Sr Workers Compensation Claims Adjuster

Acrisure, LLC; Pittsburgh (Allegheny County); Remoto; USD 85.000 - 100.000; Tempo pieno

Vantaggi offerti da questo lavoro

Medical insurance

Dental insurance

Vision insurance

401(k) plan

Wellness resources

Paid time off

Calm app subscription

Descrizione del lavoro

Acrisure is seeking a Senior Workers' Compensation Claims Adjuster to independently manage complex Pennsylvania workers' compensation claims from assignment through resolution. Delaware/NJ experience valued. This is a fully remote position with collaboration and leadership across teams.

Candidates must have 5+ years of PA WC experience, strong regulatory knowledge, and ability to handle complex indemnity and litigated claims while communicating effectively and managing reserves.

Competenze

• 5+ years of Pennsylvania WC claims experience.
• Strong knowledge of PA WC laws and regulations.
• Experience managing complex indemnity claims.
• Experience developing claim resolution strategies.
• Delaware claims experience valued; NJ experience helps.

Mansioni

• Independently manage a PA WC caseload from assignment to resolution.
• Investigate, determine compensability, and develop handling strategies.
• Review medical documentation, coverage, and claim exposure per PA regs.
• Establish reserves based on claim developments and costs.
• Coordinate with defense counsel, medical providers, employers, and stakeholders.
• Maintain diaries, ensure timely follow-up, and manage return-to-work efforts.

Conoscenze

Claims handling

Regulatory knowledge

Litigation coordination

Negotiation

Analytical thinking

Formazione

High school diploma

Strumenti

Microsoft Office

Claims system

Descrizione del lavoro

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. 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

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. Delaware experience is highly valued, with New Jersey experience also helpful. This is a fully remote position.

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

Requirements

• 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
• 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

Education and licenses

High school diploma or equivalent required Additional workers' compensation education, claims training, or industry certifications helpful

Pay Details

The base compensation range for this position is $85,000 - $100,000. 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

We also offer our employees a comprehensive suite of benefits and perks, including:

• 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.