Claims Analyst II
Acrisure
full-time
Posted on:
Location Type: Office
Location: Middleton • Illinois • Wisconsin • United States
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Salary
💰 $60,000 - $71,050 per year
About the role
- Manage a caseload of multi-state workers’ compensation claims, including indemnity, employer’s liability, and subrogation exposures
- Conduct initial claim investigation, including coverage verification, compensability determination, and timely contact with involved parties
- Communicate with injured workers, employers, medical providers, attorneys, and other stakeholders to support claim resolution
- Set and manage reserves to ultimate probable cost within established authority levels
- Ensure timely delivery of benefits and required notices in accordance with jurisdictional requirements
- Coordinate return to work efforts in alignment with medical guidance and employer programs
- Manage litigation, including directing defense counsel and attending hearings or depositions as needed
- Negotiate settlements with injured workers, attorneys, and other parties
- Identify and pursue subrogation opportunities and manage third party recoveries
- Review medical and expense bills for accuracy, causation, and appropriateness
- Maintain accurate and timely documentation within the claims system
- Prepare claim status reports and participate in claim review meetings
- Assign and coordinate nurse case management resources when appropriate
- Collaborate with leadership on complex claims requiring additional support or escalation
Requirements
- Experience handling workers’ compensation claims required
- 2 to 5 years of relevant claims experience or equivalent experience required
- Strong understanding of workers’ compensation laws, claims processes, and jurisdictional requirements
- Experience managing indemnity claims, litigation, and claim resolution strategies
- Strong analytical skills, decision making ability, and attention to detail
- Ability to manage multiple claims in a fast paced environment
- Strong organizational and time management skills
- Proficiency with Microsoft Office and claims management systems
- Ability to work independently with limited supervision
- Litigation experience beneficial
- High school diploma required, bachelor’s degree beneficial
- Relevant state licensing beneficial or ability to obtain as required
Benefits
- Comprehensive medical insurance, dental insurance, and vision insurance
- Life and disability insurance
- Fertility benefits
- Wellness resources
- Paid sick time
- Generous paid time off and holidays
- Employee Assistance Program (EAP)
- Complimentary Calm app subscription
- Immediate vesting in a 401(k) plan
- Health Savings Account (HSA) and Flexible Spending Account (FSA) options
- Commuter benefits
- Employee discount programs
- Paid maternity leave and paid paternity leave (including for adoptive parents)
- Legal plan options
- Pet insurance coverage
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
workers' compensation claimsindemnity claimslitigation managementclaim resolution strategiescoverage verificationcompensability determinationsubrogationmedical bill reviewclaims documentationnurse case management
Soft Skills
analytical skillsdecision makingattention to detailorganizational skillstime managementcommunicationindependent workcollaborationnegotiationfast-paced environment management
Certifications
high school diplomabachelor's degreestate licensing