Amerisure is an insurance organization charged with creating exceptional value for its Partners For Success® agencies, employees and policyholders. 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. Amerisure is an A.M. Best "A" (excellent) rated company and services mid-sized commercial enterprises focused in construction, manufacturing and healthcare. We are ranked as one of the top 100 Property & Casualty companies in the United States, with more than $835 million in Direct Written Premium and $937 million in surplus.
Amerisure has a newly created role for a Commercial Worker's Compensation Specialty Unit Manager. The role can sit in any of our offices or remotely if necessary. The ideal candidate will also possess the following skill set.
Provides technical guidance and direction regarding investigation, evaluation and disposition of claims adjusted by third party administrator(s). 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 third party administrator(s), to ensure appropriate handling of claims, including proactive investigation of losses, determinations of coverage, evaluations of liability and damages, and litigation management activities.
- Make initial contact with policyholder/employer to advise that a Tristar adjuster will be assigned to the claims.
- Complete Claim Review Worksheets for Tristar handled claims when requested by field claim staff.
- Develop and deliver training to Tristar claims staff to assure compliance with our guidelines and terms of the service agreement are met.
- Provide oversight of third party administrator managed program claims, including monitoring and/or auditing of service level agreements and quality audit reviews.
- Collaborate with claims leadership and claim handling teams on questions of reserves and settlement authority, claims management strategy, legal and other disputes.
- Provide claim details and status to internal business partners including actuarial, reinsurance and underwriting.
- Provide assistance to field claim staff as requested to external customers including insureds and agents.
- Collaborate across functional teams to identify and resolve issues, and design and implement solutions to prevent future reoccurrence, as necessary.
- Ensure claims service strategies align with authority, claim handling and compliance guidelines and requirements.
- Prepare and publish key performance metrics and reporting for stakeholders, including development of appropriate recommendations for improvement.
- 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.
- Perform special projects that may be assigned in support of the Claims department.
Knowledge, Skills & Abilities
- Bachelor's degree or equivalent combination of education and experience.
- 5 years commercial claims adjusting experience.
- Industry accreditation preferred.
- Ability to obtain appropriate state licensing as required.
- Intermediate proficiency with Microsoft Office Suite.
- Demonstrated successful ability to lead people and get results through others preferred.
- 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 department, across the organization and with external customers.
- Excellent verbal and written communication skills with the ability to interact with internal and external customers.
- Ability to travel overnight up to 25%
- Ability to travel daily between locations.