Senior PA Workers' Comp Claims Adjuster - Remote

Acrisure; Pittsburgh (Allegheny County); Remote; USD 85,000 - 100,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

401(k) plan

Flexible Spending Account

Job summary

Acrisure seeks a Senior Workers' Compensation Claims Adjuster to independently manage complex Pennsylvania workers' compensation claims from assignment through resolution. Delaware and New Jersey experience are valued; the role can be fully remote, with on-site collaboration as needed to support team leadership and cross-functional partnership.

The position requires 5+ years handling PA WC claims, strong knowledge of PA laws, and experience with indemnity claims and litigated matters.

Qualifications

• 5+ years of experience handling Pennsylvania workers' compensation claims required
• Strong knowledge of Pennsylvania workers' compensation laws, regulations, and claims handling practices required
• Experience managing complex indemnity claims required
• Experience developing claim resolution strategies and negotiating settlements required
• Delaware, New Jersey experience considered an asset
• Strong analytical, decision-making, communication, and organizational skills
• Ability to independently manage multiple complex claims in a remote environment
• Proficiency with claims management systems and Microsoft Office applications

Responsibilities

• Independently manage a caseload of Pennsylvania workers' compensation claims from assignment through resolution
• Investigate claims, determine compensability, and develop appropriate claim handling strategies
• Review medical documentation, coverage, and claim exposure in accordance with Pennsylvania regulations
• Establish and maintain appropriate reserves based on claim developments
• Manage complex indemnity and litigated claims, including settlement negotiations
• Coordinate with defense counsel, medical providers, employers, and other stakeholders
• Monitor claim activity, maintain accurate diaries, and ensure timely follow-up
• Coordinate return-to-work efforts and identify opportunities for cost containment, subrogation, or fraud investigation
• Maintain complete and accurate documentation within the claims management system
• Perform additional duties and projects as assigned
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Job description

Acrisure seeks a Senior Workers' Compensation Claims Adjuster to independently manage complex Pennsylvania workers' compensation claims from assignment through resolution. Delaware and New Jersey experience are valued; the role can be fully remote, with on-site collaboration as needed to support team leadership and cross-functional partnership.

The position requires 5+ years handling PA WC claims, strong knowledge of PA laws, and experience with indemnity claims and litigated matters.