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Senior Workers' Compensation Claims Adjuster
Amerisure Insurance. Investigate losses, identify coverage, determine compensability, and review and analyze documents and legal pleadings .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in investigating and managing workers' compensation indemnity claims, including analyzing legal documents and negotiating settlements. Proficient in building relationships with stakeholders and communicating complex coverage issues effectively.
Highest-signal resume keywords
Workers' Compensation Claims ManagementAIC CertificationAnalytical SkillsMicrosoft Office Suite ProficiencyVerbal and Written Communication
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Claims InvestigationCoverage AnalysisDamage EvaluationNegotiationLegal Document Review
Soft Skills
Relationship BuildingAttention to Detail
Certifications & Qualifications
AIC CertificationSLA Certification
Industry Keywords
Commercial Insurance PoliciesClaims SettlementFinancial ExposureMedium-Complexity ClaimsState Licensing
About the role
Key responsibilities & impact- Investigate losses, identify coverage, determine compensability, and review and analyze documents and legal pleadings
- Develop action plans to proactively conclude claims, evaluate damages, negotiate with other parties, and settle claims according to guidelines
- Establish and maintain proper reserves reflecting financial exposure
- Determine the need for and engage external resources while monitoring and controlling costs
- Collaborate with counsel to manage litigated claims
- Review and interpret commercial insurance policies and communicate coverage issues verbally and in writing
- Collaborate and communicate with agents, policyholders, and internal stakeholders on medium-complexity claims and books of business
- Develop relationships with agencies, policyholders, and employees
Requirements
What you’ll need- 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
- 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
- Ability to travel overnight up to 10%
- Ability to travel daily between locations
Benefits
Comp & perks- Competitive base pay
- Performance-based incentive pay
- Comprehensive health and welfare benefits
- 401(k) savings plan with profit sharing
- Generous paid time off programs
- Flexible work arrangements
- Professional growth opportunities