Senior Workers' Compensation Claims Adjuster (REMOTE)

Summary

The Senior Workers’ Compensation Claims Adjuster role at Amerisure is remote or hybrid, with the option to come into an office 3 days a week for candidates living near an office location. The role requires expertise in Colorado, with Utah, Nevada, and Arizona as nice to have. Key responsibilities include investigating and analyzing claims, developing plans of action, establishing reserves, engaging external resources, collaborating with counsel, and interpreting insurance policies.

Essential Tasks/Major Duties

• 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 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% and travel daily between locations.

Company Culture

Amerisure is committed to creating exceptional value for its partners, policyholders, and employees. The company offers a competitive total rewards package, including 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. Amerisure also provides flexible work arrangements to promote work-life balance and is committed to maintaining a workplace free from unlawful harassment or discrimination.

Equal Opportunity Employer

Amerisure is an Equal Employment Opportunity employer. The company complies with all applicable laws governing nondiscrimination in employment in all locations where the company operates. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training. Amerisure prohibits retaliation against anyone who reports discrimination, participates in an investigation, or opposes unlawful practices.