Amerisure Insurance

Manager

• Leads a team of technical Construction Defect claims professionals ensuring industry leading customer service experience through exceptional service, relationship building, talent training and development and superior claims outcomes.
• Responsible for unit’s achievement of claim department goals established to realize the company’s strategic objectives.
• Partner within department and cross-functional leadership to build agency/policyholder relationships and execute operational plans.
• Promotes the results and success of the organization through advancement of direct reports.
• Lead, direct, and develop staff in area of responsibility with an emphasis on talent management and succession planning in accordance with the company’s strategic direction.
• Collaborate with claims management to develop and implement service strategies that meet or exceed the service levels committed to agents and policyholders.
• Continuously coach and develop direct reports to conduct thorough investigations, assess coverage and liability, and build strong internal and external relationships.
• Guide team in pursuing risk transfer, creating action plans, preparing large‑loss reporting, identifying early resolution opportunities, and maintaining accurate, timely loss reserves throughout the claim lifecycle reflecting probable ultimate exposure.
• Analyze and interpret key performance indicators and other key metrics to identify claim trends and opportunities for improvement to meet department objectives.
• Identify and implement loss cost and ALAE management methods designed to deliver quality claims results.
• Monitor and ensure that claims are adjudicated in accordance with Amerisure claims best practices and litigation management guidelines and quality standards through claims quality assurance programs, including tracking compliance with internal control assessment requirements.
• Partner with field marketing underwriting and risk management leaders to realize strategic and operational objectives.
• Conduct quarterly audits of randomly selected, open, and closed files within assigned team.

Claims Construction Defect Manager

Claims Specialist

• Provide quality investigation and analysis to adjust claims of high complexity/severity
• Collaborate proactively with agents, policyholders and internal stakeholders on claims
• Investigate losses, identify coverage, evaluate liability and damages
• Collaborate with counsel to manage litigated claims
• Develop plan of action to conclude claims and settle claims pursuant to guidelines
• Establish and maintain proper reserves for each claim
• Address contractual indemnifications and/or additional insured coverage issues
• Participate on cross functional teams to identify and resolve issues

Commercial Auto/GL Claims Specialist

Consultant

• Responsible for quality reviews of claim files, aligning with the company’s regulatory and quality framework, promoting adherence to claims handling best practices
• Conduct regular file reviews and audits to assess compliance with internal guidelines, industry standards, and regulatory requirements
• Analyze and interpret key performance indicators and metrics to identify claims trends as well as opportunities for improvement
• Evaluate claim outcomes against best practices and collaborate with the Claims Management to offer constructive, objective feedback, including suggestions for enhancements, training, and corrective measures
• Partner with Claims leadership to support ongoing improvements and operational efficiency initiatives
• Maintain, and report on quality metrics, scorecards, and dashboards to track performance
• Confer reserve and settlement authority to claims staff within delegated authority
• Stay up to date on multi-jurisdictional legal developments and industry trends to ensure compliance and informed decision-making
• Provide reinsurance reports to ensure compliance with our reinsurance reporting guidelines

Senior Claims Quality Consultant

• 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

Claims Construction Defect Manager

Commercial Auto/GL Claims Specialist

Senior Claims Quality Consultant

Senior Workers' Compensation Claims Adjuster