Workers Compensation Claims Examiner

Lost Time Claims Adjuster

Next Level Administrators is seeking a Lost Time Claims Adjuster to join its Workers' Compensation Claims Department. 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.

Candidates with multi-state workers' compensation claims experience and exposure to lost time claims are highly beneficial.

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

Requirements

• Multi-state workers' compensation claims experience beneficial
• Lost time workers' compensation claims experience beneficial
• 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
• Ability to maintain required adjuster licenses and continuing education requirements

Education and Licenses

• High school diploma or equivalent required
• Bachelor's degree beneficial
• Active adjuster licensing beneficial or ability to obtain licensing as required
• Multi-state licensing beneficial

Candidates should be comfortable with an on-site presence to support collaboration, team leadership, and cross-functional partnership.

At Acrisure, we're building more than a business, we're building a community where people can grow, thrive, and make an impact. Our benefits are designed to support every dimension of your life, from your health and finances to your family and future.

Making a lasting impact on the communities it serves, Acrisure has pledged more than $22 million through its partnerships with Corewell Health Helen DeVos Children's Hospital in Grand Rapids, Michigan, UPMC Children's Hospital in Pittsburgh, Pennsylvania and Blythedale Children's Hospital in Valhalla, New York.

We also offer our employees a comprehensive suite of benefits and perks, including:

• 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!

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.