Workers Compensation Claims Examiner

About the role

Acrisure is seeking a Workers’ Compensation Claims Examiner to support clients within the Alabama jurisdiction. This role is responsible for managing lost time workers’ compensation claims from assignment through resolution while ensuring timely, accurate, and compliant claim handling. This is a fully remote position focused on Alabama Workers Compensation Claims.

Responsibilities

• Manage a desk and caseload of workers’ compensation claims in an efficient and professional manner
• 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
• Monitor and manage medical treatment activity and claim progression
• 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
• 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

• Lost time workers’ compensation claims experience required
• Workers’ compensation claims handling experience in Alabama jurisdiction preferred
• Exposure to litigation management and settlement negotiations beneficial
• 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

Candidates should be comfortable with an on-site presence to support collaboration, team leadership, and cross-functional partnership.

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 paid 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 pledged more than $22 million through its partnerships with Corewell Health Helen DeVos Children's Hospital in Grand Rapids, Michigan, UPMC Children's Hospital in Pittsburgh, Pennsylvania, and Blythedale Children's Hospital in Valhalla, New York.