Workers' Compensation Claim Specialist

Amerisure Insurance•Tampa, FL

2d•Hybrid

About The Position

Amerisure is currently recruiting for a Workers’ Compensation Claims Specialist that can do a 2-day hybrid approach in one of our offices. The ideal candidate will possess the following skill set. Summary Statement: Provides quality investigation and analysis to adjust claims of high complexity/severity, including litigated files, to proper resolution. Promotes the success of the organization through development of relationships with agencies, policyholders and employees. Serves as a relationship contact for assigned agent(s) related to all claims.

Requirements

Bachelor’s degree or equivalent combination of education.
6 years of experience handling workers’ compensation indemnity claims of high level of complexity/severity.
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.

Nice To Haves

AIC or SLCA certification preferred.

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.