Senior Claims Examiner - Transitional Claim Team

Senior Claims Examiner I

Join to apply for the Senior Claims Examiner I role at AmTrust Financial Services, Inc.

The Worker’s Compensation Transitional Senior Claims Examiner plays a vital role in ensuring operational continuity within the Claims department. This specialized, full‑time role is designed for seasoned professionals who can step in to manage open desks or oversee pending claims during an adjuster’s leave of absence. In addition to covering for employees on leave, a Transitional Senior Claims Examiner may also be deployed during periods of attrition or team transitions to maintain workflow and service standards.

A valid California adjuster license is required for all Transitional Senior Claims Examiner positions. Those within a 50‑mile radius of an AmTrust office will be expected to abide by a hybrid schedule.

• Investigate claims or coverage by making timely and appropriate contact with involved or interested parties including but not limited to the insured, employer representatives, claimants or injured workers, witnesses and producers.
• Determine, review and analyze coverage. While operating autonomously, elevate coverage issues as needed with appropriate resources and draft positions as required.
• Set timely and accurate reserves based on facts, company standards and experience.
• Establish an effective litigation plan and build relationships with internal or panel counsel; apply company principles and standards including planning, organizing and monitoring legal panel services and costs in partnership with internal legal counsel.
• Leverage strong critical‑thinking and decision‑making skills to gather, assess, analyze, question, verify, interpret and understand key or root issues.
• Skillfully negotiate claims after gaining effective leverage points to achieve optimal outcomes. Gain trust of other parties in negotiations and demonstrate good sense of timing. Approach discussions from the merits or strengths of the case.
• As part of a team, provide insights and input when reviewing claims of others; may be sought out for advice.
• Write in a clear, succinct and fact‑based manner in claim files as well as in other communications.
• Demonstrate timeliness in managing the diary, ensuring fact‑based and up‑to‑date entries.
• Establish and maintain effective relationships with customers, gaining their respect and trust.
• May be required to work overtime as assigned.
• Keep current with market trends and demands.
• Perform other functional‑related duties as assigned.

• Bachelor’s degree or equivalent experience.
• 5+ years of claims handling experience.
• State licensure as required.
• Demonstrated proficiency with MS Office suites.
• Demonstrated skills in investigation, evaluation and negotiation.
• Strong knowledge of insurance theory and practices.

The expected salary range for this role is $102,000–105,000 annually. Please note that the salary information shown above is a general guideline only. Salaries are based upon a wide range of factors considered in making the compensation decision, including, but not limited to, candidate skills, experience, education and training, the scope and responsibilities of the role, as well as market and business considerations.

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

AmTrust strives to create a diverse and inclusive culture where thoughts and ideas of all employees are appreciated and respected. This concept encompasses but is not limited to human differences with regard to race, ethnicity, gender, sexual orientation, culture, religion or disabilities. AmTrust values excellence and recognizes that by embracing the diverse backgrounds, skills and perspectives of its workforce, it will sustain a competitive advantage and remain an employer of choice.

Diversity is a business imperative, enabling us to attract, retain and develop the best talent available. We see diversity as more than just policies and practices. It is an integral part of who we are as a company, how we operate and how we see our future.