[Remote] Claims Adjuster III, Agriculture

Note: The job is a remote job and is open to candidates in USA. AmTrust Financial Services, Inc. is seeking a Claims Adjuster III specializing in Agriculture. This role involves managing complex Workers' Compensation cases, providing technical guidance, and ensuring timely claims processing and communication with all parties involved. Responsibilities • Set up claims and make timely three point contacts • Ensure the privacy and security of Protected Health Information (PHI) • Analyze claim, investigate and estimate proper reserves • Develop and maintain relevant plan of action • Set up and maintain timely benefit payments (Includes wage statement calculation and diary management) • Identification and pursuit of subrogation • Timely review and maintenance of incoming mail • Timely response to Request for Authorization or referral for Utilization Review • Consistent communication and claim reviews with all parties, including our Claims Services Account Manager in relation to brokers and policy holders. • The agricultural accounts are generally higher volume policies, fast-paced and seasonal, and special handling is oftentimes required. • Timely evaluation of reserve adequacy • Proactively maintaining current status of claims • Identify, rate and reserve for possible permanent disability • Evaluate claim for settlement purposes • Timely excess Carrier Reporting • Close cases in a timely and expedient manner • Other duties as may be assigned • Must be able to work at least 40 hours per week, Monday thru Friday and be available to work extended hours as situations arise. Skills • 3 to 5 years of commercial Workers’ Compensation experience • Any combination equivalent High School graduation and/or two year community college or experience in business or closely related field • Litigated and non-litigated claims experience required • Basic mathematical skills required for calculations and ratings • Knowledge and understanding of workers’ compensation claims administration required • Through knowledge of Self-Insurance regulations, Case Law, Labor Code • Strong time management, organization and problem solving skills • Ability to read, analyze, and interpret common scientific and technical journals, financial reports, and legal documents • Ability to write letters, memos and reports that conform to prescribed style, format and grammatical correctness • Ability to effectively present information to top management • Extensive clear and tactful communications required via writing, reading, telephone calls, note taking, letter writing, memoranda, etc. • Must be able to negotiate • Ability to calculate figures and amounts such as discounts, interest, commissions, proportions, and percentages • Ability to define problems, collect data, establish facts, and draw valid conclusions • Ability to interpret an extensive variety of technical instructions in mathematical or diagram form and deal with several abstract and concrete variables • Must be Current on Worker’s Compensation education training hours Benefits • Medical & Dental Plans • Life Insurance, including eligible spouses & children • Health Care Flexible Spending • Dependent Care • 401k Savings Plans • Paid Time Off Company Overview • AmTrust Financial Services, Inc., through its subsidiaries, operates as a multinational property and casualty insurance company. It was founded in 1998, and is headquartered in New York, New York, USA, with a workforce of 5001-10000 employees. Its website is https://amtrustfinancial.com/. Apply tot his job Apply To this Job