Jobs · OTHR · Pennsylvania

Sr Workers Compensation Claims Adjuster

Acrisure · Pittsburgh, PA · 1 wk ago
OTHR$85k–$100k/yrFull-time

About the role

Acrisure is a global fintech leader that empowers millions of ambitious businesses and individuals with solutions to grow boldly forward. By combining cutting‑edge technology with 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 revenue from $38 million to almost $5 billion and employs over 19,000 colleagues in more than 20 countries. Built on entrepreneurial spirit, the company prioritizes leadership, accountability, and collaboration to equip teams to work at the highest levels. Acrisure is seeking a Senior Workers' Compensation Claims Adjuster to independently manage complex Pennsylvania workers' compensation claims from assignment through resolution. This role investigates claims, determines compensability, evaluates exposure, manages reserves and litigation, and develops 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. Candidates should be comfortable with an on‑site presence to support collaboration, team leadership, and cross‑functional partnership.

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

Similar jobs