Qureos Mentor

AmTrust Financial

<div>Overview:
<div>Responsible for executing quality reviews on claims for Warranty and Vehicle Service Contract (VSC) lines of coverage. Engages with claim leadership to provide feedback and support training efforts across claims departments. Partners with key stakeholders to improve compliance with claim quality standards and reduce leakage. Acts as a trusted advisor to the business. Maintains a solid understanding of AmTrust&rsquo;s mission, vision, and values and upholds organizational standards.</div><div></div><div><br>
This position will require hybrid attendance in an AmTrust location and is posted remotely for nationwide visibility.</div>
Responsibilities:
<ul><li>Conduct Claim File Audits: Regularly review Warranty and VSC claim files to ensure compliance with company standards and regulatory requirements.</li><li>
Provide Feedback: Deliver constructive feedback on audit findings and recommend improvements to enhance claims quality.</li><li>
Quality Improvement: Support the development and implementation of strategies to improve Warranty and VSC claims handling.</li><li>
Training and Support: Assist with training sessions to strengthen claims staff knowledge and performance.</li><li>
Data Analysis: Create and analyze reports on claim quality trends, identifying opportunities for improvement.</li><li>
Customer Relations: Partner with claims teams on corrective action plans.</li><li>
Reporting: Produce clear, consumable reports and present assessment results to leadership and key stakeholders.</li><li>
Trend Analysis: Interpret data to identify root causes and collaborate with the business on measurable action plans.</li><li>
Prioritization: Manage multiple assessments and projects, meeting deadlines and escalating competing demands as needed.</li><li>
QA Expertise: Maintain strong knowledge of QA methodologies, tools, and risk management principles.</li><li>
Industry Awareness: Stay current on market trends and Warranty/VSC industry developments.</li><li>
Additional Duties: Perform other responsibilities as assigned.</li></ul>
Qualifications:
<ul><li>Bachelor&rsquo;s degree in a related field or equivalent business experience.</li><li>
5+ years of related claims experience, preferably in Warranty and/or Vehicle Service Contract claims, with recent quality or compliance oversight experience.</li><li>
Strong written and verbal communication skills.</li><li>
Ability to evaluate priorities and make sound decisions to ensure timely, accurate work.</li><li>
Relevant claims, compliance, risk, or legal designations (ARM, AIC, CPCU, etc.) preferred.</li><li>
Adjuster license as required by state or company regulations.</li></ul><p>
This role is essential for maintaining the integrity and efficiency of the claims process, ensuring that customers receive accurate and timely service.</p><p>
#LI-BL1</p>
What We Offer:
<div>
AmTrust Financial Services offers a competitive compensation package and excellent career advancement opportunities. Our benefits include: Medical &amp; Dental Plans, Life Insurance, including eligible spouses &amp; children, Health Care Flexible Spending, Dependent Care, 401k Savings Plans, Paid Time Off.</div><div></div><div><br>
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.</div><div></div><div><br>
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.</div></div>

TPA Performance Specialist, Warranty and VSC Claims

<div>Overview:
<div>
AmTrust Financial Services, a fast-growing commercial insurance company, has a need for a Senior Manager in our Professional Liability group. This position will include aspects of team leadership and direct oversight of complex files. The Director will be held accountable for driving quality, technical excellence, providing coverage acumen on complex claims, and providing leadership support to a national claims team handling.</div><div></div><div><br>
The Senior Manager works closely with all levels of claims leadership to provide direction and guidance to claim professionals driving claims performance to achieve optimal claims outcomes, superior individual and team operational results, and strategic alignment with claims department goals and objectives. Responsible for the development, coaching, mentoring, and training of the Professional Liability Claims organization, and ensures consistent, inspiring, and effective communication with claims personnel.</div><div></div><div><br>
This position will require hybrid attendance in one of our AmTrust claim locations.</div>
Responsibilities:
<ul><li>Lead a team of professional liability adjusters focusing on the handling of management liability, employment practices liability, Financial Lines and other claims as needed.</li><li>
Provide technical oversight to emerging and/or complex claims with an emphasis on coverage and risk transfer within the Professional Liability organization.</li><li>
Analyze legal issues and support effective coverage dispute resolution strategies.</li><li>
Work to develop and strengthen process efficiencies within the Professional Liability organization</li><li>
Drive best practices in customer service and support for business partners to optimize profitable growth</li><li>
Identify, develop, present, and/or implement training initiatives</li><li>
Facilitate Professional Liability roundtable discussions and quality file reviews</li><li>
Lead alignment and calibration efforts to bring about consistency in claims handling excellence</li><li>
Participate as a SME in projects and initiatives for Professional Liability and assist in cross departmental projects and initiatives.</li><li>
Present authority requests or strategy recommendations to senior leadership</li><li>
Keeps current with market trends and demands, including changes to compliance and law in all 50 states, and advise management and claim professionals regarding impact of changes.</li></ul>
Qualifications:
<ul><li>Seven to ten years experience in professional liability, and/or coverage litigation management. JD preferred, but not required.</li><li>
Experience providing claim oversight and direction on complex claims issues.</li><li>
Experience training highly technical claims staff.</li><li>
Proven track record of success in positively impacting claim outcomes within a claims organization.</li><li>
Strong communication skills with ability to present to senior leadership.</li><li>
Embraces change, invites feedback related to performance, and deals constructively with criticism.</li><li>
Persuades and influences people by presenting a strong case, explains things clearly, challenges ideas effectively, and argues in favor of own point of view.</li><li>
Proven ability to work with internal and external partners to ensure positive claims experience to insureds.</li><li>
Demonstrated drive and ambition to achieve goals and outstanding results.</li></ul><div></div><div><br>
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.</div><div></div><div><i><br>
The expected salary range for this role is $130K-175K/year.</i></div><div></div><div><i><br>
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.</i></div><div></div><div><i><br>
#LI-BL1</i></div>
What We Offer:
<div>
AmTrust Financial Services offers a competitive compensation package and excellent career advancement opportunities. Our benefits include: Medical &amp; Dental Plans, Life Insurance, including eligible spouses &amp; children, Health Care Flexible Spending, Dependent Care, 401k Savings Plans, Paid Time Off.</div><div></div><div><br>
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.</div><div></div><div><br>
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.</div></div>

Senior Manager, Management Liability Claims

<div>Overview:
<div>
AmTrust is seeking experienced claims professionals from any line of claims who bring claim management and/or leadership experience and are eager to take the next step in their career. This role will join our Workers&rsquo; Compensation Claims team as a Senior Claim Examiner, with a clear opportunity to grow into a people leadership or management position.</div><div></div><div><div><br>
The primary focus of this role is the independent review, negotiation, and resolution of claims in a timely and cost-effective manner. While prior Workers&rsquo; Compensation experience is preferred, we are open to candidates from other claim disciplines and are willing to provide training on Workers&rsquo; Compensation for the right individual.</div></div>
Responsibilities:
<ul><li>Investigates the claim or coverage by making timely and appropriate contact with involved or interested parties including but not limited to the insured or employer representatives, claimants or injured workers, witnesses and producers.
</li><li>Determines, reviews and analyzes coverage. While operating autonomously, elevates coverage issues as needed with appropriate resources and drafts positions as required.
</li><li>Responsible for setting of timely and accurate reserves based on facts, company standard and experience.
</li><li>Establishes effective litigation plan and build relationship with internal or panel counsel. Applies company principles and standards including planning, organizing and monitoring legal panel services and cost in partnership with internal legal counsel.</li><li>
Leverages strong critical thinking and decision-making skills to gather, assess, analyze, question, verify, interpret and understand key or root issues.</li><li>
Skillfully negotiates claims after gaining effective leverage points to effectuate optimal outcome. Gains trust of other parties to negotiations and demonstrates good sense of timing. Approaches discussions from merits or strengths of case.
</li><li>Depending on the type of claim may:<ul><li>
Communicate with internal Managed Care and Medical resources to ensure coordination with Medical providers on the development and authorization of appropriate treatment plans as well as accurate billing.</li><li>
Obtain medical records and reports, police, ambulance and agency reports; photographs and measurements.
</li></ul></li><li>As part of a team, provides insights and input when reviewing claims of others. May be sought out by others for advice.
</li><li>Writes in a clear, succinct and fact-based manner in Claims files as well as in other communication.
</li><li>Demonstrates timeliness in managing the diary ensuring fact based and up to date entries.
</li><li>Establishes and maintains effective relationships with customers and gains their respect and trust.
</li><li>May serve as Acting Supervisor as requested; may mentor Adjusters with less experience.</li><li>
May be required to work overtime as assigned.</li><li>
Keeps current with market trends and demands.</li><li>
Performs other functionally related duties as assigned.</li></ul>
Qualifications:
<p><b>
Required:</b></p><ul><li>
Bachelor&rsquo;s degree or equivalent experience</li><li>
5+ years claims handling experience</li><li>
State licensure as required</li><li>
Demonstrated proficiency with MS Office suites</li><li>
Demonstrated skills in investigation, evaluation and negotiation</li><li>
Strong knowledge of insurance theory and practices
</li><li>Ability to travel is required for some positions</li></ul><p><b>
Preferred:</b></p><ul><li>
Multijurisdictional experience</li><li>
Prior leadership/supervisory experience</li><li>
CPCU designation, AIC, ARM, or other claims certification preferred.</li></ul>
What We Offer:
<div>
AmTrust Financial Services offers a competitive compensation package and excellent career advancement opportunities. Our benefits include: Medical &amp; Dental Plans, Life Insurance, including eligible spouses &amp; children, Health Care Flexible Spending, Dependent Care, 401k Savings Plans, Paid Time Off.</div><div></div><div><br>
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.</div><div></div><div><br>
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.</div></div>

Senior Claim Examiner

Join AmTrust Financial and explore 3   exciting career opportunities. They're hiring for various roles with options for remote or on-site work. Apply today and become part of their innovative team.

AmTrust Financial

About Company

TPA Performance Specialist, Warranty and VSC Claims

Senior Manager, Management Liability Claims

Senior Claim Examiner