Job DescriptionJob SummaryAcrisure 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
- Delaware workers' compensation claims experience highly valued
- Experience handling litigated workers' compensation claims strongly preferred
- New Jersey workers' compensation claims experience considered an asset
- Strong analytical, decision-making, communication, and organizational skills
- Ability to independently manage multiple complex claims in a remote environment
- Proficiency with claims management systems and Microsoft Office applications
Education and licenses- High school diploma or equivalent required
- Additional workers' compensation education, claims training, or industry certifications helpful
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Pay Details:
The base compensation range for this position is $85,000 - $100,000. This range reflects Acrisure's good faith estimate at the time of this posting. Placement within the range will be based on a variety of factors, including but not limited to skills, experience, qualifications, location, and internal equity.
Candidates should be comfortable with an on-site presence to support collaboration, team leadership, and cross-functional partnership.Why Join Us:At Acrisure, we're building more than a business, we're building a community where people can grow, thrive, and make an impact. Our benefits are designed to support every dimension of your life, from your health and finances to your family and future.
Making a lasting impact on the communities it serves, Acrisure has pledged more than $22 million through its partnerships with Corewell Health Helen DeVos Children's Hospital in Grand Rapids, Michigan, UPMC Children's Hospital in Pittsburgh, Pennsylvania and Blythedale Children's Hospital in Valhalla, New York.
Employee BenefitsWe also offer our employees a comprehensive suite of benefits and perks, including:
- Physical Wellness: Comprehensive medical insurance, dental insurance, and vision insurance; life and disability insurance; fertility benefits; wellness resources; and paid sick time.
- Mental Wellness: Generous paid time off and holidays; Employee Assistance Program (EAP); and a complimentary Calm app subscription.
- Financial Wellness: Immediate vesting in a 401(k) plan; Health Savings Account (HSA) and Flexible Spending Account (FSA) options; commuter benefits; and employee discount programs.
- Family Care: Paid maternity leave and paid paternity leave (including for adoptive parents); legal plan options; and pet insurance coverage.
- ... and so much more!
This list is not exhaustive of all available benefits. Eligibility and waiting periods may apply to certain offerings. Benefits may vary based on subsidiary entity and geographic location.
