Sr. Claims Adjuster

AcrisureBradenton, FL
2dOnsite

About The Position

Next Level Administrators is seeking an experienced Lost Time Adjuster to join its Workers’ Compensation Claims Department. This individual will effectively review Lost Time claims and determine appropriate action for resolution. Candidates should be comfortable with an on-site presence to support collaboration, team leadership, and cross-functional partnership. At Acrisure, we’re building more than a business, we’re building a community where people can grow, thrive, and make an impact. Our benefits are designed to support every dimension of your life, from your health and finances to your family and future. Making a lasting impact on the communities it serves, Acrisure has pledged more than $22 million through its partnerships with Corewell Health Helen DeVos Children's Hospital in Grand Rapids, Michigan, UPMC Children's Hospital in Pittsburgh, Pennsylvania and Blythedale Children's Hospital in Valhalla, New York.

Requirements

  • Bachelor’s degree preferred
  • Multi-state commercial claims experience
  • Lost time workers’ compensation claims experience preferred
  • Maintain all professional licenses
  • Successfully pass tests in states where they are required for license
  • Complete required ongoing education credits to maintain license
  • Attend training and become proficient with workers’ compensation statutes for the states that you have been assigned
  • Strong oral and written communication skills
  • Strong analytical skills and attention to detail
  • Time management skills and demonstrated ability to manage multiple priorities with accuracy and efficiency
  • Ability to provide professional and friendly customer service
  • Proficient knowledge of Microsoft Office suite
  • Excellent oral and written communication
  • PC literate, including Microsoft Office products
  • Strong organizational skills
  • Efficient time management skills
  • Ability to work in a team environment
  • Strong interpersonal and skills
  • Ability to meet or exceed Performance Competencies
  • Can determine what next steps are required and proactively respond
  • Able to multi task in various systems and/or programs
  • Thoroughness
  • Technical Capacity
  • Problem Solving
  • Customer Service Oriented
  • Teamwork
  • Interpersonal and leadership

Nice To Haves

  • Lost time workers’ compensation claims experience preferred
  • Bachelor’s degree preferred

Responsibilities

  • Manage desk- and caseload of claims in an efficient and professional manner
  • Investigate claims thoroughly, including coverage, liability and exposure
  • Evaluate exposures and maintain accurate and timely reserves on all files
  • Control and manage litigation issues
  • Evaluate claims for settlement and negotiate with claimants and attorneys to resolve claims in an appropriate and timely manner
  • Control and manage medical issues
  • Evaluate claims for resolution
  • Consistently keep claim files documented and updated
  • Ensure that all payments are appropriate, timely and accurate

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.
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