Sr. Workers Compensation Claims Adjuster

Acrisure; New Mexico; Hybrid; USD 95,000 - 115,000; Full time

Benefits offered by this job

Medical, dental, vision

401(k)

HSA/FSA

Paid time off

Maternity/Paternity leave

Wellness programs

Job summary

Acrisure is seeking a Workers’ Compensation Claims Adjuster licensed in California for a remote opportunity that supports a dedicated account. The role requires handling claims from intake through resolution, with focus on accuracy, compliance, and timely settlements.

Candidates should have 5+ years of experience, CA Adjuster Certification, and strong customer service, communication, and organizational skills.

Qualifications

• 5+ years of experience handling workers’ compensation claims.
• Current California Adjuster Certification.
• Familiarity with state workers’ compensation laws and regulations.

Responsibilities

• Assess coverage and review claims for investigations, action plans, evaluation, fraud, and claim resolution.
• Complete quality investigations by gathering pertinent information and documents.
• Conduct liability analysis and determine reserves and settlements within authority.
• Manage claims from inception to resolution with timely payments.
• Coordinate with defense teams for litigation as needed.
• Ensure compliance with state regulations and company procedures.

Skills

Customer service

Verbal & written communication

Time management

Organizational skills

Attention to detail

Independence

Education

CA Adjuster Certification

Tools

Claims software

Job description

About Acrisure

A global fintech leader, Acrisure empowers millions of ambitious businesses and individuals with the right solutions to grow boldly forward. Bringing cutting-edge technology and top-tier human support together, we connect clients with customized solutions across a range of insurance, reinsurance, payroll, benefits, cybersecurity, mortgage services – and more.

Job Description

A global fintech leader, Acrisure empowers millions of ambitious businesses and individuals with the right solutions to grow boldly forward. Bringing cutting-edge technology and top-tier human support together, we connect clients with customized solutions across a range of insurance, reinsurance, payroll, benefits, cybersecurity, mortgage services – and more. In the last twelve years, Acrisure has grown in revenue from $38 million to almost $5 billion and employs over 19,000 colleagues in more than 20 countries. Acrisure was built on entrepreneurial spirit. Prioritizing leadership, accountability, and collaboration, we equip our teams to work at the highest levels possible.

Job Summary

The Workers’ Compensation Claims Adjuster must be knowledgeable of the California Labor Code and administration of claims. It is the responsibility of a Workers' Compensation Claims Adjuster to receive and organise all documents related to the employee and the injury to make a determination regarding the claim. The Claims Adjuster is responsible for the prompt and efficient examination and investigation of claims. Workers' Compensation Claims Adjusters abide by company guidelines when making claim determinations. This is a remote opportunity that requires an active California Adjuster license supporting a dedicated account.

Responsibilities

• Assess coverage and review claims for purposes of investigations, action plans, evaluation, fraud, and claim resolution.
• Complete quality investigations by gathering pertinent information. Reviews and evaluates coverage and/or liability. Secures necessary information (i.e., reports, policies, releases, statements, or other documents) in the investigation of claims.
• Conduct a thorough analysis of liability and continually assess exposure and evaluate for accurate reserves.
• Works toward the resolution of claims files and takes full charge of claim from inception to resolution.
• Will affect settlements/reserves within prescribed limits and submits recommendations to supervisor on cases exceeding personal authority.
• Ensures that claims payments calculated accurately and are issued in a timely and accurate manner.
• Ensures compliance of claims handling pursuant to all state, legal, statutory, and regulatory bodies to comply with all company procedures and requirements.
• Maintains a diary to follow claim progress on all claims.
• Determine liability for permanent disability, mitigation of costs and resolution of claim.
• Oversee litigation and coordination of claim with defense team.

Qualifications

• 5+ years of experience handling workers’ compensation claims.
• Current California Adjuster Certification.
• Familiarity with state workers’ compensation laws and regulations
• Candidates will be required to have strong skills in customer service, verbal and written communications, time management, and organizational skills.
• Excellent attention to detail.
• Must demonstrate an ability to work independently.
• Must demonstrate a strong knowledge of computers and software.
• Site

Pay Details

The base compensation range for this position is $95,000 - $115,000. This range reflects Acrisure's good faith estimate at the time of this posting. Placement within the range will be based on a variety of factors, including but not limited to skills, experience, qualifications, location, and internal equity.

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.

Welcome, your new opportunity awaits you.