WC Claims Resolution Specialist – Special Risk Policyholders

Amerisure Insurance

Workers’ compensation claims specialist managing complex, loss-sensitive claims for Amerisure, a commercial property and casualty insurer. Investigating coverage, negotiating resolutions, and advising policyholders.

Posted 8/19/2026full-timeIrving • Illinois, Missouri, North Carolina, Texas • 🇺🇸 United StatesMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in managing workers' compensation claims, including loss-sensitive insurance programs, while effectively collaborating with legal counsel and stakeholders. Proficient in developing claim resolution strategies and maintaining accurate claim reserves to support insureds.

Highest-signal resume keywords

Workers' Compensation Claims ManagementLoss-Sensitive Insurance ProgramsAnalytical SkillsCommunication SkillsTexas Expertise

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claims InvestigationCoverage AssessmentDamage EvaluationNegotiationSettlement StrategiesClaims Trend AnalysisRisk Mitigation StrategiesClaims EducationClaim Reserve ManagementDocument Review

Soft Skills

Relationship BuildingAttention to DetailCollaborationMentoringCustomer Interaction

Tools & Technologies

Microsoft Office Suite

Certifications & Qualifications

State Licensing

Industry Keywords

Workers' CompensationLoss-Sensitive InsuranceLegal CollaborationClaims HandlingReturn to Work ProgramsClaims SummariesFinancial ImplicationsMedium to High Severity ClaimsTexas ExpertiseClaims Reserves

About the role

Key responsibilities & impact

Manage workers’ compensation claims for insureds with loss-sensitive insurance programs, including large deductibles and retrospectively rated policies
Investigate losses, determine coverage, assess compensability, and review and analyze documents and legal pleadings
Collaborate with legal counsel on litigated claims
Develop and execute proactive claim resolution strategies, including damage evaluations, negotiations, and settlements
Establish and maintain accurate claim reserves and communicate rationale and potential impact to insureds
Identify and engage external resources while monitoring and controlling costs
Partner with insureds, medical providers, and injured workers to facilitate safe and timely return to work when appropriate
Collaborate with agents, policyholders, and internal stakeholders to analyze claims trends, implement risk mitigation strategies, and provide claims education
Prepare and deliver claim summaries, reserve updates, and other analyses for agents and insureds
Assess loss-sensitive insurance programs and communicate financial implications
Mentor and train other claims handlers

Requirements

What you’ll need

Bachelor’s degree or equivalent combination of education and experience
5 years of experience handling workers’ compensation claims of medium to high level of severity/complexity
Ability to obtain appropriate state licensing as required
Proficient computer skills, including Microsoft Office Suite
Demonstrated ability to build positive relationships and partnerships within the department, across the organization, and with external customers
Strong analytical skills and attention to detail
Excellent verbal and written communication skills
Ability to interact with internal and external customers
Ability to travel overnight up to 15%
Texas expertise; ideally Arizona, Arkansas, and Oklahoma expertise

Benefits

Comp & perks

Competitive base pay
Performance-based incentive pay
Comprehensive health and welfare benefits
401(k) savings plan with profit sharing
Generous paid time off programs
Flexible work arrangements to promote work-life balance
Professional growth opportunities
Collaborative workplace