Senior Workers’ Comp Claims Specialist (Hybrid)

Amerisure Insurance; Lisle (IL); Hybrid; USD 70,000 - 90,000; Full time

Benefits offered by this job

Health and welfare benefits

401(k) with profit sharing

Paid time off programs

Job summary

Amerisure Insurance is seeking a Workers’ Compensation Claims Specialist to join our team with a 2-day hybrid in-office schedule. You will investigate high-complexity claims, determine coverage and negotiates settlements while maintaining strong relationships with agents, policyholders and internal teams.

Ideal candidates bring 6+ years of indemnity claims experience, a BA/BS, and preferred AIC or SLCA certification.

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

Analytical skills

Verbal & written communication

Relationship building

Attention to detail

Education

Bachelor’s degree or equivalent

AIC or SLCA certification

Tools

Microsoft Office Suite

Job description

Amerisure Insurance is seeking a Workers’ Compensation Claims Specialist to join our team with a 2-day hybrid in-office schedule. You will investigate high-complexity claims, determine coverage and negotiates settlements while maintaining strong relationships with agents, policyholders and internal teams.

Ideal candidates bring 6+ years of indemnity claims experience, a BA/BS, and preferred AIC or SLCA certification.