Specialty Adjuster-TPA

Amerisure creates exceptional value for its partners policyholders and employees. As a property and casualty insurance company Amerisures 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 Specialty Adjuster TPA that can do a hybrid approach onsite in one of our offices. The ideal candidate will possess the following skill set.

Summary Statement

In collaboration with our Third Party Administrator (TPA) monitor claims of low to medium severity including litigated files to proper resolution. Promotes the success of the organization through development and advancement of relationships with agencies policyholders and employees.

Essential Tasks/Major Duties

• Monitoring claims managed by TPA to ensure appropriate handling of claims.
• Coordinate the setup of new claims handled by the TPA by completing all required data points and providing the appropriate supporting documentation.
• Leverage prior experience to review and analyze relevant documentation.
• Monitor open claims to ensure action plans are completed in a timely and accurate manner.
• Review monthly exception reports and correct identified errors as needed.
• Process and submit bills for bill review in accordance with established procedures
• Provide claim details and status to internal and external business partners.
• Collaborate across functional teams to identify and resolve issues.
• Ensure proper reserves are established and maintained to accurately reflect financial exposure.
• Perform special projects that may be assigned in support of the Claims department.

Knowledge Skills & Abilities

• Bachelors degree or equivalent combination of education and experience.
• 1 year of experience handling Workers Compensation claims.
• Proficient computer skills required including Microsoft Office Suite.
• Demonstrated successful ability to build positive relationships and partnerships within department across the organization and with external customers.
• Strong analytical skills and attention to detail.
• Excellent verbal and written communication skills with the ability to interact with internal and external customers.

#LI-BR1

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 magazines 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 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 employees ability to perform their job duties may result in disciplinary action up to and including termination.