Claims Representative

Job Description Acrisure is a global fintech leader that empowers businesses and individuals with customized solutions across insurance, reinsurance, payroll, benefits, cybersecurity, mortgage services, and more. In the last twelve years, our revenue grew from $38 million to almost $5 billion and we employ over 19,000 colleagues in 20+ countries. Acrisure was built on entrepreneurial spirit, prioritizing leadership, accountability, and collaboration to equip teams to work at the highest levels possible. About Acrisure Keen to support a fast‑paced environment, Acrisure offers a dynamic workplace where people grow, thrive, and make an impact in their communities. Job Summary The role of Claims Specialist will manage multi‑state claims, including workers’ compensation, indemnity, employer’s liability, and subrogation exposures. Responsibilities include independently handling claims from assignment through resolution, investigating claims, evaluating coverage, managing litigation activity, and coordinating all aspects of the claims process. Experience with workers’ compensation is beneficial but not required; strong claims fundamentals from related environments are encouraged. Responsibilities Manage a caseload of multi‑state claims, including workers’ compensation, indemnity, employer’s liability, and subrogation exposures Conduct initial claim investigations, including coverage verification, compensability determination, and timely contact with involved parties Communicate with injured workers, employers, medical providers, attorneys, and other stakeholders to support claim resolution Set and manage reserves within established authority levels Ensure timely delivery of benefits and required notices in accordance with jurisdictional requirements Coordinate return‑to‑work efforts in alignment with medical guidance and employer programs Manage litigation activity, including working with defense counsel and attending hearings or depositions as needed Negotiate settlements with injured workers, attorneys, and other parties Identify and pursue subrogation opportunities and manage third‑party recoveries Review medical and expense bills for accuracy, causation, and appropriateness Maintain accurate and timely documentation within the claims management system Prepare claim status reports and participate in claim review meetings Assign and coordinate nurse case management resources when appropriate Collaborate with leadership on complex claims requiring additional support or escalation Requirements 2 to 5 years of claims handling or related insurance experience required Strong understanding of claims processes, investigations, litigation management, and claim resolution strategies Workers’ compensation claims experience beneficial Strong analytical skills, decision‑making ability, and attention to detail Strong communication and negotiation skills Ability to manage multiple claims in a fast‑paced environment Strong organizational and time‑management skills Proficiency with Microsoft Office and claims management systems Ability to work independently with limited supervision Litigation experience beneficial Education and Licenses High school diploma required; bachelor’s degree beneficial Relevant state licensing beneficial or ability to obtain as required Pay Details The base compensation range for this position is $50,000 – $60,000. Placement within the range will be based on a variety of factors, including but not limited to skills, experience, qualifications, location, and internal equity. On‑Site Presence Candidates should be comfortable with an on‑site presence to support collaboration, team leadership, and cross‑functional partnership. Employee Benefits Physical Wellness: Comprehensive medical, dental, 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; 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 and paternity leave (including for adoptive parents); legal plan options; and pet insurance coverage. … and so much more! This list is not exhaustive of all available benefits. Eligibility and waiting periods may apply to certain offerings. Benefits may vary based on subsidiary entity and geographic location. Acrisure is an Equal Opportunity Employer. We consider qualified applicants without regard to race, color, religion, sex, national origin, disability, or protected veteran status. Applicants may request reasonable accommodation by contacting View email address on click.appcast.io. Final candidates will be required to complete post‑offer verification processes related to the role and in accordance with applicable laws. California Residents: Learn more about our privacy practices for applicants by visiting the Acrisure California Applicant Privacy Policy. Recruitment Fraud: Please visit here to learn more about our Recruitment Fraud Notice. Welcome, your new opportunity awaits you. #J-18808-Ljbffr Acrisure LLC