Senior Workers' Comp Claims Adjuster - Flexible Work

Amerisure Insurance Company; United States; Remote; USD 70,000 - 100,000; Full time

Job summary

Amerisure Mutual Insurance Company seeks a claims professional to investigate and adjust medium complexity/severity workers’ compensation indemnity claims, including litigated files. You will collaborate with agents, policyholders, and internal stakeholders to develop proactive action plans, evaluate damages, and settle within guidelines while maintaining reserves and controlling costs.

The role requires 3 years of experience, a relevant degree, and state licensing as needed, with travel up to

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 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.

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

Analytical skills

Attention to detail

Verbal & written communication

Relationship building

Travel availability

Education

Bachelor’s degree or equivalent

AIC or SLA certification

State licensing (as required)

Tools

Microsoft Office

Job description

Amerisure Mutual Insurance Company seeks a claims professional to investigate and adjust medium complexity/severity workers’ compensation indemnity claims, including litigated files. You will collaborate with agents, policyholders, and internal stakeholders to develop proactive action plans, evaluate damages, and settle within guidelines while maintaining reserves and controlling costs.

The role requires 3 years of experience, a relevant degree, and state licensing as needed, with travel up to