Sr. Claims Examiner
Location: Las Vegas, Nevada
Description: AmTrust North America is looking of Sr. Claims Examiner right now, this occupation will be depute in Nevada. More complete informations about this occupation opportunity kindly see the descriptions. Location: Las Vegas, Nevada
Job Summary:
Responsible for managing an assigned number of Workers' Compensation claims, ensuring adherence to government regulations, timely, acc! urate 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:
- Provide superior customer service by returning a telephone calls and email correspondence within a timely manner and answering callers' basic questions regarding claims.
- Determine and resolve issues of coverage, compensability and liability, in order to delay, accept or deny claims within the statutory time constraints.
- Administer benefits of temporary disability, permanent disability, vocation rehabilitation and medical treatment in compliance with the Nevada State Workers' Compensation Laws, Federal Laws and company guidelines
- Prepare claims defense to mitigate liability by effectively using defense medical evaluations, QMEs, AMEs, investigations, depositions, and to pursue subrogation where applicable
- Review all ! files on a 30 day diary, addressing reserves, mail, issue iden! tification, strategy development, follow-up and aggressive action.
- Participate in negotiation process by attending hearings and providing deposition and testimony to ensure cost effective resolution of each case
- Interact and effectively communicate via telephone, electronic, and written correspondence with claimants, attorneys, doctors, counselors, investigators, agents, and insureds.
- Interact and effectively communicate and work with team members, Supervisors, Management and others, demonstrating professional courtesy at all times
- Continue training and development (seminars, classes) to keep abreast of changing laws and procedures and to enhance file handling techniques.
- Maintain certification and licensing as required by NV law
- Serve as the liaison between the company and the insured, and conduct regular claims reviews with the insured and broker
- Advise Examiners and Assistants on technical questions
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If you were eligible to this occupation, please give us your resume, with salary requirements and a resume to AmTrust North America.
Interested on this occupation, just click on the Apply button, you will be redirected to the official website
This occupation starts available on: Sat, 25 May 2013 10:50:45 GMT
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