Sr Workers Compensation Claims Adjuster

Job Description

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 Senior Workers' Compensation Claims Adjuster to independently manage complex Pennsylvania workers' compensation claims from assignment through resolution. This role is responsible for investigating claims, determining compensability, evaluating exposure, managing reserves and litigation, and developing claim resolution strategies in accordance with Pennsylvania workers' compensation laws and regulations.

Candidates must have direct, hands-on experience handling Pennsylvania workers' compensation claims. Delaware experience is highly valued, with New Jersey experience also helpful. This is a fully remote position.

Responsibilities

• Independently manage a caseload of Pennsylvania workers' compensation claims from assignment through resolution
• Investigate claims, determine compensability, and develop appropriate claim handling strategies
• Review medical documentation, coverage, and claim exposure in accordance with Pennsylvania regulations
• Establish and maintain appropriate reserves based on claim developments
• Manage complex indemnity and litigated claims, including settlement negotiations
• Coordinate with defense counsel, medical providers, employers, and other stakeholders
• Monitor claim activity, maintain accurate diaries, and ensure timely follow-up
• Coordinate return-to-work efforts and identify opportunities for cost containment, subrogation, or fraud investigation
• Maintain complete and accurate documentation within the claims management system
• Perform additional duties and projects as assigned

Requirements

• 5+ years of experience handling Pennsylvania workers' compensation claims required
• Strong knowledge of Pennsylvania workers' compensation laws, regulations, and claims handling practices required
• Experience managing complex indemnity claims required
• Experience developing claim resolution strategies and negotiating settlements required