Workers’ Compensation/OJI Medical Only Claims Examiner

Acrisure • Birmingham, SC

3d • Hybrid

About The Position

About Acrisure 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. Job Summary Acrisure is seeking a Workers’ Compensation/OJI Medical Only Claims Examiner to join our growing team! This individual will effectively review Medical Only claims and determine appropriate action for resolution. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Requirements

• 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 skills
• Ability to meet or exceed Performance Competencies
• Can determine what next steps are required and proactively respond
• Able to multitask in various systems and/or programs

Nice To Haves

• Bachelor’s degree preferred
• Experience within the insurance and/or medical field a plus
• Experience with Alabama Workers’ Compensation and/or OJI (on-the-job injury) programs strongly preferred

Responsibilities

• Investigate claims thoroughly, including coverage and identifying subrogation.
• Manage medical issues and schedule timely appointments.
• Work closely with Team Manager to identify red flags.
• Consistently keep claim files documented and updated
• Ensure that all medical payments are issued timely and appropriately.

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