Workers Compensation Claims Examiner

Job Summary

Acrisure is seeking a Workers’ Compensation Claims Examiner. This role is responsible for managing lost time workers’ compensation claims from assignment through resolution while ensuring timely, accurate, and compliant claim handling.

Responsibilities

• Investigate claims thoroughly, including coverage, liability, and exposure analysis
• Evaluate claim exposure and maintain accurate and timely reserves
• Manage litigation activity and coordinate with defense counsel as needed
• Evaluate claims for settlement and negotiate resolutions with claimants and attorneys
• Maintain accurate, timely, and organized claim documentation within the claims system
• Ensure claim payments are processed accurately and timely
• Support timely and compliant claim resolution strategies
• Monitor and manage medical treatment activity and claim progression
• Maintain communication with employers, injured workers, attorneys, medical providers, and clients throughout the claims process
• Participate in required training and maintain knowledge of assigned state workers’ compensation statutes
• Perform additional duties and projects as assigned

Requirements

• Workers’ compensation claims handling experience required
• Lost time workers’ compensation claims experience beneficial
• Exposure to litigation management and settlement negotiations beneficial
• Must reside in the state of Tennessee
• Ability to manage multiple priorities in a fast paced environment
• Analytical mindset with attention to detail and sound decision-making ability
• Clear verbal and written communication skills
• Ability to work independently and collaboratively within a team environment
• Professional and customer-focused approach when working with clients and claimants
• Proficiency with Microsoft Office applications and ability to learn new systems

Qualifications

• High school diploma or equivalent required
• Bachelor’s degree beneficial
• Adjuster licensing beneficial or ability to obtain licensing as required

Skills

• Comfortable with an on-site presence to support collaboration, team leadership, and cross-functional partnership

Benefits

At Acrisure, we offer 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.

Final candidates will be required to complete post-offer verification processes related to the role and in accordance with applicable laws.