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Senior Claim Examiner I, OK

AmTrust Financial Services

Listing collected from AmTrust Financial Services's career site. NextChapter is independent of AmTrust Financial Services.

Overland Park, KS · Posted October 28, 2026

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How AI is used in this kind of work

AI use among claims adjusters, examiners, and investigators is little observed so far. Measured exposure for claims adjusters, examiners, and investigators: 8% (little observed).

Share of this job’s tasks that AI is already used for at work, from real usage. It is not a forecast of job loss, and a low number means no use seen yet. Source: Anthropic Economic Index.

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Skills this job asks for

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  • Excel
  • Litigation

About the job

Overview

We are seeking experienced professionals to join our Workers’ Compensation team as a Senior Claim Examiner . Both positions play a critical role in managing workers compensation claim files and ensuring compliance with state regulations while delivering exceptional service.

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.

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