Workers' Compensation Claim Specialist

About the role

Amerisure is seeking a Workers’ Compensation Claims Specialist to join our team. This position offers a 2-day hybrid schedule in one of our offices.

Responsibilities

• Collaborate proactively with agents, policyholders and internal stakeholders on claims of high complexity/severity and provide strategic input on book of business.
• Investigate losses, identify coverage, determine compensability, review and analyze documents and legal pleadings independently.
• Collaborate with counsel to manage litigated claims and leverage past experience to 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.
• Determine need for, identify and engage external resources as needed to execute proper resolutions while monitoring and controlling costs.
• Review and interpret commercial insurance policies and accordingly communicate coverage issues verbally and in writing.
• Participate on cross-functional teams to identify and resolve issues and design and implement solutions to prevent future occurrence as necessary.

Requirements

• Bachelor’s degree or equivalent combination of education.
• 6 years of experience handling workers’ compensation indemnity claims of high level of complexity/severity.
• AIC or SLCA 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.

Qualifications

• Knowledgeable about workers' compensation laws and regulations.
• Experience in managing complex claims.
• Strong problem-solving and decision-making skills.
• Excellent interpersonal and communication skills.

Skills

• Excellent analytical and problem-solving skills.
• Strong attention to detail.
• Effective communication skills.
• Ability to work independently and as part of a team.

Benefits

We offer a competitive total rewards package including:

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

Pay

Compensation is commensurate with experience.

Schedule

This role offers a 2-day hybrid schedule.

Benefits

We offer a competitive total rewards package including:

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

Company Culture

We are committed to fostering a workplace that values excellence and professional growth. Amerisure is 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.

EEO Statement

Amerisure is an Equal Employment Opportunity employer and complies with all applicable laws governing nondiscrimination in employment in all locations where the company operates. We prohibit retaliation against anyone who reports discrimination, participates in an investigation, or opposes unlawful practices.