Sr. Workers Compensation Claims Adjuster
About the role
Acrisure is a global fintech leader that empowers millions of ambitious businesses and individuals with solutions to grow boldly forward, combining cutting‑edge technology and top‑tier human support to provide 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. The Workers’ Compensation Claims Adjuster must be knowledgeable of the California Labor Code and administration of claims. It is the responsibility of a Workers' Compensation Claims Adjuster to receive and organize all documents related to the employee and the injury to make a determination regarding the claim. The Claims Adjuster is responsible for the prompt and efficient examination and investigation of claims. Workers' Compensation Claims Adjusters abide by company guidelines when making claim determinations. This is a remote opportunity that requires an active California Adjuster license supporting a dedicated account.
Responsibilities
- Assess coverage and review claims for purposes of investigations, action plans, evaluation, fraud, and claim resolution.
- Complete quality investigations by gathering pertinent information.
- Reviews and evaluates coverage and/or liability.
- Secures necessary information (i.e., reports, policies, releases, statements, or other documents) in the investigation of claims.
- Conduct a thorough analysis of liability and continually assess exposure and evaluate for accurate reserves.
- Works toward the resolution of claims files and takes full charge of claim from inception to resolution.
- Will affect settlements/reserves within prescribed limits and submits recommendations to supervisor on cases exceeding personal authority.
- Ensures that claims payments calculated accurately and are issued in a timely and accurate manner.
- Ensures compliance of claims handling pursuant to all state, legal, statutory, and regulatory bodies to comply with all company procedures and requirements.
- Maintains a diary to follow claim progress on all claims.
- Determine liability for permanent disability, mitigation of costs and resolution of claim.
- Oversee litigation and coordination of claim with defense team.