Amerisure Insurance
WC Claims Resolution Specialist - Special Risk Policyholders (REMOTE)
Phoenix, AZ, USA · Mid
Sponsorship not specifiedDetected 35 days ago
Communication
About the role
- With an A.M. Best "A" (Excellent) rating, Amerisure serves mid-sized commercial enterprises focused in construction, manufacturing and healthcare.
- Amerisure is currently recruiting for a WC Claims Resolution Specialist - Special Risk Policyholders.
- This role can have a Hybrid or Remote work arrangement.
Responsibilities
- Collaborate with legal counsel to manage litigated claims, leveraging experience to analyze documents and legal proceedings effectively.
- Develop and execute proactive claim resolution strategies, including timely damage evaluations, negotiations, and settlements in accordance with guidelines.
- Establish and maintain accurate claim reserves to reflect financial exposure, ensuring clear and proactive communication with the insured regarding rationale and potential impact.
- Prepare and deliver detailed claim summaries, reserve updates, and other analyses for agents and insureds.
- Demonstrated ability to build positive relationships and partnerships within department, across the organization and with external customers.
Requirements
- 5 years of experience handling workers' compensation claims of medium to high level of severity/complexity.
- Ability to obtain appropriate state licensing as required.
- Proficient computer skills required including Microsoft Office Suite.
Compensation
- Manage workers' compensation claims for insureds with loss-sensitive insurance programs, such as large deductibles and retrospectively rated policies.
Benefits
- Investigate losses, determine coverage, assess compensability, and review and analyze documents and legal pleadings.
- Partner with insureds, medical providers, and injured workers to facilitate a safe and timely return to work when appropriate.
- Collaborate proactively with agents, policyholders, and internal stakeholders to analyze claims trends, implement risk mitigation strategies, and provide claims education.
- Bachelor's degree or equivalent combination of education and experience.
Company info
- Excellent verbal and written communication skills with the ability to interact with internal and external customers.
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This listing is sourced directly from Amerisure Insurance's careers page and normalized into a canonical job model.