Claims Clerk I

JOB DEFINITION:

Performs complex clerical duties requiring knowledge and understanding of all applicable Workers Comp procedures and policies.

DISTINGUISHING CHARACTERISTICS:

Must be able to perform all clerical aspects of a claim file. Assists the claims examiner in maintaining current and updated status of the file.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

To perform this job successfully, the employee must be able to efficiently and effectively perform each of the following essential functions. Reasonable accommodation may be made for individuals with disabilities.

The functions of this job include but are not limited to;

Ensure the privacy and security of Protected Health Information (PHI).
• Timely and accurately complete tasks as assigned, (includes processing legal referral documents, file and serve documents, 9785 letters and preparing objections)

• Must be able to work at least 40 hours per week, Monday thru Friday and be available to work extended hours as situations arise.

• Other duties as may be assigned

1. LANGUAGE 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.

2. MATHEMATICAL SKILLS

Ability to calculate figures and amounts such as discounts, interest, commissions, proportions, and percentages.

3. REASONING ABILITY

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.

6. WORK ENVIRONMENT

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is occasionally exposed to outside weather conditions. The noise level in the work environment is usually quiet to low.

Your employer reserves the right to modify the description of the duties and the requirements of this job at any time upon reasonable notice.

#AmTrust

AmTrust Financial Services offers a competitive compensation package and excellent career advancement opportunities. Our benefits include: 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.