Workers Compensation Claims Examiner

Acrisure•Oak Ridge, TN

19h•Remote

About The Position

Acrisure is seeking a Workers’ Compensation Claims Examiner. This role is responsible for managing lost time workers’ compensation claims from assignment through resolution while ensuring timely, accurate, and compliant claim handling. The adjuster will investigate claims, evaluate liability and exposure, manage litigation and medical activity, maintain reserves, and support claim resolution strategies. This position is ideal for a claims professional who is comfortable managing multiple priorities, navigating complex claims issues, and working in a fast paced environment. This is a fully remote position; however, candidates must reside in the state of Tennessee due to business and compliance requirements. Workers’ compensation claims experience is required for this role. Candidates should have experience handling workers’ compensation claims and exposure to lost time claim management.

Requirements

Workers’ compensation claims handling experience required
Must reside in the state of Tennessee
Ability to manage multiple priorities in a fast paced environment
Analytical mindset with attention to detail and sound decision-making ability
Clear verbal and written communication skills
Ability to work independently and collaboratively within a team environment
Professional and customer-focused approach when working with clients and claimants
Proficiency with Microsoft Office applications and ability to learn new systems
High school diploma or equivalent required

Nice To Haves

Lost time workers’ compensation claims experience beneficial
Exposure to litigation management and settlement negotiations beneficial
Bachelor’s degree beneficial
Adjuster licensing beneficial or ability to obtain licensing as required

Responsibilities

Manage a desk and caseload of workers’ compensation claims in an efficient and professional manner
Investigate claims thoroughly, including coverage, liability, and exposure analysis
Evaluate claim exposure and maintain accurate and timely reserves
Manage litigation activity and coordinate with defense counsel as needed
Evaluate claims for settlement and negotiate resolutions with claimants and attorneys
Monitor and manage medical treatment activity and claim progression
Maintain accurate, timely, and organized claim documentation within the claims system
Ensure claim payments are processed accurately and timely
Support timely and compliant claim resolution strategies
Maintain communication with employers, injured workers, attorneys, medical providers, and clients throughout the claims process
Participate in required training and maintain knowledge of assigned state workers’ compensation statutes
Perform additional duties and projects as assigned