Multiline Claims Specialist investigating and resolving multiline insurance claims with a focus on member satisfaction. Collaborating with internal and external stakeholders within a hybrid work environment.
About the role
- Senior Workers' Compensation Claims Adjuster at Amerisure managing medium complexity claims in the United States. Collaborating with stakeholders to resolve claims, and maintain communications regarding coverage issues.
Responsibilities
- 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
Requirements
- 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
- 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
Benefits
- comprehensive health and welfare benefits
- 401(k) savings plan with profit sharing
- generous paid time off programs
- flexible work arrangements
Job title
Job type
Experience level
Salary
Not specified
Degree requirement
Location requirements
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