Workers' Compensation Claims Adjuster

Summary Statement Provides quality investigation and analysis to adjust claims of low complexity/severity, including litigated files, to proper resolution. Promotes the success of the organization through development of relationships with agencies, policyholders and employees. Essential Tasks / Major Duties Collaborate and communicate with agents, policyholders and internal stakeholders on claims 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 manager and counsel to manage litigated claims. Review and interpret commercial insurance policies and accordingly communicate coverage issues verbally and in writing. Knowledge, Skills & Abilities Bachelor’s degree or equivalent combination of education and experience. 1 year of experience handling worker’s compensation indemnity claims; AIC or SLA certification preferred. 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% and daily between locations. Benefits Competitive base pay, performance‑based incentive pay, comprehensive health and welfare benefits, a 401(k) savings plan with profit sharing, and generous paid time off programs. Flexible work arrangements to promote work‑life balance. We also provide various professional growth opportunities. EEO Statement Amerisure Mutual Insurance Company is an Equal Employment Opportunity employer. Amerisure provides equal employment opportunities to all employees and applicants without regard to race, color, religion, sex (to include sexual orientation and gender identity), national origin, age, disability, genetic information, veteran status, or any other protected characteristic under applicable federal, state, or local laws. Amerisure complies with all applicable laws governing nondiscrimination in employment in all locations where the company operates. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training. Amerisure prohibits harassment or discrimination of any kind and is committed to maintaining a workplace free from unlawful harassment or discrimination. Amerisure prohibits retaliation against anyone who reports discrimination, participates in an investigation, or opposes unlawful practices. Any improper interference with an employee’s ability to perform their job duties may result in disciplinary action, up to and including termination. #J-18808-Ljbffr