Senior Workers' Compensation Claims Adjuster

Amerisure Mutual Insurance•Phoenix, AZ

2d•Hybrid

About The Position

Amerisure is recruiting a Senior Workers’ Compensation Claims Adjuster to work in a hybrid arrangement at one of its offices. The role requires expertise in Arizona. The adjuster provides quality investigation and analysis to resolve medium-complexity and medium-severity claims, including litigated files, while building relationships with agencies, policyholders, and employees. The position collaborates with agents, policyholders, and internal stakeholders on claims and the assigned book of business; investigates losses; identifies coverage and determines compensability; evaluates documents and legal pleadings; and develops plans to resolve claims proactively. The adjuster evaluates damages, negotiates and settles claims within guidelines, maintains appropriate reserves, and engages and monitors external resources to support resolutions and control costs. The role also works with counsel on litigated claims and interprets commercial insurance policies, communicating coverage issues verbally and in writing. The role includes overnight travel of up to 10% and daily travel between locations. Amerisure describes its total rewards package as including competitive base pay, performance-based incentive pay, comprehensive health and welfare benefits, a 401(k) savings plan with profit sharing, generous paid time off, and flexible work arrangements.

Requirements

Bachelor’s degree or an equivalent combination of education.
Three years of experience handling workers’ compensation indemnity claims of medium complexity or severity.
Ability to obtain appropriate state licensing as required.
Proficient computer skills, including Microsoft Office Suite.
Demonstrated ability to build positive relationships and partnerships within the department, across the organization, and with external customers.
Strong analytical skills and attention to detail.
Excellent verbal and written communication skills and ability to interact with internal and external customers.
Ability to travel overnight up to 10%.
Ability to travel daily between locations.

Nice To Haves

AIC or SLA certification preferred.

Responsibilities

Collaborate and communicate with agents, policyholders, and internal stakeholders regarding claims of medium complexity and severity and the assigned book of business.
Investigate losses, identify coverage, determine compensability, and review and analyze documents and legal pleadings.
Develop plans of action to proactively conclude claims; evaluate damages in a timely manner; negotiate with other parties; and settle claims according to guidelines.
Establish and maintain appropriate reserves that accurately reflect each claim’s financial exposure.
Determine the need for external resources, identify and engage them as needed, and monitor their work and costs.
Collaborate with counsel to manage litigated claims.
Review and interpret commercial insurance policies and communicate coverage issues verbally and in writing.