2 complex liability adjuster jobs found in Maitland, FL

Overview AmTrust Financial has an immediate need for a Workers’ Compensation Major Loss Examiner to join our team. The ideal candidate will have jurisdictional expertise in FL and/or GA, with additional preferred jurisdictional knowledge of NC, SC, and TX.   The successful candidate will directly handle complex claims including Workers Compensation related claims. The successful candidate will evaluate coverage issues and risk transfer opportunities as well as ensuring appropriate investigation of the underlying facts and circumstances is carried out, proper experts are retained and utilized where necessary, selection and utilization of counsel is appropriate, and proper negotiation strategy is employed.    This role will require a hybrid work schedule. We are on-site 4 days a week (Monday-Thursday) and remote on Friday.    Eligible Office Locations: Maitland, FL Alpharetta, GA Boca Raton, FL Dallas, TX...

Overview AmTrust Financial Services, a fast growing commercial insurance company, has a need for a Telephonic Medical Case Manager, RN.   PRIMARY PURPOSE: To provide comprehensive quality telephonic case management to proactively drive a medically appropriate return to work through engagement with the injured employee, provider and employer.  Our nurses will be empathetic informative medical resources for our injured employees and they will partner with our adjusters to develop a personalized holistic approach for each claim.  These responsibilities may include utilization review, pharmacy oversight and care coordination.    This position will be hybrid out of Maitland, FL or Boca Raton, FL office.  Responsibilities Uses clinical/nursing skills to determine whether all aspects of a patient’s care, at every level, are medically necessary and appropriately delivered. Perform Utilization Review activities prospectively,...