[Remote] Claims Adjuster III, Agriculture

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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 hoursBenefits• Medical & Dental Plans• Life Insurance, including eligible spouses & children• Health Care Flexible Spending• Dependent Care• 401k Savings Plans• Paid Time OffCompany 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

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