Claims analyst

Job Description

The Claims Analyst, Senior Claims Analyst independently adjudicates multi‑state workers’ compensation indemnity, EL and subrogation claim files that are generally non‑catastrophic in nature.

• Receive lost‑time assignments; verify and determine coverage applicability; complete 24‑hour contact with employer, employee, and attending physician via telephone, recorded statements, and/or in‑person interviews.
• Review all coverage issues and determine compensability within Midwest standards.
• Aggressively manage all aspects of the workers’ compensation claims process, including litigation and providing direction to defense counsel.
• Maintain customer‑relations management, establishing and maintaining high levels of trust and confidence with clients through prompt response and resolution of claim issues.
• Set reserves for Ultimate Probable Cost (UPC); set reserves for anticipated exposure within authority limits.
• Address timely benefit delivery, including production of benefit notices to the injured party as required by jurisdiction.
• Coordinate return‑to‑work (RTW) in accordance with the medical disability plan for the injured worker.
• Negotiate settlements directly with the injured worker or opposing counsel.
• Consider Medicare interests related to conditional payments and injured worker eligibility and settlements.
• Recognize and manage third‑party liability and subrogation through recovery.
• Review medical and expense bills for causal relationship and bill charges over $1,500.
• Consult with Claim Supervisor/Claims Manager/Executive claims on files requiring assistance and consultation.
• Complete claim status reports.
• Assign nurse case‑management when indicated, monitor billing and performance.
• Coordinate claim review meetings with internal and external parties.
• Attend hearings and depositions when required.
• Perform all other duties as assigned.

The base compensation range for this position is $45,000 - $55,000. Placement within the range will be based on skills, experience, qualifications, location, and internal equity.

• Comfortable with an on‑site presence to support collaboration, leadership, and cross‑functional partnership.

• Physical Wellness:
  Medical, dental, vision, life and disability insurance; fertility benefits; wellness resources; paid sick time.
• Mental Wellness:
  Generous paid time off and holidays;
  Employee Assistance Program (EAP); complimentary Calm app subscription.
• Financial Wellness:
  Immediate vesting in a 401(k);
  Health Savings Account (HSA);
  Flexible Spending Account (FSA); commuter benefits; employee discount programs.
• Family Care:
  Paid maternity and paternity leave (including for adoptive parents); legal plan options; pet insurance coverage.
• And more benefits available.

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

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

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

Mid‑Senior level

Full‑time

Finance and Sales

Insurance

Referrals increase your chances of interviewing at Acrisure by 2x. Apply BELOW