Senior Workers' Compensation Claims Adjuster (REMOTE)

Amerisure Insurance; Irving (TX); Hybrid; USD 70,000 - 90,000; Full time

Benefits offered by this job

401(k) savings plan with profit sharing

Comprehensive health and welfare benefits

Generous paid time off programs

Job summary

Amerisure Insurance is seeking a Senior Workers’ Compensation Claims Adjuster to work in a hybrid or remote setup. The ideal candidate should have at least 3 years of experience in handling medium complexity workers’ compensation claims and strong analytical skills.

This position involves collaborating with various stakeholders, investigating claims, and proactively resolving issues. A competitive rewards package and flexible working arrangements are provided, recognizing our commitment as an employer.

Qualifications

• 3 years of experience handling workers’ compensation claims.
• AIC or SLA certification preferred.
• Ability to obtain appropriate state licensing.

Responsibilities

• Investigate losses and determine coverage.
• Collaborate with agents and stakeholders.
• Develop plans to conclude claims promptly.

Skills

Workers’ compensation indemnity claims handling

Communication skills

Analytical skills

Relationship building

Proficiency in Microsoft Office Suite

Education

Bachelor’s degree or equivalent combination

Job description

Amerisure creates exceptional value for its partners, policyholders, and employees. As a property and casualty insurance company, Amerisure’s promise to our partner agencies and policyholders begins with a comprehensive line of insurance products designed to protect businesses, as well as the health and safety of every employee. With an A.M. Best “A” (Excellent) rating, Amerisure serves mid-sized commercial enterprises focused in construction, manufacturing and healthcare. Ranked as one of the top 100 Property & Casualty companies in the United States, we proudly manage nearly $1 Billion of Direct Written Premium and maintain $1.21 billion in surplus.

Amerisure is currently recruiting for a Senior Workers’ Compensation Claims Adjuster working REMOTE. This role can have a Hybrid or Remote work arrangement. Candidates who live near one of our office locations will have the expectation of working in an office 3 days a week (Tuesday through Thursday). Candidates who do not live near an office will have a remote work arrangement, with the expectation of coming into an office as business needs arise. This role will require expertise in Colorado, with Utah, Nevada, and Arizona as being nice to have. The ideal candidate will possess the following skill set.

Summary Statement

Provides quality investigation and analysis to adjust claims of medium complexity/severity, including litigated files, to proper resolution. Promotes the success of the organization through development of relationships with agencies, policyholders and employees.

Essential Tasks/Major Duties

• 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.

Knowledge, Skills & Abilities

• 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.

Just as we are committed to creating exceptional value for our Partners For Success agencies and policyholders, Amerisure also remains committed to being an employer of choice. We reinforce this commitment by adhering to an Employee Value Proposition that, in part, is provided through a competitive total rewards package. This package includes competitive base pay, performance-based incentive pay, comprehensive health and welfare benefits, a 401(k) savings plan with profit sharing, and generous paid time off programs. We also offer flexible work arrangements to promote work-life balance. Recognized as one of the Best and Brightest Companies to Work For in the Nation and one of Business Insurance magazine’s Best Places to Work in Insurance, we provide a workplace that fosters excellence and professional growth. If you are looking for a collaborative and rewarding career, Amerisure is looking for you.

Amerisure Mutual Insurance Company is an Equal Employment Opportunity employer. Amerisure provides equal employment opportunities to all employees and applicants without regard to race, color, religion, sex (to include sexual orientation and gender identity), national origin, age, disability, genetic information, veteran status, or any other protected characteristic under applicable federal, state, or local laws. Amerisure complies with all applicable laws governing nondiscrimination in employment in all locations where the company operates. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training. Amerisure prohibits harassment or discrimination of any kind and is committed to maintaining a workplace free from unlawful harassment or discrimination. Amerisure prohibits retaliation against anyone who reports discrimination, participates in an investigation, or opposes unlawful practices. Any improper interference with an employee’s ability to perform their job duties may result in disciplinary action, up to and including termination.