WC Claims Examiner jobs in United States
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Acrisure · 8 hours ago

WC Claims Examiner

Acrisure is a company focused on building a community where people can grow and thrive. They are seeking a WC Claims Examiner to investigate workers' compensation claims, determine compensability and liability, and manage claims by communicating with various stakeholders to ensure timely resolutions.

Financial ServicesInsuranceInsurTech

Responsibilities

Interviews, telephones, or corresponds with claimant and witnesses, consults police and hospital records
Documents all information from contacts with employers, claimants, physicians, and attorneys into the claims’ management system and ensures that documentation is current
Reviews claims’ submissions for thoroughness and accuracy
Determines compensability of claims through information gathered and according to workers’ compensation statutes; makes recommendations as to compensability and coverage of claims
Provides guidance and advice to clients on direction of claims after all information has been gathered and analyzed
Ensures jurisdictional filings are complete and timely
Obtains pre-certification approval for specific treatments as needed
Reviews bills and medical notes; authorizes and codes bills
Attends seminars and meetings as needed to stay abreast of current industry knowledge
May attend mediations, hearings, trials or other legal proceedings
Processes medical -only workers’ compensation claims involving minor injuries and/or payment

Qualification

Workers' compensation claims handlingGeorgia Claims Adjuster licenseClient services skillsMathematical skillsEffective communicationProblem-solvingNegotiation skills

Required

A High School degree or equivalent is required
At least two years college credit from a four-year college or university; or an Associate's degree from a two-year college; or an Associate in Claims designation from the Insurance Institute of America is preferred
This position requires a minimum of two years of workers' compensation claims handling experience, client services skills and/or training
Georgia Claims Adjuster license(s) as mandated by applicable state(s) are required
Current valid drivers' license is required
The position requires the ability to read, analyze and interpret common technical journals, financial reports and legal documents
The ability to respond to common inquiries or complaints from customers, state agencies or members of the business community
The ability to effectively present information to management, employers, boards of directors and other committees
The ability to effectively interview claimants and other interested parties
The ability to give presentations and attend client in-services
The ability to communicate effectively through written correspondence
The ability to work with mathematical concepts and apply concepts such as percentages, fractions, ratios and proportions to practical situations
The ability to define problems, collect data, establish facts and draw valid conclusions
The ability to interpret a variety of technical instructions and deal with several variables
The ability to effectively negotiate claim settlements

Benefits

Comprehensive medical insurance
Dental insurance
Vision insurance
Life and disability insurance
Fertility benefits
Wellness resources
Paid sick time
Generous paid time off
Holidays
Employee Assistance Program (EAP)
Complimentary Calm app subscription
Immediate vesting in a 401(k) plan
Health Savings Account (HSA)
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

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Acrisure offers financial services solutions for insurance, reinsurance, real estate, cyber services, and asset and wealth management.

Funding

Current Stage
Late Stage
Total Funding
$11.37B
Key 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

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Greg Williams
Co-Founder, Chairman & CEO
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Mark Wassersug
Chief Technology Officer
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Company data provided by crunchbase