Senior Complex Claims Specialist - PROGRAMS

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.

Join Our Team at Amerisure!
Amerisure is seeking a Senior Complex Claims Specialist to join our dynamic team. This position offers a hybrid work schedule (2 days onsite) at one of our Core Service Centers. As a key member of our Programs Team, you will handle complex claims with precision and professionalism. Previous experience managing program-related claims will be highly valued. The ideal candidate will 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 required; Juris Doctorate preferred.
• 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%

Just as we are committed to creating exceptional value for our Partners For Success® agencies and policyholders, Amerisure also remains committed to being an employer of choice. We reinforce this commitment by adhering to an Employee Value Proposition that, in part, is provided through a competitive total rewards package. This package includes 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. We also offer flexible work arrangements to promote work-life balance. Recognized as one of the Best and Brightest® Companies to Work For in the Nation and one of Business Insurance magazine’s Best Places to Work in Insurance, we provide a workplace that fosters excellence and professional growth. If you are looking for a collaborative and rewarding career, Amerisure is looking for you.

Amerisure Insurance provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, Amerisure Insurance complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. 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 Insurance expressly prohibits any form of workplace harassment based on race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, genetic information, disability, or veteran status. Improper interference with the ability of Amerisure’s employees to perform their job duties may result in discipline up to and including discharge.