Senior Personal Injury Protection Claims Analyst

Amerisure creates exceptional value for its partners, policyholders, and employees. As a property and casualty insurance company, Amerisure’s promise to our partner agencies and policyholders begins with a comprehensive line of insurance products designed to protect businesses, as well as the health and safety of every employee. With an A.M. Best “A” (Excellent) rating, Amerisure serves mid-sized commercial enterprises focused in construction, manufacturing and healthcare. Ranked as one of the top 100 Property & Casualty companies in the United States, we proudly manage nearly $1 Billion of Direct Written Premium and maintain $1.21 billion in surplus.

About the role

Provides quality investigation and analysis to adjust MI PIP Life Expectancy claims involving the Michigan Catastrophic Claims Association (MCCA). Includes all aspects of reporting to the MCCA (Initial, status and requests for reimbursement). File handling also includes litigated matters where settlement authority/approval from the MCCA is required. This role follows a 2-day hybrid approach onsite in one of our offices.

Responsibilities

• Investigate losses, verify coverage, evaluate liability, damages and determine compensability independently.
• Engage other parties in negotiations and settle claims pursuant to claims handling guidelines.
• Timely initial reports to the MCCA when claim meets reporting criteria as well as timely and accurate completion of the MCCA status reports.
• Timely and accurate completion of Reimbursement Requests to MCCA.
• Collaborate closely with accounting to ensure balances align.
• Leverage expertise to review and analyze documents and legal pleadings.
• Establish and maintain proper reserves for each claim to accurately reflect the financial exposure.
• Partner with counsel to manage litigated claims.

Requirements

• Bachelor’s degree or equivalent combination of education and experience.
• 5 years Michigan PIP claims with MCCA involvement and experience with reporting and reimbursement requests.
• AIC or SCLA certification preferred, but not required.
• Ability to obtain appropriate state licensing as required.
• Proficient computer skills required including Microsoft Office Suite, Excel.

Skills

• Demonstrated successful ability to build positive relationships and partnerships within department, across the organization and with external customers.
• Ability to think strategically with supporting analytical skills.
• Excellent verbal and written communication skills with the ability to interact with internal and external customers.
• Proven negotiation skills.

Benefits

• Competitive base pay and performance-based incentive pay.
• Comprehensive health and welfare benefits.
• 401(k) savings plan with profit sharing.
• Generous paid time off programs.
• Flexible work arrangements to promote work-life balance.