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Acrisure · 13 hours ago

Claims Adjuster

Bradenton, FL

Full-time

Onsite

Mid Level

3+ years exp

Acrisure is committed to building a community where people can grow and thrive. They are seeking a Workers’ Compensation Claims Adjuster to manage and investigate claims, ensuring compliance with state laws and company procedures while providing excellent customer service.

Financial ServicesInsuranceInsurTech

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

Qualification

California Adjuster CertificationWorkers’ Compensation ClaimsCustomer ServiceCommunication SkillsAttention to DetailMicrosoft OfficeComputer ProficiencyTime ManagementOrganizational SkillsProblem SolvingDecision Making

Required

3 years plus experience handling workers' compensation claims

Current California Adjuster Certification

Familiarity with state workers' compensation laws and regulations

Candidates will be required to have strong skills in customer service, verbal and written communications, time management, and organizational skills

Excellent attention to detail

Must demonstrate an ability to work independently

Must demonstrate a strong knowledge of computers and software

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

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

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