Acrisure · 9 hours ago
Claims Analyst
Middleton, WI
Full-time
Onsite
Mid, Senior Level
2+ years expAcrisure is a company focused on building a community where individuals can thrive and make an impact. The Claims Analyst will independently adjudicate multi-state workers’ compensation claims, manage customer relations, and ensure timely benefit delivery while maintaining high levels of trust with clients.
Financial ServicesInsuranceInsurTech
Responsibilities
Receives lost time assignments. Verifies and determines applicability of coverage. Completes 24 hour contact with employer, employee and attending physician inclusive of telephonic contact, recorded statements and/or in person interviews with insured, employee, physician, and witnesses
Reviews all coverage issues and determines compensability within Midwest standards
Aggressively manages all aspects of the workers’ compensation claims management process inclusive of litigation, and providing direction to defense counsel
Responsible for customer relations management, consistently establishing and maintaining high levels of trust and confidence with clients, through constant contacts, prompt response and resolving client’s questions and claim issues
Responsible for setting of reserves to Ultimate Probable Cost (UPC). Sets reserves for anticipated exposure subject to authority limits
Addresses timely benefit delivery including production of benefit notices to the injured party as required in the applicable jurisdiction
Coordinates return to work (RTW) in accordance with the medical disability plan for the injured worker
Documents files properly in the claims system
Maintain active diary in 30 day intervals
Negotiates settlements directly with the injured worker or opposing counsel
Considers Medicare’s interests related to Conditional payments and injured workers eligibility and settlements
Recognizes and manages 3rd party liability and subrogation through recovery
Reviews medical and expense bills for causal relationship and bill charges over $1500.00
Consults with Claim Supervisor/Claims Manager/Executive claims on files where assistance and consultation are needed
Completion of Claim Status reports
Makes assignments to nurse case management when indicated, monitoring their billing and performance
Coordinate claim review meetings with both internal and external parties
Attend hearings and depositions when required
All other duties as assigned
Qualification
Required
Professional telephone demeanor, good verbal and written communication skills, good listening skills, along with strong organizational skills
Thorough knowledge of workers' compensation claims procedures and policies
Possess a strong understanding of human nature and motivation principles
Readily control/handle problem issues in times of stress and in a climate of conflict and/or adversity
Computer literacy including strong familiarity with Microsoft Office Suite. Ability to type 45 WPM
Basic understanding of business technology
Responsiveness to changing business needs
Ability to work well under pressure and multi-task in a fast paced environment while continually paying attention to detail
Ability to adhere to the code of ethical conduct and engage in fair claims settlement practices
Ability to take direction and make decisions
Ability to learn new procedures quickly and adapt to a changing environment
Ability to work in a team environment
Ability to work with limited supervision
Minimum Education: High School diploma or Bachelor's degree and/or 2-5 years similar experience is required
Candidate should be able to hear clients and talk with clients over the telephone
Sitting for 4+ hours of time is usual in this role
Candidate should be able to lift 10-15 pounds
Large amounts of keyboarding and working with a computer mouse requires dexterity of the hands
Candidate should be able to use their hands and arms to reach for standard items
Candidate must be able to use close, distance, and color vision
Preferred
Litigation experience is preferred but not required
Prefer relevant state licensing or ability to gain licensing is required
Benefits
Comprehensive medical insurance
Dental insurance
Vision insurance
Life and disability insurance
Fertility benefits
Wellness resources
Paid sick time
Generous paid time off and holidays
Employee Assistance Program (EAP)
Complimentary Calm app subscription
Immediate vesting in a 401(k) plan
Health Savings Account (HSA) and Flexible Spending Account (FSA) options
Commuter benefits
Employee discount programs
Paid maternity leave
Paid paternity leave (including for adoptive parents)
Legal plan options
Pet insurance coverage
Company
Acrisure
Acrisure offers financial services solutions for insurance, reinsurance, real estate, cyber services, and asset and wealth management.
10001+ employees
Funding
Current Stage
Late StageTotal Funding
$11.37BKey Investors
Bain Capital Special SituationsAbu Dhabi Investment AuthorityBDT & MSD Partners
2025-06-06Debt Financing· $550M
2025-05-20Private Equity· $2.1B
2024-06-05Debt Financing· $1.6B
Leadership Team
Greg Williams
Co-Founder, Chairman & CEO
Mark Wassersug
Chief Technology Officer
Recent News
Company data provided by crunchbase