Senior Workers' Comp Claims Navigator – Hybrid

Amerisure Insurance; Indianapolis (IN); Hybrid; USD 70,000 - 90,000; Full time

Job summary

Amerisure, a property and casualty insurance company, is hiring a Hybrid Senior Workers’ Compensation Claims Adjuster. The role involves investigating and adjusting medium complexity/severity claims, including litigated files, and building relationships with agencies, policyholders and employees.

The position supports hybrid work with onsite days and requires collaboration with counsel on litigated claims. The ideal candidate will have a bachelor’s degree, 3 years of workers’ compensation

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%.

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

3+ years experience

AIC/SLA certification

State licensing

MS Office

Analytical skills

Communication skills

Education

Bachelor’s degree or equivalent

Job description

Amerisure, a property and casualty insurance company, is hiring a Hybrid Senior Workers’ Compensation Claims Adjuster. The role involves investigating and adjusting medium complexity/severity claims, including litigated files, and building relationships with agencies, policyholders and employees.

The position supports hybrid work with onsite days and requires collaboration with counsel on litigated claims. The ideal candidate will have a bachelor’s degree, 3 years of workers’ compensation