Remote Workers' Comp Claims Examiner

Acrisure; Town of Florida (NY); On-site; USD 65,000 - 90,000; Full time

Benefits offered by this job

Remote work

Medical insurance

Dental insurance

Vision insurance

401(k) plan

Paid time off

Job summary

Acrisure is seeking a remote Workers’ Compensation Claims Examiner to manage a desk and caseload of workers’ compensation claims from assignment through resolution. You will investigate claims, evaluate liability and exposure, maintain reserves, and support claim resolution strategies in a fast-paced environment.

Experience with lost time claims and self-insured accounts is required or beneficial, with a focus on compliant claim handling and effective communication with employers, claimants, and

Qualifications

• 3+ years of workers’ compensation claims handling experience.
• Lost time workers’ compensation claims experience in the state of Georgia.
• Experience working with self-insured accounts.
• Exposure to litigation management and settlement negotiations beneficial.
• Ability to manage multiple priorities in a fast-paced environment.
• Clear verbal and written communication skills.
• Proficiency with Microsoft Office applications and ability to learn new systems.

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

Communication skills

Multitasking

Team collaboration

Microsoft Office

Independent worker

Education

High school diploma

Bachelor’s degree beneficial

Adjuster licensing beneficial

Tools

Claims management systems

Job description

Acrisure is seeking a remote Workers’ Compensation Claims Examiner to manage a desk and caseload of workers’ compensation claims from assignment through resolution. You will investigate claims, evaluate liability and exposure, maintain reserves, and support claim resolution strategies in a fast-paced environment.

Experience with lost time claims and self-insured accounts is required or beneficial, with a focus on compliant claim handling and effective communication with employers, claimants, and