Subrogation Adjuster - Workers' Compensation
: Job Details :


Subrogation Adjuster - Workers' Compensation

AmTrust Financial Services

Location: Latham,NY, USA

Date: 2024-12-16T09:01:36Z

Job Description:

Overview

Amtrust Financial Services, a fast-growing commercial insurance company, is seeking a Subrogation Claims Adjuster with Workers' Compensation experience. The successful candidate will directly handle subrogation related claims. This adjuster role is responsible for prompt and independent investigations and review of subrogation claims through effective coverage analysis and liability investigation. In this role, the adjuster is responsible for negotiations and interactions with insureds, claimants, adverse parties, and counsel. The successful candidate will evaluate 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 position reports to a line of business supervisor or manager.

This position will require hybrid attendance 3 days per week in an AmTrust location and is posted remotely for nationwide visibility.

Responsibilities

* Investigates the claim or coverage by making timely and appropriate contact with involved or interested parties including but not limited to the insured or employer. representatives, claimant or injured party, witnesses, producers, and adverse parties.

* Documents strategy, action plan, and summary of correspondence in a clear, succinct, and fact-based manner.

* Notifies all potential parties, legal representatives, and insurance companies of our subrogation interest.

* Ensures quality and timely service is provided to all internal and external customers, whether directly or indirectly.

* While working with internal or assigned Legal Counsel, will build strong relationships, and apply company principles and standards.

* Effectively negotiates and resolves litigated and non-litigated subrogation claims, and leverages relationships to achieve optimal outcomes.

* Manages and controls loss adjustment expenses while pursuing the best potential recovery outcomes.

* Builds and leverages critical thinking and decision-making skills to gather, assess, analyze, question, verify, interpret, and understand key or root issues.

* Effectively prioritizes work while driving claims resolution for the best potential outcome.

* Escalates claims decisions regarding settlement determination when appropriate to management.

* Performs other functional duties as assigned.

Qualifications

* Bachelor's degree or equivalent experience.

* State licensure as required.

* Demonstrated proficiency with MS Office suites.

* Demonstrated skills in loss investigations, evaluations, and negotiations.

* Knowledge of insurance liability, theory, and practices.

Preferred:

* 1-3 years of relevant experience.

* Multi-jurisdictional exposure preferred.

* Ability to obtain licensure as required.

* Some ability to travel may be required.

* Commercial general liability experience preferred.

Unique Minimum Qualifications:

* Sound technical experience with negotiations and investigations.

* Candidate should have knowledge of commercial general liability, commercial automobile, property and/or Workers' Compensation insurance coverages.

* Ability to review and interpret contracts, legal documents, and medical records.

* Knowledge of jurisdictional statutes and case law.

* Ability to communicate effectively and clearly with many different parties both verbally and written.

* Knowledge of claim procedures, policies, state and federal laws and insurance regulations.

* Experience with litigation, mediation, and arbitration.

This job description is designed to provide a general overview of the requirements of the job and does not entail a comprehensive listing of all activities, duties, or responsibilities that will be required in this position. AmTrust has the right to revise this job description at any time.

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