Senior Workers' Compensation Claims Specialist

Amerisure Insurance

Charlotte (NC)

Hybrid

USD 65,000 - 85,000

Full time

41 hours ago
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Job summary

Amerisure Mutual Insurance Company in Charlotte, NC, seeks a Workers’ Compensation Claims Specialist to deliver quality investigation and analysis for high-complexity claims, including litigated matters, and to develop strong relationships with agents, policyholders and employees. The role requires a bachelor's degree, six years of indemnity claims experience, and professional credentials (AIC/SCLA).

The position offers a 2-day hybrid schedule and opportunities to contribute to risk management

Qualifications

  • Bachelor’s degree or equivalent combination of education is required.
  • 6 years of experience handling workers’ compensation indemnity claims of high complexity/severity.
  • AIC or SLCA certification preferred.
  • Ability to obtain appropriate state licensing as required.
  • Proficient computer skills including Microsoft Office Suite.
  • Demonstrated ability to build positive relationships with agents, policyholders and internal customers.
  • Strong analytical and communication skills; ability to travel up to 10% overnight and daily between locations.

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 conclude claims, evaluate damages, negotiate as needed and settle claims.”
  • Establish and maintain proper reserves for each claim to reflect financial exposure.
  • Determine need for, identify and engage external resources as needed to execute proper resolutions while monitoring costs.
  • Review and interpret commercial policies and communicate coverage issues verbally and in writing.
  • Participate on cross functional teams to identify and resolve issues and design solutions to prevent recurrence.

Skills

AIC or SLCA certification
MS Office proficiency
Strong analytical skills
Excellent verbal and written communic.
Ability to obtain appropriate stateLic
Relationship building
Travel up to 10% overnight
Travel between locations daily

Education

Bachelor’s degree or equivalent
6 years of experience handling workers’ compensation indemnity claims

Tools

Microsoft Office Suite

Job description

Amerisure Mutual Insurance Company in Charlotte, NC, seeks a Workers’ Compensation Claims Specialist to deliver quality investigation and analysis for high-complexity claims, including litigated matters, and to develop strong relationships with agents, policyholders and employees. The role requires a bachelor's degree, six years of indemnity claims experience, and professional credentials (AIC/SCLA).

The position offers a 2-day hybrid schedule and opportunities to contribute to risk management

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