Senior Claim Examiner I
amtrustgroup
Senior Claim Examiner I
amtrustgroup· Claims - Workers Compensation
About this role
Overview
We are seeking experienced professionals to join our Workers’ Compensation team in two key roles: Senior Claim Examiner and Lead Claim Examiner. Both positions play a critical role in managing workers compensation claim files and ensuring compliance with state regulations while delivering exceptional service.
Responsibilities
Senior Claim Examiner
- Manage complex and high-exposure workers’ compensation claims from start to resolution.
- Investigate claims, determine compensability, set reserves, and negotiate settlements.
- Serve as a resource for junior examiners and assist with mentoring.
- Requires 5+ years of workers’ compensation claims experience and strong technical knowledge.
Lead Claim Examiner
- Responsible for prompt and efficient investigation, evaluation and settlement or declination of insurance claims through effective research, negotiation and interaction with insureds, claimants and medical providers.
- Maintains a solid understanding of AmTrust’s mission, vision, and values. Upholds the standards of AmTrust and the Claims organization.
- Requires 3+ years of workers’ compensation claims experience and strong technical knowledge.
Responsibilities:
- Thoroughly investigating workers’ compensation claims by contacting injured workers, medical providers, and employer representatives. Determining if claims are valid under applicable workers’ comp statutes. Communicating with medical providers to develop and authorize appropriate treatment plans.
- Reviewing and analyzing medical bills to confirm charges and treatment are workers’ comp injury-related and in accordance with the treatment plan.
- Ensuring payments for medical bills and income replacement are remitted on a timely basis in accordance with applicable fee schedules and statute
- Answer questions regarding the status of pending claims from claimants, policyholders and medical providers.
- Consult with attorneys regarding litigation management, settlement strategy and claim resolution.
Qualifications
- MS Office experience (Work, Excel, Outlook)
- Effective negotiation skills
- Strong verbal and written communication skills
- Ability to prioritize work load to meet deadlines
- Ability to manage multiple tasks in a fast-paced environment
Frequently Asked Questions
Is the salary disclosed for the Senior Claim Examiner I position at amtrustgroup?
The salary for this Senior Claim Examiner I role at amtrustgroup is not publicly listed. Click "Apply Now" to learn more about the compensation package on their official careers page.
Where is the Senior Claim Examiner I position at amtrustgroup located?
This Senior Claim Examiner I role at amtrustgroup is based in Princeton, NJ, US. The position is listed as on-site or hybrid. Check the full job description or apply directly to confirm the work arrangement.
Is the Senior Claim Examiner I role at amtrustgroup full-time or part-time?
This is listed as a FULL TIME position. It is posted as a Senior Claim Examiner I role in the Claims - Workers Compensation department at amtrustgroup.
Which team or department does the Senior Claim Examiner I at amtrustgroup belong to?
This Senior Claim Examiner I position is part of the Claims - Workers Compensation department at amtrustgroup. See the full job description for more information about the team structure and responsibilities.
How do I apply for the Senior Claim Examiner I position at amtrustgroup?
Click the "Apply Now" button on this page. You will be redirected to amtrustgroup's official application portal hosted on icims where you can submit your application directly.
When was the Senior Claim Examiner I job at amtrustgroup posted?
This Senior Claim Examiner I position at amtrustgroup was posted on Aug 24, 2026. Apply as soon as possible — early applications are often reviewed first.
Senior Claim Examiner I
amtrustgroup
You'll be redirected to amtrustgroup's official application page on icims.