Hybrid Senior WC Claims Adjuster — Medium Severity

Amerisure Insurance; Farmington Hills (MI); Hybrid; USD 65,000 - 90,000; Full time

Job summary

Amerisure Insurance is seeking a Hybrid Senior Workers’ Compensation Claims Adjuster to navigate claims of medium complexity and potentially litigated files. The role is onsite 3 days per week with flexibility across offices, including travel to multiple states.

Ideal candidates hold a Bachelor’s degree with 3+ years of workers’ compensation experience and relevant certifications (AIC/SLA preferred). Strong analytical, communication, and MS Office skills are essential.

Qualifications

• 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 including Microsoft Office Suite.

Responsibilities

• 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.

Skills

MS Office

Relationship building

Analytical skills

Verbal & written communication

Education

Bachelor’s degree or equivalent

Job description

Amerisure Insurance is seeking a Hybrid Senior Workers’ Compensation Claims Adjuster to navigate claims of medium complexity and potentially litigated files. The role is onsite 3 days per week with flexibility across offices, including travel to multiple states.

Ideal candidates hold a Bachelor’s degree with 3+ years of workers’ compensation experience and relevant certifications (AIC/SLA preferred). Strong analytical, communication, and MS Office skills are essential.