Senior Hybrid Workers’ Comp Claims Strategist

Amerisure Insurance; Irving (TX); Hybrid; USD 70,000 - 95,000; Full time

Benefits offered by this job

Competitive pay

Incentive pay

Health benefits

401(k) with profit sharing

Paid time off

Flexible work options

Job summary

Amerisure, a leading property and casualty insurer, is seeking a Workers’ Compensation Claims Specialist for a 2-day hybrid work arrangement in one of our offices. The role focuses on quality investigation and analysis of high-severity claims to drive proper resolution.

You will collaborate with agents, policyholders and internal partners, review coverage, manage litigated files with counsel, and establish reserves while controlling costs.

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.

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

Advanced claims analysis

Strong communication

Relationship building

Analytical skills

Travel availability

Licensing ability

Education

Bachelor's degree or equivalent

Tools

Microsoft Office

Job description

Amerisure, a leading property and casualty insurer, is seeking a Workers’ Compensation Claims Specialist for a 2-day hybrid work arrangement in one of our offices. The role focuses on quality investigation and analysis of high-severity claims to drive proper resolution.

You will collaborate with agents, policyholders and internal partners, review coverage, manage litigated files with counsel, and establish reserves while controlling costs.