Sr. Claims Examiner

Brentwood Service Administrators, Inc.; 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

About Acrisure

Acrisure A global fintech leader, Acrisure empowers millions of ambitious businesses and individuals with the solutions to grow boldly forward. Bringing cutting-edge technology and top-tier human support together, it connects clients with personalized solutions across a range of insurance, reinsurance, payroll, benefits, cybersecurity, real estate services - and beyond. Since 2013, Acrisure has grown in revenue from $38 million to ~$5 billion and employs ~20,000 colleagues in 19 countries. And this is just the beginning. To learn more, visit Acrisure.com.

About the Role

The Senior Workers Compensation Claims Adjuster is responsible for managing workers’ compensation claims from investigation through resolution, with a focus on medical-only claims and some indemnity exposure. This role evaluates compensability and liability, monitors medical treatment and return-to-work activity, and works directly with clients, employers, injured workers, physicians, attorneys, and defense counsel to move claims toward timely resolution.

What You’ll Do

• Investigate workers’ compensation claims by gathering information from claimants, witnesses, employers, medical providers, police and hospital records, and other relevant sources.
• Determine compensability and liability in accordance with applicable workers’ compensation statutes and make recommendations regarding claim coverage and direction.
• Monitor medical treatment and progress, coordinate follow-up care and pre-certification when needed, and communicate work restrictions and return-to-work information to employers.
• Manage claim reserves and issue medical, indemnity, legal, and expense payments based on claim exposure and supporting information.
• Maintain current and accurate claim documentation, manage diary follow-ups, and review claim submissions for completeness and accuracy.
• Provide clients with guidance on claim direction based on information gathered and analyzed throughout the claim lifecycle.
• Coordinate with attorneys and defense counsel on litigated claims while maintaining responsibility for overall claim direction.
• Complete required jurisdictional and state filings, prepare reports for excess carriers, and request reimbursement when applicable.

What You’ll Bring

Required Qualifications

• 3+ years of workers’ compensation claims handling experience, or an equivalent combination of training, education, and experience.
• Arizona adjuster license.
• Experience evaluating workers’ compensation claims, including compensability, exposure, reserves, medical treatment, and claim resolution.
• Analytical and critical-thinking skills to evaluate claim information, documentation, and applicable workers’ compensation requirements.
• Attention to detail when reviewing claim documentation, policies, medical information, and required filings.
• Clear written and verbal communication skills with the ability to work effectively with clients, employers, claimants, medical providers, attorneys, and other involved parties.
• Negotiation, organization, and time-management skills needed to effectively manage an active workers’ compensation caseload.
• Ability to calculate figures associated with claim handling and reserves.

Preferred Qualifications

• 5+ years of workers’ compensation claims handling experience.
• Multi-state adjuster licenses.
• Experience working with defense counsel and the workers’ compensation litigation process.
• Experience completing state filings with industrial commissions.
• Experience with FileHandler.
• Bilingual skills.

#LI-JP3 Candidates should be comfortable with an on-site presence to support collaboration, team leadership, and cross-functional partnership.

Why Join Us

At Acrisure, we’re building more than a business, we’re building a community where people can grow, thrive, and make an impact. Our benefits are designed to support every dimension of your life, from your health and finances to your family and future. Making a lasting impact on the communities it serves, Acrisure has pledged more than $22 million through its partnerships with Corewell Health Helen DeVos Children’s Hospital in Grand Rapids, Michigan, UPMC Children’s Hospital in Pittsburgh, Pennsylvania and Blythedale Children’s Hospital in Valhalla, New York.

Employee Benefits

• Physical Wellness: Comprehensive medical insurance, dental insurance, and vision insurance; life and disability insurance; fertility benefits; wellness resources; and paid sick time.
• Mental Wellness: Generous paid time off and holidays; Employee Assistance Program (EAP); and a complimentary Calm app subscription.
• Financial Wellness: Immediate vesting in a 401(k) plan; Health Savings Account (HSA) and Flexible Spending Account (FSA) options; commuter benefits; and employee discount programs.
• Family Care: Paid maternity leave and paid paternity leave (including for adoptive parents); legal plan options; and pet insurance coverage.
• … and so much more!

This list is not exhaustive of all available benefits. Eligibility and waiting periods may apply to certain offerings. Benefits may vary based on subsidiary entity and geographic location.

Acrisure is an Equal Opportunity Employer. We consider qualified applicants without regard to race, color, religion, sex, national origin, disability, or protected veteran status. Applicants may request reasonable accommodation by contacting [e-mail].

Final candidates will be required to complete post-offer verification processes related to the role and in accordance with applicable laws.

California Residents: Learn more about our privacy practices for applicants by visiting the Acrisure California Applicant Privacy Policy.