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Amerisure Insurance · 19 hours ago

Senior Complex Claims Specialist - PROGRAMS

Irving, TX

Full-time

Hybrid

Senior Level, Lead/Staff

10+ years exp

Amerisure Insurance is a property and casualty insurance company that provides a comprehensive line of insurance products. They are seeking a Senior Complex Claims Specialist to manage complex claims while ensuring exceptional customer experience and achieving claims department goals.

Financial Services

Responsibilities

Build and maintain strong relationships with agents and policyholders through being inclusive, communicative, accessible, and maintaining 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 in order 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

Qualification

Commercial claims experienceLitigated claims handlingTort lawsAnalytical skillsNegotiation skillsState licensingRelationship buildingProblem-solving skillsOrganizational skillsCommunication skills

Required

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 a 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 the ability to deal with ambiguity

Demonstrated successful ability to build positive relationships and partnerships within the department, across the organization, and with external customers

Ability to obtain appropriate state licensing as required

Ability to travel overnight up to 20%