Claims Assistant

About the role

Acrisure is a global fintech leader that empowers businesses and individuals with tailored insurance, reinsurance, payroll, benefits, cybersecurity, mortgage services, and more. Founded in 2011, Acrisure has grown significantly, reaching over $5 billion in revenue and employing over 19,000 colleagues worldwide.

Essential Functions

• Organizes digital claim records for uniformity by removing duplicates and top-lining documents.
• Completes 10-day and 6-month claim maintenance checklists to ensure high-quality claims data processing.
• Processes corrections to data errors as required.
• Completes manual Medicare query of claims at the CMS COB&R site as needed and documents the digital claim record.
• Processes class code corrections that accurately reflect the scope of an injured worker's job and payroll.
• Completes claim documents in both ImageRight and Powersuite.
• Completes closure, re-opens, and reassignments of all claim files as submitted by Supervisory personnel.
• Assists with record subpoenas and completes lien reviews organized with a worksheet summary.
• Maintains contact with the WCAB for status updates on claims where named as a party to suit in error.
• Complies with Maximus responses following IMR for timely fulfillment.
• Reviews adjuster ImageRight tasks daily for medical authorization requests.
• Provides administrative assistance to claim adjusting team members as needed.
• The Claims Assistant II provides back-up in the entry of manual payments to the Claims Payable Analyst.
• Completes other duties and projects as assigned.

Competencies/Qualifications

• Professional telephone demeanor, good verbal and written communication skills, good listening skills, and strong organizational skills.
• Thorough knowledge of workers’ compensation claims procedures and policies.
• A strong understanding of human nature and motivation principles.
• Control/handle problem issues in times of stress and in a climate of conflict and/or adversity.
• Computer literacy including strong familiarity with Microsoft Office Suite.
• Basic understanding of business technology.
• Responsiveness to changing business needs.
• Ability to work well under pressure and multi-task in a fast-paced environment while continually paying attention to detail.
• Ability to adhere to the code of ethical conduct.
• Ability to take direction and make decisions.
• Ability to learn new procedures quickly and adapt to a changing environment.
• Ability to work in a team environment.
• Ability to work with limited supervision.

Education/Experience Requirements

• Minimum Education: High School Diploma or equivalent.
• Preferred Education: College degree preferred.
• Experience: 1-2 years of relevant claims processing experience preferable in the worker’s compensation field or similar experience.
• Desire for career development within the insurance industry.

WORK ENVIRONMENT

This job operates in a clerical, office setting. This role routinely uses standard office equipment such as computers, telephones, photocopiers, fax machines, and the like. Site Pay Details: The base compensation range for this position is $17 - $19. 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 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. We've made significant contributions to local communities, pledging over $22 million through partnerships with hospitals in Grand Rapids, Pittsburgh, and Valhalla.

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 paternity leave (including for adoptive parents); legal plan options; and pet insurance coverage.

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