Workers Compensation Claims Examiner
Acrisure LLC
About Acrisure
A global fintech leader, Acrisure empowers millions of ambitious businesses and individuals with the right solutions to grow boldly forward. Bringing cutting-edge technology and top-tier human support together, we connect clients with customized solutions across a range of insurance, reinsurance, payroll, benefits, cybersecurity, mortgage services - and more.
In the last twelve years, Acrisure has grown in revenue from $38 million to almost $5 billion and employs over 19,000 colleagues in more than 20 countries. Acrisure was built on entrepreneurial spirit. Prioritizing leadership, accountability, and collaboration, we equip our teams to work at the highest levels possible.
Job Summary: Acrisure is seeking a Workers' Compensation Claims Examiner. This role is responsible for managing lost time workers' compensation claims from assignment through resolution while ensuring timely, accurate, and compliant claim handling. The adjuster will investigate claims, evaluate liability and exposure, manage litigation and medical activity, maintain reserves, and support claim resolution strategies. This position is ideal for a claims professional who is comfortable managing multiple priorities, navigating complex claims issues, and working in a fast-paced environment. This is a fully remote position. Workers' compensation claims experience is required for this role. Candidates should have experience handling workers' compensation claims and exposure to lost time claim management. Responsibilities
A global fintech leader, Acrisure empowers millions of ambitious businesses and individuals with the right solutions to grow boldly forward. Bringing cutting-edge technology and top-tier human support together, we connect clients with customized solutions across a range of insurance, reinsurance, payroll, benefits, cybersecurity, mortgage services - and more.
In the last twelve years, Acrisure has grown in revenue from $38 million to almost $5 billion and employs over 19,000 colleagues in more than 20 countries. Acrisure was built on entrepreneurial spirit. Prioritizing leadership, accountability, and collaboration, we equip our teams to work at the highest levels possible.
Job Summary: Acrisure is seeking a Workers' Compensation Claims Examiner. This role is responsible for managing lost time workers' compensation claims from assignment through resolution while ensuring timely, accurate, and compliant claim handling. The adjuster will investigate claims, evaluate liability and exposure, manage litigation and medical activity, maintain reserves, and support claim resolution strategies. This position is ideal for a claims professional who is comfortable managing multiple priorities, navigating complex claims issues, and working in a fast-paced environment. This is a fully remote position. Workers' compensation claims experience is required for this role. Candidates should have experience handling workers' compensation claims and exposure to lost time claim management. Responsibilities
- Manage a desk and caseload of workers' compensation claims in an efficient and professional manner
- Investigate claims thoroughly, including coverage, liability, and exposure analysis
- Evaluate claim exposure and maintain accurate and timely reserves
- Manage litigation activity and coordinate with defense counsel as needed
- Evaluate claims for settlement and negotiate resolutions with claimants and attorneys
- Monitor and manage medical treatment activity and claim progression
- Maintain accurate, timely, and organized claim documentation within the claims system
- Ensure claim payments are processed accurately and timely
- Support timely and compliant claim resolution strategies
- Maintain communication with employers, injured workers, attorneys, medical providers, and clients throughout the claims process
- Participate in required training and maintain knowledge of assigned state workers' compensation statutes
- Perform additional duties and projects as assigned
- 3+ years of workers' compensation claims handling experience required
- Lost time workers' compensation claims experience in the state of Georgia required
- Experience working with self-insured accounts required
- Exposure to litigation management and settlement negotiations beneficial
- Ability to manage multiple priorities in a fast-paced environment
- Analytical mindset with attention to detail and sound decision-making ability
- Clear verbal and written communication skills
- Ability to work independently and collaboratively within a team environment
- Professional and customer-focused approach when working with clients and claimants
- Proficiency with Microsoft Office applications and ability to learn new systems
- High school diploma or equivalent required
- Bachelor's degree beneficial
- Adjuster licensing beneficial or ability to obtain licensing as required
- Physical Wellness: Comprehensive medical insurance, dental insurance, and vision insurance; life and disability insurance; fertility benefits; wellness resources; and paid sick time.
- Mental Wellness: Generous paid time off and holidays; Employee Assistance Program (EAP); and a complimentary Calm app subscription.
- Financial Wellness: Immediate vesting in a 401(k) plan; Health Savings Account (HSA) and Flexible Spending Account (FSA) options; commuter benefits; and employee discount programs.
- Family Care: Paid maternity leave and paid paternity leave (including for adoptive parents); legal plan options; and pet insurance coverage.
- ... and so much more!
Vacancy posted 4 days ago
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