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. The ideal candidate will have 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 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 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 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

• Knowledge of workers' compensation laws and regulations.
• Experience with claims management software.
• Understanding of insurance policies and coverage.
• Strong problem-solving and decision-making skills.
• Ability to handle sensitive and confidential information.

Skills

• Excellent verbal and written communication skills.
• Strong analytical and organizational 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.
• Flexible work arrangements to promote work-life balance.

Pay

Compensation is commensurate with experience and qualifications.

Schedule

This role is a 2-day hybrid schedule.

Benefits

Amerisure Mutual Insurance Company is committed to providing a competitive total rewards package that includes:

• 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

Amerisure is dedicated to fostering a culture of excellence and professional growth. We are proud to be 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.

Equal Opportunity Employer

Amerisure is an Equal Employment Opportunity employer and does not discriminate on the basis of race, color, religion, sex (to include sexual orientation and gender identity), national origin, age, disability, genetic information, veteran status, or any other protected characteristic under applicable federal, state, or local laws.