Workers' Compensation Claim Specialist

About the role

The Workers’ Compensation Claims Specialist position at Amerisure is a 2-day hybrid role available in one of our offices. This role requires a comprehensive understanding of workers' compensation claims, with a focus on complex cases.

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 a plan of action to proactively conclude claims, timely evaluate damages, engage other parties in negotiations, and settle claims according to guidelines.
• Determine the 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 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 occurrences 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 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.

Qualifications

• Knowledge of workers' compensation law and regulations.
• Experience in managing and resolving complex claims.
• Strong problem-solving and decision-making skills.
• Excellent interpersonal and communication skills.

Skills

• Strong analytical and investigative skills.
• Excellent written and verbal communication skills.
• Ability to work independently and as part of a team.
• Proficiency in Microsoft Office Suite.

Benefits

Amerisure offers 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.

Pay

Compensation is commensurate with experience and qualifications.

Schedule

This role is a 2-day hybrid schedule.

Benefits

Amerisure Mutual Insurance Company offers a range of benefits including:

• Employee Value Proposition that includes a competitive total rewards package.
• Workplace that fosters excellence and professional growth.
• Recognition 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.

Company Culture

Amerisure is committed to being an employer of choice and fostering a workplace that promotes excellence and professional growth. We are dedicated to creating exceptional value for our partners, policyholders, and employees.

Equal Opportunity Employer

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