2 senior claims adjuster jobs found in Maitland, FL

Overview AmTrust Financial Services is growing fast and looking for a Claims Examiner I to join our Workers’ Compensation team. You’ll investigate and resolve claims quickly and accurately, using strong research and negotiation skills to deliver great results. Prior insurance experience— even outside workers’ comp or commercial lines.   This role is hybrid out of our Maitland, FL office Responsibilities Assist in reviewing, investigating, and processing incoming claims in accordance with company policies and regulatory guidelines. Gather and analyze documentation, statements, and other supporting materials to determine claim validity and coverage. Communicate with policyholders, vendors, and internal teams to ensure timely and accurate claim resolution. Maintain detailed and accurate claim files and documentation. Provide clear, empathetic, and professional customer service throughout the claims process....

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,...