Managed Care Claim Assistant I

Claim Assistant I

AmTrust Financial Services, a fast-growing commercial insurance company, has an opportunity for a Claim Assistant I within our Managed Care organization where your talent and abilities contribute to our competitive edge. The Managed Care Claims Assistant I will perform a variety of support services to our Worker's Compensation Managed Care department as described below, with oversight from Clerical Supervisor. The Managed Care Claims Assistant I maintains a solid understanding of AmTrust's mission, vision, and values. Upholds the standards of the AmTrust and Claims organization.

Responsibilities

• Processes treatment requests, referrals, and other activities as needed for Managed Care department following established methods to ensure compliance and privacy.
• Reviewing records with high attention to detail regarding documentation and accuracy to determine eligibility of requests.
• Generates letters from system templates, arranges distribution of response letters following proper handling procedures.
• Coordinates with adjusters, nurses, and others as needed to obtain claims or clinical information necessary for processing or assignment.
• Prioritizes requests and referrals based on review type, urgency of need while ensuring jurisdictional timeframes and department turnaround times are met.
• Meets or exceeds industry standards of daily productivity while maintaining accuracy.
• Accurately documents within multiple systems to reflect actions taken in response to referrals and requests.
• Performs general maintenance of claims documents across various systems.
• Adheres to any compliance changes as directed by supervisor.
• Other administrative tasks as assigned.

Qualifications

Education :

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.

What We Offer

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.