Claims Examiner, Medical Only
AmTrust Financial Services, Inc. · Salt Lake City Metropolitan Area · Yesterday
Full-time
Responsibilities
- Investigates losses of low to moderate severity to determine cause, scope and extent of injury and/or liability for potential subrogation
- Verifies coverage and confirms policy conditions have been met
- Obtains missing information and ensures data integrity for regulatory reporting
- Communicates effectively with claimants, policyholders, underwriters, agents, and other internal and external stakeholders
- Authorizes medical treatment and schedules medical appointments
- Establishes medical reserves, approves medical bills and reviews/requests medical records
- Documents all correspondence, reports, discussions, and decisions in claim file notes
Requirements
- Ability to multitask and prioritize work in a fast-paced environment and manage time effectively
- Proficiency with MS Word, Excel, and other business applications
- Demonstrated skills in critical thinking and independent decision making
- State licensing requirements (if applicable)
Qualifications
- Minimum of 2 years handling Medical Only or other Workers’ Compensation claims experience
- Basic knowledge of medical conditions, treatment plans and casual relation to occupational injury/illness
Skills
- Knowledge of multi-state jurisdictions (if applicable)
- Obtain appropriate examiner licensing (if applicable)
Benefits
- Medical & Dental Plans
- Life Insurance, including eligible spouses & children
- Health Care Flexible Spending
- Dependent Care
- 401k Savings Plans
- Paid Time Off
Pay
Competitive compensation package
Schedule
Hybrid opportunity out of our South Jordan, UT office