Sr Workers Compensation Claims Adjuster

Acrisure, LLC•Philadelphia, PA

5d•$85,000 - $100,000•Remote

About The Position

Acrisure is seeking a Senior Workers' Compensation Claims Adjuster to independently manage complex Pennsylvania workers' compensation claims from assignment through resolution. The role involves investigating claims, determining compensability, evaluating exposure, managing reserves and litigation, and developing resolution strategies in accordance with Pennsylvania workers' compensation laws and regulations. Direct hands-on Pennsylvania workers' compensation claims experience is required. Delaware experience is highly valued, and New Jersey experience is helpful. The posting describes the position as fully remote, although it also notes that candidates should be comfortable with an on-site presence to support collaboration, team leadership, and cross-functional partnership. The base compensation range is $85,000–$100,000. Acrisure offers a comprehensive benefits package, with eligibility and waiting periods potentially applying and benefits varying by subsidiary and location.

Requirements

At least 5 years of experience handling Pennsylvania workers' compensation claims.
Strong knowledge of Pennsylvania workers' compensation laws, regulations, and claims handling practices.
Experience managing complex indemnity claims.
Experience developing claim resolution strategies and negotiating settlements.
Strong analytical, decision-making, communication, and organizational skills.
Ability to independently manage multiple complex claims in a remote environment.
Proficiency with claims management systems and Microsoft Office applications.
High school diploma or equivalent.

Nice To Haves

Delaware workers' compensation claims experience is highly valued.
Experience handling litigated workers' compensation claims is strongly preferred.
New Jersey workers' compensation claims experience is considered an asset.
Additional workers' compensation education, claims training, or industry certifications are helpful.

Responsibilities

Independently manage a caseload of Pennsylvania workers' compensation claims from assignment through resolution.
Investigate claims, determine compensability, and develop appropriate claim handling strategies.
Review medical documentation, coverage, and claim exposure in accordance with Pennsylvania regulations.
Establish and maintain appropriate reserves based on claim developments.
Manage complex indemnity and litigated claims, including settlement negotiations.
Coordinate with defense counsel, medical providers, employers, and other stakeholders.
Monitor claim activity, maintain accurate diaries, and ensure timely follow-up.
Coordinate return-to-work efforts and identify opportunities for cost containment, subrogation, or fraud investigation.
Maintain complete and accurate documentation within the claims management system.
Perform additional duties and projects as assigned.