Senior Complex Claims Specialist - PROGRAMS

Senior Complex Claims Specialist - PROGRAMS

Amerisure, a property and casualty insurance company with an A.M. Best “A” rating, serves mid-sized commercial enterprises in construction, manufacturing, and healthcare. We manage nearly $1 Billion of direct written premium.

Amerisure is seeking a Senior Complex Claims Specialist to join our dynamic team. This position offers a hybrid work schedule (2 days onsite) at one of our Core Service Centers
. As a key member of our Programs Team
, you will handle complex claims with precision and professionalism. Previous experience managing program‑related claims will be highly valued.

Manage a portfolio of claims presenting moderate to high complexity and exposure to ensure Industry Leading Customer Experience through exceptional service, unmatched relationships and superior claims outcomes. Contribute to the achievement of Claims department goals, established to achieve the company’s strategic objectives.

• Build and maintain strong relationships with agents and policyholders through inclusion, communication, accessibility, and relevant, insightful, and informative file documentation.
• Directly handle an assigned portfolio of litigated and non‑litigated commercial general and auto liability claims presenting moderate to high complexity and exposure across multiple jurisdictions.
• Conduct relevant, creative, and comprehensive investigation and evaluation on coverage, liability, and damages throughout the life of the claim by analyzing material facts, circumstances, and developments applying applicable law and legal principles.
• Positively influence claims outcomes through developing, continuously adjusting, and executing on action plans designed to achieve desired resolutions.
• Identify and pursue early resolution when appropriate.
• Identify and evaluate risk transfer.
• Proactively establish and adjust loss reserves throughout the life of the claim based on newly identified and material information and developments to reflect probable ultimate exposure.
• Report on and present large losses during file conferences and claim reviews.
• Serve as subject matter expert to less experienced staff.
• Participate in mediations and settlement conferences and attend trials.
• Negotiate settlements.
• Maintain current knowledge of multijurisdictional legal and regulatory claims developments and trends.
• Engage in external resources as needed to achieve optimal claims outcomes while monitoring and mitigating costs.
• Adjudicate claims in accordance with Amerisure claims guidelines and quality standards.

• Bachelor’s degree required;
  Juris Doctorate preferred.
• 10 years of commercial claims experience, including 5 years with moderate to high complexity and exposure commercial general and auto liability claims (including trucking liability), and 3 years handling litigated files and directing outside defense counsel.
• Extensive knowledge of current tort, contract, and coverage laws in multiple jurisdictions.
• Experience in FL, GA, IL, SC, and TX, with proven ability to handle claims in new or less familiar jurisdictions.
• Ability to identify potential for aggravated liability and create resolution strategies to mitigate exposure.
• Ability to lead discussions, make presentations, and communicate technical results to a non‑technical audience.
• Excellent organizational skills and ability to function in a changing environment.
• Willingness to take on new assignments as required.
• Ability to think strategically with supporting analytical and problem‑solving skills, including ability to deal with ambiguity.
• Demonstrated successful ability to build positive relationships and partnerships within the department, across the organization, and with external customers.
• Industry accreditation preferred.
• Ability to obtain appropriate state licensing as required.
• Ability to travel overnight up to 20%.

Amerisure commits to being an employer of choice through a competitive total rewards package that includes base pay, performance‑based incentive pay, comprehensive health and welfare benefits, a 401(k) savings plan with profit sharing, and generous paid…