Workers Compensation Claims Examiner

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 Workers’ Compensation Claims Examiner to manage California-based workers’ compensation claims from assignment through resolution. This role is responsible for investigating claims, determining compensability, managing reserves, and coordinating all aspects of the claims process in compliance with California regulations.

Candidates must have direct experience handling workers’ compensation claims, hold a current California Adjuster Certification, and have experience with self-insured claims through OSIP or hold a CWCP designation. These are required qualifications for this role.

This is a fully remote position; however, candidates must be able to support California-based claims and work hours that may be more aligned with Mountain or Pacific Time business operations.

Responsibilities

• Manage a caseload of California workers’ compensation claims from initial assignment through final resolution
• Review and evaluate coverage, liability, and compensability in accordance with California Labor Code and regulatory requirements
• Conduct thorough investigations, including gathering statements, reviewing reports, and analyzing claim documentation
• Set and manage reserves based on exposure and claim developments
• Ensure timely and accurate benefit payments and required communications
• Maintain claim diaries and ensure consistent follow up throughout the life of the claim
• Coordinate return to work efforts and monitor ongoing claim activity
• Oversee litigation, including working with defense counsel and participating in claim strategy discussions
• Negotiate settlements within authority and provide recommendations on cases exceeding authority
• Identify potential fraud, subrogation, and cost containment opportunities
• Maintain accurate and compliant documentation within the claims system
• Communicate effectively with injured workers, employers, medical providers, attorneys, and internal stakeholders

Requirements

• 3+ years of experience handling workers’ compensation claims required
• Current California Adjuster Certification required
• Experience handling California self-insured workers’ compensation claims required, including qualification through the California Office of Self-Insurance Plans (OSIP) or holding a Certified Workers’ Compensation Professional (CWCP) designation
• Strong knowledge of California workers’ compensation laws and claims handling practices
• Experience managing indemnity claims, litigation, and claim resolution strategies
• Strong analytical, decision making, and problem solving skills
• Excellent verbal and written communication skills
• Strong organizational skills and ability to manage multiple claims
• Ability to work independently in a remote environment
• Proficiency with Microsoft Office and claims management systems

Education and Licenses

• High school diploma or equivalent required
• Current California Adjuster Certification required
• OSIP qualification or Certified Workers’ Compensation Professional (CWCP) designation required
• Additional education beneficial

#LI-Remote

Pay Details:

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 Benefits

We 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.

Acrisure is an Equal Opportunity Employer. We consider qualified applicants without regard to race, color, religion, sex, national origin, disability, or protected veteran status. Applicants may request reasonable accommodation by contacting [email protected].

Final candidates will be required to complete post-offer verification processes related to the role and in accordance with applicable laws.

California Residents: Learn more about our privacy practices for applicants by visiting the Acrisure California Applicant Privacy Policy.

Recruitment Fraud: Please visit here to learn more about our Recruitment Fraud Notice.

Welcome, your new opportunity awaits you.