Senior Workers' Compensation Claims Specialist

Acrisure Trade Credit; Chandler (AZ); On-site; USD 78,000 - 105,000; Full time

Job summary

Acrisure is seeking a Senior Workers’ Compensation Claims Adjuster to manage claims from investigation to resolution, focusing on medical-only claims with some indemnity exposure. You’ll evaluate compensability, monitor treatment and return-to-work progress, and work with claimants, employers, physicians, attorneys, and defense counsel to move claims toward timely resolution.

Responsibilities include gathering evidence, determining coverage, managing reserves, and maintaining detailed

Qualifications

• 3+ years of workers’ compensation claims handling experience.
• Arizona adjuster license is required.
• Experience evaluating compensability, exposure, reserves, medical treatment, and claim resolution.
• Analytical and critical-thinking skills to evaluate claim information and requirements.
• Attention to detail when reviewing claim documentation and filings.
• Clear written and verbal communication with clients, employers and attorneys.
• Negotiation, organization, and time-management skills for active caseloads.
• Ability to calculate figures associated with claim handling and reserves.

Responsibilities

• Investigate workers’ compensation claims by gathering information from claimants, witnesses, employers, medical providers, records, and others.
• Determine compensability and liability and make recommendations on coverage and direction.
• Monitor medical treatment, coordinate follow-up care and return-to-work information.
• Manage claim reserves and issue payments based on exposure and supporting information.
• Maintain current claim documentation, diary follow-ups, and submissions for accuracy.
• Provide clients with guidance on claim direction based on collected data.
• Coordinate with attorneys and defense counsel on litigated claims and overall direction.
• Complete required filings and prepare reports for excess carriers; request reimbursement when applicable.

Skills

Claims handling experience

Analytical thinking

Attention to detail

Clear communication

Negotiation

Time management

Numerical calculation

Education

Arizona adjuster license

Tools

FileHandler

Job description

Acrisure is seeking a Senior Workers’ Compensation Claims Adjuster to manage claims from investigation to resolution, focusing on medical-only claims with some indemnity exposure. You’ll evaluate compensability, monitor treatment and return-to-work progress, and work with claimants, employers, physicians, attorneys, and defense counsel to move claims toward timely resolution.

Responsibilities include gathering evidence, determining coverage, managing reserves, and maintaining detailed