Senior Workers Compensation Claims Examiner
$95k - $110kNext Level Administrators, LLC
Role Description
Acrisure is seeking a Senior Workers' Compensation Claims Examiner to independently manage complex California workers' compensation claims from assignment through resolution. This role is responsible for:
- Investigating claims and determining compensability
- Managing litigation and evaluating exposure
- Developing claim resolution strategies while ensuring compliance with California workers' compensation laws and regulations
This is a fully remote position. Candidates must be able to support California-based claims and work business hours aligned with Mountain or Pacific Time zones.
Qualifications
- 5+ years of experience handling California workers' compensation claims
- Experience managing indemnity claims
- Experience handling litigated workers' compensation claims
- Current California Adjuster Certification, OSIP/SIP self-insured qualification, or Certified Workers' Compensation Professional (CWCP) designation
- Strong knowledge of California workers' compensation laws, regulations, and claims handling practices
- Experience developing claim resolution strategies and negotiating settlements
- Ability to independently manage complex claims with minimal supervision
- Strong analytical, decision-making, and problem-solving skills
- Excellent verbal and written communication skills
- Strong organizational skills with the ability to manage multiple priorities in a remote environment
- Proficiency with Microsoft Office and claims management systems
Requirements
- High school diploma or equivalent required
- Additional education beneficial
- Current California Adjuster Certification, OSIP/SIP self-insured qualification, or Certified Workers' Compensation Professional (CWCP) designation required
Benefits
At Acrisure, 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:
- Physical Wellness:
- Comprehensive medical, dental, and vision insurance
- Life and disability insurance
- Fertility benefits
- Wellness resources
- Paid sick time
- Mental Wellness:
- Generous paid time off and holidays
- Employee Assistance Program (EAP)
- 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
- Employee discount programs
- Family Care:
- Paid maternity and paternity leave (including for adoptive parents)
- Legal plan options
- Pet insurance coverage
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.
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