Senior Complex Claims Specialist - PROGRAMS
Listed on 2026-01-13
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Insurance
Insurance Claims, Insurance Analyst, Underwriter, Risk Manager/Analyst
Senior Complex Claims Specialist – PROGRAMS
Join us at Amerisure Insurance
, a property‑and‑casualty insurer that protects mid‑size commercial enterprises in construction, manufacturing, and healthcare. With an A.M. Best “A” rating and a $1 billion portfolio of written premium, we deliver superior service and innovation to our partners and policyholders.
Amerisure Insurance is hiring a Senior Complex Claims Specialist to support our Programs Team. The position offers a hybrid work schedule (2 days on‑site) at one of our Core Service Centers.
Summary StatementManage a portfolio of moderate‑to‑high complexity claims to deliver an industry‑leading customer experience through exceptional service, strong relationships, and superior outcomes. Contribute to the Claims department’s goals and the company’s strategic objectives.
Essential Tasks / Major Duties- Build and maintain strong relationships with agents, policyholders, and stakeholders.
- Handle an assigned portfolio of litigated and non‑litigated commercial general and auto liability claims across multiple jurisdictions.
- Investigate and evaluate coverage, liability, and damages, applying applicable law and legal principles.
- Develop, adjust, and execute action plans to achieve desired resolutions.
- Identify early‑resolution opportunities and evaluate risk‑transfer strategies.
- Proactively establish and adjust loss reserves throughout the life of the claim.
- Report on and present large losses during file conferences and claim reviews.
- Serve as a subject‑matter expert to less experienced staff.
- Participate in mediations, settlement conferences, and attend trials.
- Negotiate settlements.
- Maintain current knowledge of multijurisdictional legal and regulatory developments.
- Engage external resources as needed to achieve optimal outcomes while monitoring costs.
- Adjudicate claims in accordance with Amerisure claims guidelines and quality standards.
- Bachelor’s degree required;
Juris Doctor preferred. - 10 years of commercial claims experience, including 5 years with moderate‑to‑high complexity and exposure commercial general and auto liability claims and 3 years with litigated files.
- Extensive knowledge of tort, contract, and coverage laws in multiple jurisdictions.
- Experience in FL, GA, IL, SC, and TX; ability to handle claims in new or less familiar jurisdictions.
- Ability to identify potential for aggravated liability and create resolution strategies.
- Strong communication skills and ability to present technical results to non‑technical audiences.
- Excellent organizational skills and adaptability to change.
- Willingness to take on new assignments and objectives.
- Strategic thinking with analytical and problem‑solving skills.
- Successful relationship building and partnership within the organization and with external customers.
- Industry accreditation preferred.
- Ability to obtain state licensing as required.
- Travel up to 20% overnight.
- Seniority Level: Mid‑Senior
- Employment Type:
Full‑time - Job Function:
Finance and Sales - Industries:
Insurance
Competitive base pay, performance‑based incentive pay, comprehensive health and welfare benefits, a 401(k) savings plan with profit sharing, generous paid time off, and flexible work arrangements.
Equal Employment OpportunityAmerisure Insurance provides equal employment opportunities (EEO) to all employees and applicants. The company complies with all federal, state, and local nondiscrimination laws. Harassment based on race, color, religion, sex, national origin, age, disability, or veteran status is strictly prohibited and may result in disciplinary action up to discharge.
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