Workers' Compensation Lost Time Adjuster

Acrisure • Birmingham, AL

4d • Hybrid

About The Position

A global fintech leader, Acrisure empowers millions of ambitious businesses and individuals with the right solutions to grow boldly forward. Bringing cutting-edge technology and top-tier human support together, we connect clients with customized solutions across a range of insurance, reinsurance, payroll, benefits, cybersecurity, mortgage services – and more. In the last twelve years, Acrisure has grown in revenue from $38 million to almost $5 billion and employs over 19,000 colleagues in more than 20 countries. Acrisure was built on entrepreneurial spirit. Prioritizing leadership, accountability, and collaboration, we equip our teams to work at the highest levels possible. Acrisure is seeking a Lost Time Adjuster to join our growing Workers’ Compensation team! This individual will effectively review Alabama and Georgia Lost Time claims and determine appropriate action for resolution. This role requires excellent communication and customer service skills, strong motivation and organizational skills.

Requirements

• Communication Skills: Ability to provide professional and friendly customer service
• Demonstrated ability to manage relationships in a fast-paced environment along with problem solving and decision-making skills to work through a variety of challenging situations.
• Ability to respond to requests effectively and efficiently.
• Listens effectively and clearly expresses ideas and recommendations.
• Proficient in communicating effectively and clearly, both orally and in writing.
• Capable of carrying out detailed written or verbal instructions.
• Technical Expertise: Complete understanding of all Microsoft Office applications.
• Ability to apply concepts such as fractions, percentages, ratios, and proportions to practical situations.
• Proficient in the operation of computer equipment and applications.
• Customer Service: Responds timely and consistently with all communication.
• Builds credibility with internal and external customer.
• Creates customer satisfaction.
• Familiar with the company tools and is comfortable reviewing with all levels of management in a professional manner.
• Bachelor’s degree preferred.
• Must have 1-3 years of experience managing lost time workers’ compensation claims.
• Familiarity with TPAs strongly preferred
• Holds the appropriate state adjusting licenses (GA/AL)
• Familiarity with jurisdictional state and federal workers’ compensation laws and regulations
• Multiple jurisdiction experience is preferred.
• Candidates will be required to have strong customer service, communication (verbal and written), time management and organizational skills.
• Must demonstrate an ability to work independently.
• Must demonstrate a strong knowledge of computers and software.

Responsibilities

• Assess coverage and review claims for purposes of investigations, action plans, evaluation, fraud, and claim resolution.
• Complete quality investigations by gathering pertinent information.
• Reviews and evaluates coverage and/or liability.
• Secures necessary information (i.e., reports, policies, releases, statements, or other documents) in the investigation of claims.
• Conduct a thorough analysis of liability and continually assess exposure and evaluate for accurate reserves.
• Works toward the resolution of claims files and takes full charge of claim from inception to resolution.
• Will affect settlements/reserves within prescribed limits and submits recommendations to supervisor on cases exceeding personal authority.
• Ensures that claims payments calculated accurately and are issued in a timely and accurate manner.
• Ensures compliance of claims handling pursuant to all state, legal, statutory, and regulatory bodies to comply with all company procedures and requirements.
• Maintains a diary to follow claim progress on all claims.
• Determine liability for permanent disability, mitigation of costs and resolution of claim.
• Oversee litigation and coordination of claim with defense team.

Benefits

• Physical Wellness: Comprehensive medical insurance, dental insurance, and vision insurance; life and disability insurance; fertility benefits; wellness resources; and paid sick time.
• Mental Wellness: Generous paid time off and holidays; Employee Assistance Program (EAP); and a complimentary Calm app subscription.
• Financial Wellness: Immediate vesting in a 401(k) plan; Health Savings Account (HSA) and Flexible Spending Account (FSA) options; commuter benefits; and employee discount programs.
• Family Care: Paid maternity leave and paid paternity leave (including for adoptive parents); legal plan options; and pet insurance coverage.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Number of Employees: 5,001-10,000 employees