Workers' Compensation Lost Time Claims Adjuster

Acrisure is a global fintech leader that provides innovative solutions for businesses and individuals. They are seeking a Lost Time Adjuster to effectively review Nevada Lost Time claims, ensuring accurate resolutions through excellent communication and organizational skills.

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

Skills

• Ability to provide professional and friendly customer service
• 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
• Must have 1-3 years of experience managing lost time workers' compensation claims
• Holds the appropriate state adjusting licenses (NV)
• Familiarity with jurisdictional state and federal workers' compensation laws and regulations
• Candidates will be required to have strong customer service, communication (verbal and written), time management and organizational skills
• Must demonstrate an ability to work independently
• Must demonstrate a strong knowledge of computers and software
• Bachelor's degree preferred
• Familiarity with TPAs strongly preferred
• Multiple jurisdiction experience is preferred

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)
• A 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 Overview