Insurance Claims Specialist

Acrisure•Springfield, WI

8d•Onsite

About The Position

Acrisure is seeking a Claims Specialist to manage multi-state claims, including workers’ compensation, indemnity, employer’s liability, and subrogation exposures. This role is responsible for independently handling claims from assignment through resolution while ensuring timely, accurate, and compliant claim outcomes. The Claims Specialist will investigate claims, evaluate coverage, manage litigation activity, 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, managing multiple files, and making sound claim decisions with a high level of autonomy. Workers’ compensation experience is beneficial but not required. Candidates with strong claims handling fundamentals from related insurance or claims environments who are interested in learning workers’ compensation are encouraged to apply.

Requirements

2 to 5 years of claims handling or related insurance experience required
Strong understanding of claims processes, investigations, litigation management, and claim resolution strategies
Workers’ compensation claims experience beneficial
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

Nice To Haves

Workers’ compensation experience is beneficial
Candidates with strong claims handling fundamentals from related insurance or claims environments who are interested in learning workers’ compensation are encouraged to apply.
bachelor’s degree beneficial
Relevant state licensing beneficial or ability to obtain as required

Responsibilities

Manage a caseload of multi-state claims, including workers’ compensation, indemnity, employer’s liability, and subrogation exposures
Conduct initial claim investigations, 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 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 activity, including working with 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 management 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