Sr Workers Compensation Claims Adjuster

Acrisure; Pennsylvania; À distance; USD 80 000 - 110 000; Plein temps

Avantages offerts par ce poste

Comprehensive medical, dental & vision

Life and disability insurance

Generous PTO & holidays

Employee Assistance Program (EAP)

Calm app subscription

401(k) with immediate vesting

HSA & FSA options

Legal plan options

Pet insurance

Résumé du poste

Acrisure seeks a Senior Workers' Compensation Claims Adjuster to independently manage complex Pennsylvania workers' compensation claims from assignment through resolution. This remote role requires hands-on experience with PA WC laws, indemnity exposure, reserves, and litigated claims.

Responsibilities include investigating claims, determining compensability, negotiating settlements, coordinating with defense counsel, medical providers, and employers, and maintaining precise diaries and

Qualifications

• 5+ years of experience handling Pennsylvania workers' compensation claims.
• Strong knowledge of Pennsylvania workers' compensation laws and claims handling practices.
• Experience managing complex indemnity claims.
• Experience developing claim resolution strategies and negotiating settlements.
• Delaware and New Jersey WC claims experience is valued and assets.
• Experience handling litigated workers' compensation claims preferred.
• Ability to manage multiple complex claims remotely.
• Proficiency with claims management systems and Microsoft Office applications.

Responsabilités

• Independently manage a caseload of Pennsylvania workers' compensation claims from assignment through resolution.
• Investigate claims, determine compensability, and develop claim handling strategies.
• Review medical documentation, coverage, and claim exposure per Pennsylvania regulations.
• Establish and maintain reserves based on claim developments.
• Manage complex indemnity and litigated claims, including settlements.
• Coordinate with defense counsel, medical providers, employers, and stakeholders.
• Monitor claim activity, diaries, and timely follow-up.
• Coordinate return-to-work efforts and cost containment opportunities.
• Maintain complete documentation in the claims system.

Connaissances

Pennsylvania WC

Indemnity claims

Litigated claims

Settlement negotiations

Remote work

Claims systems

MS Office

Formation

High school diploma

Outils

Claims management systems

Microsoft Office

Description du poste

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.

Acrisure is seeking a Senior Workers' Compensation Claims Adjuster to independently manage complex Pennsylvania workers' compensation claims from assignment through resolution. This role is responsible for investigating claims, determining compensability, evaluating exposure, managing reserves and litigation, and developing claim resolution strategies in accordance with Pennsylvania workers' compensation laws and regulations.

Candidates must have direct, hands-on experience handling Pennsylvania workers' compensation claims. This is a fully remote position.

• 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

• 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 workers' compensation claims experience highly valued
• Experience handling litigated workers' compensation claims strongly preferred
• New Jersey workers' compensation claims experience considered an asset
• Ability to independently manage multiple complex claims in a remote environment
• Proficiency with claims management systems and Microsoft Office applications

High school diploma or equivalent required

Additional workers' compensation education, claims training, or industry certifications helpful

#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.

At Acrisure, we're building more than a business, we're building a community where people can grow, thrive, and make an impact. 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.

• Comprehensive medical insurance, dental insurance, and vision insurance; life and disability insurance;
• 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; legal plan options; and pet insurance coverage.

We consider qualified applicants without regard to race, color, religion, sex, national origin, disability, or protected veteran status. California Residents: Learn more about our privacy practices for applicants by visiting the Acrisure California Applicant Privacy Policy.