Hybrid Workers' Comp Claims Specialist - High Complexity

Amerisure Insurance; Farmington Hills (MI); Hybrid; USD 70,000 - 100,000; Full time

Job summary

Amerisure Insurance in Michigan is seeking a Workers’ Compensation Claims Specialist for a two-day hybrid role at one of our offices. You will provide quality investigation and analysis to adjust high‑complexity/severity claims and collaborate with agents, policyholders and internal stakeholders to reach proper resolution.

The ideal candidate has a bachelor’s degree, 6+ years of experience in indemnity claims, and certifications (AIC or SLCA) preferred.

Qualifications

• 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%.
• Ability to travel daily between locations.

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.
• 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.
• 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.

Skills

Strong analytical skills

Excellent verbal and written

Proficient Microsoft Office

Relationship building

Attention to detail

Travel overnight up to 10%

Travel daily between locations

Education

Bachelor’s degree or equivalent

AIC or SLCA certification preferred

Job description

Amerisure Insurance in Michigan is seeking a Workers’ Compensation Claims Specialist for a two-day hybrid role at one of our offices. You will provide quality investigation and analysis to adjust high‑complexity/severity claims and collaborate with agents, policyholders and internal stakeholders to reach proper resolution.

The ideal candidate has a bachelor’s degree, 6+ years of experience in indemnity claims, and certifications (AIC or SLCA) preferred.