Senior Workers Compensation Claims Examiner

About Acrisure

Acrisure is a global fintech leader empowering millions of ambitious businesses and individuals with tailored solutions to grow boldly forward. Combining cutting-edge technology and top-tier human support, Acrisure connects clients with customized solutions across insurance, reinsurance, payroll, benefits, cybersecurity, mortgage services, and more. In the last twelve years, Acrisure has grown from $38 million to nearly $5 billion in revenue and employs over 19,000 colleagues in more than 20 countries. Built on entrepreneurial spirit, Acrisure prioritizes leadership, accountability, and collaboration to enable teams to perform at the highest levels.

About the role

Acrisure is seeking a Senior Workers' Compensation Claims Examiner to independently manage complex California workers' compensation claims from assignment through resolution. This fully remote position requires candidates to support California-based claims and work business hours aligned with Mountain or Pacific Time zones. Candidates must have direct, hands-on experience handling California workers' compensation claims, along with an active California Adjuster Certification, experience handling self-insured claims through the California Office of Self-Insurance Plans (OSIP/SIP), or a Certified Workers' Compensation Professional (CWCP) designation.

Responsibilities

• Independently manage a caseload of California workers' compensation claims from assignment through resolution
• Investigate claims, evaluate compensability, and determine appropriate claim handling strategies
• Review coverage, liability, medical documentation, and claim exposure in accordance with California regulations
• Establish and manage reserves based on claim exposure and ongoing developments
• Manage complex indemnity claims, including litigated files and settlement negotiations
• Coordinate with defense counsel, medical providers, employers, and other stakeholders throughout the claims process
• Monitor claim progress, maintain accurate diaries, and ensure timely follow-up on all assigned files
• Coordinate return-to-work efforts and support positive claim outcomes
• Identify fraud, subrogation, and cost containment opportunities when appropriate
• Maintain complete, accurate, and timely documentation within the claims management system
• Provide guidance and claim recommendations on complex files as needed
• Perform additional duties and projects as assigned

Requirements

• 5+ years of experience handling California workers' compensation claims required
• Experience managing indemnity claims required
• Experience handling litigated workers' compensation claims required
• Current California Adjuster Certification, OSIP/SIP self-insured qualification, or Certified Workers' Compensation Professional (CWCP) designation required
• Strong knowledge of California workers' compensation laws, regulations, and claims handling practices
• Experience developing claim resolution strategies and negotiating settlements
• Ability to independently manage complex claims with minimal supervision
• Strong analytical, decision-making, and problem-solving skills
• Excellent verbal and written communication skills
• Strong organizational skills with the ability to manage multiple priorities in a remote environment
• Proficiency with Microsoft Office and claims management systems

Qualifications

• High school diploma or equivalent required
• Additional education beneficial
• Current California Adjuster Certification, OSIP/SIP self-insured qualification, or Certified Workers' Compensation Professional (CWCP) designation required

Pay

The base compensation range for this position is $95,000 - $110,000. This range reflects Acrisure's good faith estimate at the time of posting. Placement within the range will be based on factors including skills, experience, qualifications, location, and internal equity.

Benefits

Acrisure offers a comprehensive suite of benefits and perks, including:

• Physical Wellness: Comprehensive medical, dental, 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 and paternity leave (including for adoptive parents); legal plan options; and pet insurance coverage.

Eligibility and waiting periods may apply to certain offerings. Benefits may vary based on subsidiary entity and geographic location. Acrisure has also pledged over $22 million to support children's hospitals through partnerships with Corewell Health Helen DeVos Children's Hospital, UPMC Children's Hospital, and Blythedale Children's Hospital.