Sr Workers Compensation Claims Adjuster

Acrisure•Pittsburgh, PA

1d•$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. This role is responsible for investigating claims, determining compensability, evaluating exposure, managing reserves and litigation, and developing claim resolution strategies in accordance with Pennsylvania workers' compensation laws and regulations. Candidates must have direct, hands-on experience handling Pennsylvania workers' compensation claims. Delaware experience is highly valued, with New Jersey experience also helpful. This is a fully remote position.

Requirements

5+ years of experience handling Pennsylvania workers' compensation claims required
Strong knowledge of Pennsylvania workers' compensation laws, regulations, and claims handling practices required
Experience managing complex indemnity claims required
Experience developing claim resolution strategies and negotiating settlements required
Delaware workers' compensation claims experience highly valued
Experience handling litigated workers' compensation claims strongly preferred
New Jersey workers' compensation claims experience considered an asset
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 required

Nice To Haves

Additional workers' compensation education, claims training, or industry certifications 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