation where applicable
o Review all files on a 30 day diary, addressing reserves, mail, issue identification, strategy development, follow-up and aggressive action.
o Participate in negotiation process by attending hearings and providing deposition and testimony to ensure cost effective resolution of each case
o Interact and effectively communicate via telephone, electronic, and written correspondence with claimants, attorneys, doctors, counselors, investigators, agents, and insureds.
o Interact and effectively communicate and work with team members, Supervisors, Management and others, demonstrating professional courtesy at all times
o Continue training and development (seminars, classes) to keep abreast of changing laws and procedures and to enhance file handling techniques.
o Maintain certification and licensing as required by CA law
o Serve as the liaison between the company and the insured, and conduct regular claims reviews with the insured and broker
o Advise Examiners and Assistants on technical questions
Open Date 8/30/2013  
Position Requirements Job Requirements:

o Bachelor's degree or equivalent in work experience
o 3+ years experience as a claims examiner or assistant
o SIP certificate or obtained within one year required
o Full knowledge of related government laws and regulations
o General computer knowledge and experience with Microsoft Office Suite (Word, Excel, Access, Powerpoint)
o Ability to analyze and organize information
o Exceptional time management skills
o Strong verbal and written communication skills
o Ability to supervise, coach, and lead team of Examiners and Assistants when necessary
• High school diploma.
• Two to four years experience in an insurance claims department or related experience.

Full-Time/Part-Time Full-Time  
Req Number CLA-13-00200  
Number of Openings 1  
Employee Referral Eligible  
Employee Referral Payout  

This position is currently not accepting applications.

To search for an open position, please go to


Other Jobs Within Same Category
Claims Account Analyst in Nashua, NH
Posted on: 10/26/2016
[Apply Now]

Claims Account Analyst in Southington, CT
Posted on: 10/26/2016
[Apply Now]

Surety Bond - Claims Adjuster I in Dallas, TX
Posted on: 10/21/2016
[Apply Now]

Casualty Claims Supervisor in Dallas, TX
Posted on: 10/20/2016
[Apply Now]

Workers Compensation Claims Supervisor in Maitland, FL
Posted on: 10/19/2016
[Apply Now]

Other Jobs Within 60 Miles
Underwriting Compliance Auditor in Irvine, CA
Posted on: 9/7/2016
[Apply Now]

Software Engineer II/III in Irvine, CA
Posted on: 8/17/2016
[Apply Now]

Underwriting Assistant in Irvine, CA
Posted on: 10/18/2016
[Apply Now]

Follow us

AppOne.comTMáá copyrightę1999-2017 HR Services, Inc.
Click here for technical assistance.