Claims Analyst II

Acrisure•Middleton, WI

4d•$60,000 - $71,050•Onsite

About The Position

Acrisure is seeking a Claims Analyst II to manage multi-state workers’ compensation claims, including indemnity, employer’s liability, and subrogation exposures. This role is responsible for independently handling claims from assignment through resolution, ensuring timely, accurate, and compliant claim outcomes. The Claims Analyst II will evaluate coverage, determine compensability, manage litigation, and coordinate all aspects of the claims process. This position is well suited for an experienced claims professional who is comfortable working in a fast paced environment and managing multiple files with a high level of autonomy.

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
Strong communication and negotiation skills
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

Nice To Haves

Litigation experience beneficial
Bachelor’s degree beneficial
Relevant state licensing beneficial or ability to obtain as required

Responsibilities

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

Benefits

Comprehensive medical insurance, dental insurance, and vision insurance; life and disability insurance; fertility benefits; wellness resources; and paid sick time.
Generous paid time off and holidays; Employee Assistance Program (EAP); and a complimentary Calm app subscription.
Immediate vesting in a 401(k) plan; Health Savings Account (HSA) and Flexible Spending Account (FSA) options; commuter benefits; and employee discount programs.
Paid maternity leave and paid paternity leave (including for adoptive parents); legal plan options; and pet insurance coverage.

Stand Out From the Crowd

Upload your resume and get instant feedback on how well it matches this job.

Upload and Match Resume