Senior Complex Claims Specialist (REMOTE)

Senior Complex Claims Specialist

Amerisure creates exceptional value for its partners, policyholders, and employees. As a property and casualty insurance company, Amerisure's promise to our partner agencies and policyholders begins with a comprehensive line of insurance products designed to protect businesses, as well as the health and safety of every employee. With an A.M. Best "A" (Excellent) rating, Amerisure serves mid-sized commercial enterprises focused in construction, manufacturing and healthcare. Ranked as one of the top 100 Property & Casualty companies in the United States, we proudly manage nearly $1 Billion of Direct Written Premium and maintain $1.21 billion in surplus.

Amerisure is currently recruiting for a Senior Complex Claims Specialist. This role will sit remote. The ideal candidate will have a proven commercial litigated claim background and also possess the following skill set.

Summary Statement

Manage a portfolio of claims presenting moderate to high complexity and exposure to ensure industry leading customer experience through exceptional service, unmatched relationships and superior claims outcomes. Contribute to the achievement of Claims department goals, established to achieve the company's strategic objectives.

Essential Tasks/Major Duties

• Build and maintain strong relationships with agents and policyholders through being inclusive, communicative, accessible, and maintaining relevant, insightful, and informative file documentation.
• Directly handle an assigned portfolio of litigated and non-litigated commercial general and auto liability claims presenting moderate to high complexity and exposure across multiple jurisdictions.
• Conduct relevant, creative, and comprehensive investigation and evaluation on coverage, liability, and damages throughout the life of the claim by analyzing material facts, circumstances, and developments applying applicable law and legal principles.
• Positively influence claims outcomes through developing, continuously adjusting, and executing on action plans designed to achieve desired resolutions. Identify and pursue early resolution when appropriate.
• Identify and evaluate risk transfer. Proactively establish and adjust loss reserves throughout the life of the claim based on newly identified and material information and developments in order to reflect probable ultimate exposure.
• Report on and present large losses during file conferences and claim reviews.
• Serve as subject matter expert to less experienced staff. Participate in mediations and settlement conferences and attend trials. Negotiate settlements.
• Maintain current knowledge of multijurisdictional legal and regulatory claims developments and trends. Engage in/external resources as needed to achieve optimal claims outcomes while monitoring and mitigating costs.
• Adjudicate claims in accordance with Amerisure claims guidelines and quality standards.

Knowledge, Skills & Abilities

Bachelor's degree or equivalent work-related experience. 10 years of commercial claims experience, including 5 years with moderate to high complexity and exposure commercial general and auto liability claims (including trucking liability), and 3 years handling litigated files and directing outside defense counsel. Extensive knowledge of current tort, contract, and coverage laws in multiple jurisdictions. Experience in FL, GA, IL, SC, and TX, with a proven ability to handle claims in new or less familiar jurisdictions. Ability to identify potential for aggravated liability and create resolution strategies to mitigate exposure. Ability to lead discussions, make presentations, and communicate technical results to a non-technical audience. Excellent organizational skills and ability to function in a changing environment. Willingness to take on new assignments as required. Ability to think strategically with supporting analytical and problem-solving skills, including the ability to deal with ambiguity. Demonstrated successful ability to build positive relationships and partnerships within the department, across the organization, and with external customers. Industry accreditation preferred. Ability to obtain appropriate state licensing as required. Ability to travel overnight up to 20%.

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.