Senior Workers' Compensation Claims Adjuster (REMOTE)
for section headings. Use - for any list of duties/requirements/benefits. Use
for prose.
We need to preserve all substantive information. So we need to include all details from the posting, except boilerplate.
Let's extract substantive content:
Company description: 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.
Role details: Amerisure is currently recruiting for a Senior Workers’ Compensation Claims Adjuster working REMOTE. This role can have a Hybrid or Remote work arrangement. Candidates who live near one of our office locations will have the expectation of working in an office 2 days a week (Tuesday & Wednesday). Candidates who do not live near an office will have a remote work arrangement, with the expectation of coming into an office as business needs arise. This role will require expertise in Colorado, with Utah, Nevada, and Arizona as being nice to have.
Summary Statement: Provides quality investigation and analysis to adjust claims of medium complexity/severity, including litigated files, to proper resolution. Promotes the success of the organization through development of relationships with agencies, policyholders and employees.
Essential Tasks/Major Duties (list):
- Collaborate and communicate with agents, policyholders and internal stakeholders on claims of medium complexity/severity and book of business.
- Investigate losses, identify coverage, determine compensability, review and analyze documents and legal pleadings.
- Develop plan of action to proactively conclude claims, timely evaluate damages, engage other parties in negotiations and settle claims pursuant to guidelines.
- Establish and maintain proper reserves for each claim to accurately reflect the financial exposure.
- Determine need for, identify and engage external resources as needed to execute proper resolutions while monitoring and controlling costs.
- Collaborate with counsel to manage litigated claims.
- Review and interpret commercial insurance policies and accordingly communicate coverage issues verbally and in writing.
Knowledge, Skills & Abilities:
- Bachelor’s degree or equivalent combination of education.
- 3 years of experience handling workers’ compensation indemnity claims of medium level of complexity/severity.
- AIC or SLA certification preferred.
- Ability to obtain appropriate state licensing as required.
- Proficient computer skills required including Microsoft Office Suite.
- Demonstrated successful ability to build positive relationships and partnerships within department, across the organization and with external customers.
- Strong analytical skills and attention to detail.
- Excellent verbal and written communication skills with the ability to interact with internal and external customers.
- Ability to travel overnight up to 10%
- Ability to travel daily between locations.
Benefits/Total rewards: competitive base pay, performance-based incentive pay, comprehensive health and welfare benefits, a 401(k) savings plan with profit sharing, and generous paid time off programs. Flexible work arrangements to promote work-life balance. Recognized as one of the Best and Brightest® Companies to Work For in the Nation and one of Business Insurance magazine’s Best Places to Work in Insurance.
We might also include the statement about Equal Employment Opportunity etc. That's boilerplate EEO; we should remove it per instruction: remove EEO/equal-opportunity boilerplate. So we omit that.
Now we need to decide sections.
Potential sections:
- About the role (could include company description and role details)
- Responsibilities (Essential Tasks/Major Duties + Summary Statement)
- Requirements (Knowledge, Skills & Abilities maybe includes education/experience)
- Qualifications (maybe same as Requirements? Could combine)
- Skills (maybe separate)
- Benefits (total rewards)
- Pay (competitive base pay, performance-based incentive pay)
- Schedule (hybrid/remote arrangement, office days, remote, travel expectations)
But we must avoid thin sections. Perhaps combine Requirements and Qualifications into one section "Requirements". Or we could have "Qualifications" for education/experience/certification/licensing, and "Skills" for abilities like analytical, communication, relationship building, travel. However the posting lumps them together under "Knowledge, Skills & Abilities". We could split into two sections: "Qualifications" (education, experience, certification, licensing) and "Skills" (computer skills, relationship building, analytical, communication, travel). That seems reasonable.
Benefits: we have health, 401k, PTO, flexible work, recognition.
Pay: competitive base pay, performance-based incentive pay.
Schedule: hybrid/remote, office days, remote, travel expectations (overnight up to 10%, daily travel). Travel could be part of Skills but also schedule.
We need to ensure we don't duplicate info. Travel appears both in Knowledge, Skills & Abilities and schedule. We could keep travel under Schedule (since it's about work arrangement). But the posting lists travel under Knowledge, Skills & Abilities. We could keep it there as a skill/ability. But to avoid duplication, we could keep travel under Skills (as ability to travel). However schedule section already mentions hybrid/remote arrangement and office days; travel expectations could be separate.
Let's think: The schedule section should capture work arrangement details: hybrid/remote, office 2 days a week for those near office, remote otherwise, expectation to come into office as business needs arise. Travel expectations (overnight up to 10%, daily travel) could be part of schedule or skills. I'd put travel under Skills as ability to travel. But the instruction: Use
- for any list of duties/requirements/benefits. So if we list travel as a bullet under Skills, that's fine.
Thus sections:
- About the role (company description + role location/expertise)
- Responsibilities (Summary Statement + Essential Tasks)
- Qualifications (education, experience, certification, licensing)
- Skills (computer skills, relationship building, analytical, communication, travel ability)
- Benefits (health, 401k, PTO, flexible work, recognition)
- Pay (competitive base pay, performance-based incentive pay)
- Schedule (hybrid/remote arrangement, office days, remote, business needs)
Check if any section would be empty or filler. All have content.
Now we need to format.
We'll output something like:
About the role
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. Amerisure is currently recruiting for a Senior Workers’ Compensation Claims Adjuster working REMOTE. This role can have a Hybrid or Remote work arrangement. Candidates who live near one of our office locations will have the expectation of working in an office 2 days a week (Tuesday & Wednesday). Candidates who do not live near an office will have a remote work arrangement, with the expectation of coming into an office as business needs arise. This role will require expertise in Colorado, with Utah, Nevada, and Arizona as being nice to have.
Responsibilities
Provides quality investigation and analysis to adjust claims of medium complexity/severity, including litigated files, to proper resolution. Promotes the success of the organization through development of relationships with agencies, policyholders and employees.
- Collaborate and communicate with agents, policyholders and internal stakeholders on claims of medium complexity/severity and book of business.
- Investigate losses, identify coverage, determine compensability, review and analyze documents and legal pleadings.
- Develop plan of action to proactively conclude claims, timely evaluate damages, engage other parties in negotiations and settle claims pursuant to guidelines.
- Establish and maintain proper reserves for each claim to accurately reflect the financial exposure.
- Determine need for, identify and engage
for prose. We need to preserve all substantive information. So we need to include all details from the posting, except boilerplate. Let's extract substantive content: Company description: 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. Role details: Amerisure is currently recruiting for a Senior Workers’ Compensation Claims Adjuster working REMOTE. This role can have a Hybrid or Remote work arrangement. Candidates who live near one of our office locations will have the expectation of working in an office 2 days a week (Tuesday & Wednesday). Candidates who do not live near an office will have a remote work arrangement, with the expectation of coming into an office as business needs arise. This role will require expertise in Colorado, with Utah, Nevada, and Arizona as being nice to have. Summary Statement: Provides quality investigation and analysis to adjust claims of medium complexity/severity, including litigated files, to proper resolution. Promotes the success of the organization through development of relationships with agencies, policyholders and employees. Essential Tasks/Major Duties (list): - Collaborate and communicate with agents, policyholders and internal stakeholders on claims of medium complexity/severity and book of business. - Investigate losses, identify coverage, determine compensability, review and analyze documents and legal pleadings. - Develop plan of action to proactively conclude claims, timely evaluate damages, engage other parties in negotiations and settle claims pursuant to guidelines. - Establish and maintain proper reserves for each claim to accurately reflect the financial exposure. - Determine need for, identify and engage external resources as needed to execute proper resolutions while monitoring and controlling costs. - Collaborate with counsel to manage litigated claims. - Review and interpret commercial insurance policies and accordingly communicate coverage issues verbally and in writing. Knowledge, Skills & Abilities: - Bachelor’s degree or equivalent combination of education. - 3 years of experience handling workers’ compensation indemnity claims of medium level of complexity/severity. - AIC or SLA certification preferred. - Ability to obtain appropriate state licensing as required. - Proficient computer skills required including Microsoft Office Suite. - Demonstrated successful ability to build positive relationships and partnerships within department, across the organization and with external customers. - Strong analytical skills and attention to detail. - Excellent verbal and written communication skills with the ability to interact with internal and external customers. - Ability to travel overnight up to 10% - Ability to travel daily between locations. Benefits/Total rewards: competitive base pay, performance-based incentive pay, comprehensive health and welfare benefits, a 401(k) savings plan with profit sharing, and generous paid time off programs. Flexible work arrangements to promote work-life balance. Recognized as one of the Best and Brightest® Companies to Work For in the Nation and one of Business Insurance magazine’s Best Places to Work in Insurance. We might also include the statement about Equal Employment Opportunity etc. That's boilerplate EEO; we should remove it per instruction: remove EEO/equal-opportunity boilerplate. So we omit that. Now we need to decide sections. Potential sections: - About the role (could include company description and role details) - Responsibilities (Essential Tasks/Major Duties + Summary Statement) - Requirements (Knowledge, Skills & Abilities maybe includes education/experience) - Qualifications (maybe same as Requirements? Could combine) - Skills (maybe separate) - Benefits (total rewards) - Pay (competitive base pay, performance-based incentive pay) - Schedule (hybrid/remote arrangement, office days, remote, travel expectations) But we must avoid thin sections. Perhaps combine Requirements and Qualifications into one section "Requirements". Or we could have "Qualifications" for education/experience/certification/licensing, and "Skills" for abilities like analytical, communication, relationship building, travel. However the posting lumps them together under "Knowledge, Skills & Abilities". We could split into two sections: "Qualifications" (education, experience, certification, licensing) and "Skills" (computer skills, relationship building, analytical, communication, travel). That seems reasonable. Benefits: we have health, 401k, PTO, flexible work, recognition. Pay: competitive base pay, performance-based incentive pay. Schedule: hybrid/remote, office days, remote, travel expectations (overnight up to 10%, daily travel). Travel could be part of Skills but also schedule. We need to ensure we don't duplicate info. Travel appears both in Knowledge, Skills & Abilities and schedule. We could keep travel under Schedule (since it's about work arrangement). But the posting lists travel under Knowledge, Skills & Abilities. We could keep it there as a skill/ability. But to avoid duplication, we could keep travel under Skills (as ability to travel). However schedule section already mentions hybrid/remote arrangement and office days; travel expectations could be separate. Let's think: The schedule section should capture work arrangement details: hybrid/remote, office 2 days a week for those near office, remote otherwise, expectation to come into office as business needs arise. Travel expectations (overnight up to 10%, daily travel) could be part of schedule or skills. I'd put travel under Skills as ability to travel. But the instruction: Use
- for any list of duties/requirements/benefits. So if we list travel as a bullet under Skills, that's fine.
Thus sections:
- About the role (company description + role location/expertise)
- Responsibilities (Summary Statement + Essential Tasks)
- Qualifications (education, experience, certification, licensing)
- Skills (computer skills, relationship building, analytical, communication, travel ability)
- Benefits (health, 401k, PTO, flexible work, recognition)
- Pay (competitive base pay, performance-based incentive pay)
- Schedule (hybrid/remote arrangement, office days, remote, business needs)
Check if any section would be empty or filler. All have content.
Now we need to format.
We'll output something like:
About the role
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. Amerisure is currently recruiting for a Senior Workers’ Compensation Claims Adjuster working REMOTE. This role can have a Hybrid or Remote work arrangement. Candidates who live near one of our office locations will have the expectation of working in an office 2 days a week (Tuesday & Wednesday). Candidates who do not live near an office will have a remote work arrangement, with the expectation of coming into an office as business needs arise. This role will require expertise in Colorado, with Utah, Nevada, and Arizona as being nice to have.
Responsibilities
Provides quality investigation and analysis to adjust claims of medium complexity/severity, including litigated files, to proper resolution. Promotes the success of the organization through development of relationships with agencies, policyholders and employees.
- Collaborate and communicate with agents, policyholders and internal stakeholders on claims of medium complexity/severity and book of business.
- Investigate losses, identify coverage, determine compensability, review and analyze documents and legal pleadings.
- Develop plan of action to proactively conclude claims, timely evaluate damages, engage other parties in negotiations and settle claims pursuant to guidelines.
- Establish and maintain proper reserves for each claim to accurately reflect the financial exposure.
- Determine need for, identify and engage