Remote Workers’ Compensation Claims Examiner

Acrisure; Atlanta (GA); Remote; USD 65,000 - 90,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

401(k) immediate vesting

Wellness resources

Paid time off

Holiday pay

Job summary

Acrisure is seeking a Workers’ Compensation Claims Examiner to manage lost time claims from assignment through resolution in a fully remote role. Experience in workers’ compensation claims and exposure to lost time claim management is required.

The ideal candidate will investigate claims, evaluate liability and reserves, coordinate with defense counsel, and communicate effectively with employers, injured workers, and attorneys. GA experience and self-insured accounts exposure are a plus.

Qualifications

• 3+ years of workers’ compensation claims handling experience.
• Lost time workers’ compensation claims experience in Georgia required.
• Experience working with self-insured accounts required.
• 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.

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

Workers' compensation claims

GA experience

Self-insured accounts

Litigation management

Multitasking

Analytical mindset

Communication skills

Team collaboration

MS Office

Education

High school diploma

Bachelor’s degree preferred

Adjuster licensing beneficial

Job description

Acrisure is seeking a Workers’ Compensation Claims Examiner to manage lost time claims from assignment through resolution in a fully remote role. Experience in workers’ compensation claims and exposure to lost time claim management is required.

The ideal candidate will investigate claims, evaluate liability and reserves, coordinate with defense counsel, and communicate effectively with employers, injured workers, and attorneys. GA experience and self-insured accounts exposure are a plus.