Medical Only Adjuster

Next Level Administrators, LLC; Florida; On-site; USD 65,000 - 90,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

Life insurance

Disability insurance

Fertility benefits

Wellness resources

Paid sick time

Paid time off

Holidays

Employee Assistance Program (EAP)

Calm app subscription

401(k) plan

Health Savings Account (HSA)

Flexible Spending Account (FSA)

Commuter benefits

Employee discount programs

Job summary

Acrisure Trade Credit is seeking a claims professional to thoroughly investigate claims, assess coverage, and identify subrogation opportunities. You will manage medical issues, schedule timely appointments, and work with the Team Manager to flag red flags while keeping files meticulously documented.

The role requires ongoing education to maintain licensing, strong communication, and the ability to handle multiple priorities with accuracy.

Qualifications

• Pass state license tests where required.
• Complete ongoing education credits to maintain license.
• Attend training on workers’ compensation statutes for assigned states.
• Excellent oral and written communication skills.
• Strong time-management with ability to handle multiple priorities.
• Provide professional and friendly customer service.
• Proficiency with Microsoft Office.

Responsibilities

• Investigate claims including coverage and subrogation.
• Manage medical issues and schedule timely appointments.
• Collaborate with Team Manager to identify red flags.
• Keep claim files thoroughly documented and updated.
• Ensure medical payments are issued timely and accurately.

Skills

Oral and written communication

Analytical skills

Time management

Customer service

Microsoft Office

Organizational skills

Team collaboration

Multitasking

Education

License/Certification (state-specific)

Tools

Microsoft Office

Job description

Primary Duties

Investigate claims thoroughly, including coverage and identifying subrogation. Manage medical issues and schedule timely appointments. Work closely with Team Manager to identify red flags. Consistently keep claim files documented and updated Ensure that all medical payments are issued timely and appropriately.

Requirements

Successfully pass tests in states where they are required for license Complete required ongoing education credits to maintain license Attend training and become proficient with workers’ compensation statutes for the states that you have been assigned Strong oral and written communication skills Strong analytical skills and attention to detail Time management skills and demonstrated ability to manage multiple priorities with accuracy and efficiency Ability to provide professional and friendly customer service Proficient knowledge of Microsoft Office suite Skills & Knowledge Excellent oral and written communication PC literate, including Microsoft Office products Strong organizational skills Efficient time management skills Ability to work in a team environment Strong interpersonal and skills Ability to meet or exceed Performance Competencies Can determine what next steps are required and proactively respond Able to multitask in various systems and/or programs Candidates should be comfortable with an on-site presence to support collaboration, team leadership, and cross-functional partnership.

Why Join Us

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.

Employee Benefits

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 [e-mail].

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.