Hybrid Specialist, WC Claims Resolution – Special Risk Policyholders

Posted 3 hours ago

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About the role

  • WC Claims Resolution Specialist for Amerisure managing medium to high severity workers’ compensation claims. Collaborating with legal counsel and partners to ensure effective claim resolution.

Responsibilities

  • Manage workers’ compensation claims for insureds with loss-sensitive insurance programs
  • Conduct thorough investigations, evaluate claims, and ensure effective resolution while delivering exceptional customer service
  • Build robust relationships demonstrating strong analytical, negotiation, and communication skills
  • Collaborate with legal counsel to manage litigated claims
  • Develop and execute proactive claim resolution strategies
  • Establish and maintain accurate claim reserves, ensuring clear communication with the insured
  • Identify and engage external resources as needed
  • Partner with insureds, medical providers, and injured workers for safe timely return to work
  • Collaborate with agents, policyholders, and internal stakeholders to analyze claims trends
  • Prepare and deliver detailed claim summaries and analyses
  • Mentor and train other claims handlers.

Requirements

  • Bachelor’s degree or equivalent combination of education and experience
  • 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
  • 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 15%.

Benefits

  • comprehensive health and welfare benefits
  • 401(k) savings plan with profit sharing
  • generous paid time off programs
  • flexible work arrangements

Job title

Specialist, WC Claims Resolution – Special Risk Policyholders

Job type

Experience level

Mid levelSenior

Salary

Not specified

Degree requirement

Bachelor's Degree

Location requirements

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