Remote Workers' Compensation Claims Examiner

Acrisure, LLC

Nashville (TN)

Hybrid

USD 55,000 - 75,000

Full time

9 days ago
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Job summary

Acrisure is seeking a Workers’ Compensation Claims Examiner. This role manages lost time workers’ compensation claims from assignment through resolution, ensuring timely, accurate, and compliant handling.

The examiner investigates claims, evaluates liability, maintains reserves, and supports resolution strategies. Role requires residing in the Greater Nashville area with remote work, reporting to the Nashville office on a rotating schedule approximately every six weeks to support business needs.

Qualifications

  • Experience handling workers’ compensation claims is required.
  • Lost time claims experience is beneficial.
  • Exposure to litigation management and settlement negotiations is beneficial.
  • Must reside in Tennessee.

Responsibilities

  • Manage a desk and caseload of workers’ compensation claims efficiently and professionally.
  • Investigate claims including coverage, liability, and exposure analysis.
  • Evaluate claim exposure and maintain accurate 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 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.

Skills

Workers’ compensation claims handling
Lost time claims experience
Litigation management
Analytical mindset
Communication skills

Education

High school diploma or equivalent
Bachelor’s degree beneficial
Adjuster licensing beneficial

Tools

Microsoft Office

Job description

Acrisure is seeking a Workers’ Compensation Claims Examiner. This role manages lost time workers’ compensation claims from assignment through resolution, ensuring timely, accurate, and compliant handling.

The examiner investigates claims, evaluates liability, maintains reserves, and supports resolution strategies. Role requires residing in the Greater Nashville area with remote work, reporting to the Nashville office on a rotating schedule approximately every six weeks to support business needs.

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