Remote Workers' Comp Claims Examiner

Acrisure; South Carolina; On-site; USD 65,000 - 90,000; Full time

Job summary

Acrisure seeks a Workers’ Compensation Claims Examiner to manage lost time workers’ compensation claims from assignment through resolution, ensuring timely, accurate, and compliant handling. The adjuster will investigate claims, evaluate liability and exposure, manage litigation and medical activity, maintain reserves, and support resolution strategies in a fast-paced environment.

This is a fully remote position.

Qualifications

• 3+ years of workers’ compensation claims handling experience.
• Lost time workers’ compensation claims experience in GA required.
• Experience with self-insured accounts is required.
• Ability to manage multiple priorities in a fast-paced environment.

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.

Skills

Analytical mindset

Clear verbal & written communication

Time management

Team collaboration

Independent worker

Education

High school diploma

Bachelor’s degree beneficial

Adjuster licensing beneficial

Tools

Microsoft Office

Claims management system

Job description

Acrisure seeks a Workers’ Compensation Claims Examiner to manage lost time workers’ compensation claims from assignment through resolution, ensuring timely, accurate, and compliant handling. The adjuster will investigate claims, evaluate liability and exposure, manage litigation and medical activity, maintain reserves, and support resolution strategies in a fast-paced environment.

This is a fully remote position.