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
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