Workers Compensation Claims Examiner

🔥 1 hour ago

🐊 Florida, North Carolina, +2 more states – Remote

🐊 Florida – Remote 🌲 North Carolina – Remote 🎸 Mississippi – Remote 🌴 South Carolina – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

📋 Claims Specialist

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Acrisure

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 2013

💼 Consulting

🏥 Healthcare

📣 Marketing

Consulting • Healthcare • Marketing

Acrisure is a company that provides a wide range of insurance, risk management, and financial services solutions. They offer personal insurance, mortgages, business insurance, and employee benefit services, as well as cybersecurity and managed IT resources. Acrisure is known for expanding their reinsurance capabilities internationally and has garnered recognition such as the 'Broker of the Year' award. The company is also involved in community outreach and partnerships, such as with the Pittsburgh Steelers. Acrisure is committed to delivering innovative solutions and maintaining strong industry leadership.

📋 Description

• 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

• Workers’ compensation claims handling experience required • 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

🏖️ Benefits

• Comprehensive medical insurance, dental insurance, and vision insurance • Life and disability insurance • Fertility benefits • Wellness resources • Paid sick time • Generous paid time off and holidays • Employee Assistance Program (EAP) • Complimentary Calm app subscription • Immediate vesting in a 401(k) plan • Health Savings Account (HSA) and Flexible Spending Account (FSA) options • Commuter benefits • Employee discount programs • Paid maternity leave • Paid paternity leave (including for adoptive parents) • Legal plan options • Pet insurance coverage