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Workers Compensation Claims Examiner
AcrisureWorkers’ Compensation Claims Examiner managing lost time claims for Acrisure. Investigating, evaluating, and resolving claims while ensuring compliance and timely processing.
About the role
Key responsibilities & impact- 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
What you’ll need- 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
Benefits
Comp & perks- 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
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
workers' compensation claims handlinglitigation managementsettlement negotiationsclaims investigationcoverage analysisliability analysisexposure analysisclaim documentationclaim payment processingclaims resolution strategies
Soft Skills
analytical mindsetattention to detaildecision-makingclear communicationindependent workteam collaborationcustomer-focused approachability to manage multiple prioritiesprofessionalismorganizational skills