Amerisure Insurance

Claims Specialist

• Provides quality investigation and analysis to adjust claims of medium complexity/severity
• Promotes the success of the organization through development of relationships with agencies, policyholders and employees
• Collaborate and communicate with agents, policyholders and internal stakeholders on claims of medium complexity/severity 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 counsel to manage litigated claims
• Review and interpret commercial insurance policies and accordingly communicate coverage issues verbally and in writing

Senior Workers' Compensation Claims Adjuster

• Provides quality investigation and analysis to adjust claims at all levels to proper resolution
• Promotes the success of the organization through development and advancement of relationships with agencies, policyholders and employees
• Collaborate proactively with agents, policyholders and internal stakeholders on claims and book of business as needed
• Investigate losses, identify coverage, evaluate liability and damages
• Develop plan of action to proactively conclude claims, timely evaluate damages, engage other parties in negotiations and settle claims pursuant to guidelines and delegated authority
• Leverage past experience to review and analyze documents
• 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
• Review and interpret commercial insurance policies and accordingly communicate coverage issues verbally and in writing.

Senior Auto Physical Damage Claims Representative

• Provide quality investigation and analysis to adjust claims of low complexity/severity
• 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
• Collaborate with manager and counsel to manage litigated claims
• Review and interpret commercial insurance policies and accordingly communicate coverage issues verbally and in writing

Workers' Compensation Claims Adjuster

• Provide quality investigation and analysis to adjust claims of high complexity/severity, including litigated files, to proper resolution
• Promote the success of the organization through development of relationships with agencies, policyholders and employees
• Serve as the lead relationship contact for assigned agent(s) related to all claims
• Collaborate proactively with agents, policyholders and internal stakeholders on claims of highest complexity/severity and provide strategic input on book of business
• Investigate losses, identify coverage, evaluate liability and damages, review and analyze documents and legal pleadings independently
• Collaborate with counsel to manage litigated claims and leverage past experience to 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
• Address contractual indemnifications and/or additional insured coverage issues
• Review and interpret commercial insurance policies and accordingly communicate coverage issues verbally and in writing
• Lead cross functional teams to identify and resolve issues and design and implement solutions to prevent future occurrence as necessary
• Mentor and train other claims adjusters

Senior Commercial Claims Specialist, GL & Auto

IT Support

• Supervise, train, provide performance feedback and assign duties of direct reports to ensure productivity, efficiency, and effectiveness
• Collaborate proactively with agents, policyholders and internal stakeholders on claims and provide strategic insight on book of business as needed
• Provide technical guidance to ensure proper investigation of losses, identification of coverage, determination of compensability, evaluation of liability, damages and litigation management
• Ensure plans of action are proactively developed and executed to conclude claims pursuant to guidelines and delegated authority
• Ensure proper reserves are established and maintained to accurately reflect financial exposure
• Utilize file audits, periodic file reviews and available resources to identify trends and developmental opportunities
• Lead cross functional teams to identify and resolve issues and design and implement solutions to prevent future occurrence as necessary
• Analyze and interpret information to develop and execute plans improving claims operations

Auto & GL Unit Manager – Claims

Auditor

• Conduct audits to acquire accounting, financial, and operational data for processing final audits
• Ensure accurate audited premiums, adhering to company, industry, and government rules and regulations
• Manage less complex accounts and situations; leadership involvement may be needed for more intricate accounts
• Assessing and reconciling discrepancies identified during audits
• Corresponding with company departments, agents, and policyholders to obtain information and address service issues
• Actively foster internal and external customer relationships based on service

Virtual Premium Auditor, Commercial P&C

Risk

• Conduct insurance risk management surveys on a range of moderate to complex risks
• Execute risk management consultations at policyholders’ premises
• Develop risk management programs recommendations based on observations
• Initiate, provide, and share resources with policyholders and agency customers on risk management topics and trends
• Provide quantitative/qualitative analysis with conclusions to drive customer service objectives
• Manage workload assignments to attain agency customer engagement activities
• Collaborate with underwriting and claims in new business acquisition and account retention
• Conduct training sessions for the policyholder and agency customers
• Serve as an advisor on risk management matters
• Participate in assigned workgroups supporting profitability and service delivery

Senior Risk Management, Loss Control Consultant

• Provides quality investigation and analysis to adjust claims of medium complexity/severity, including litigated files, to proper resolution
• Promotes the success of the organization through development of relationships with agencies, policyholders, and employees
• Collaborate and communicate with agents, policyholders, and internal stakeholders on claims of medium complexity/severity and book of business
• Investigate losses, identify coverage, evaluate liability and damages, 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 internal partners to address contractual indemnifications and/or additional insured coverage issues
• Collaborate with counsel to manage litigated claims
• Review and interpret commercial insurance policies and accordingly communicate coverage issues verbally and in writing

Senior Auto & General Liability Claims Adjuster

• Handle commercial auto claims with a predominant focus on resolving the material damage components of the claim
• Collaborate proactively with agents, policyholders, and internal stakeholders on claims and book of business as needed
• Investigate losses, identify coverage, evaluate liability and damages
• Develop plan of action to proactively conclude claims, 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
• Review and interpret commercial insurance policies and communicate coverage issues verbally and in writing