Claims Assistant II

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.

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.

Acrisure is seeking a Claims Assistant to provide administrative and operational support to the workers’ compensation claims team by maintaining accurate claim records, processing claim-related updates, and ensuring compliance with internal procedures and regulatory requirements. This role is responsible for organizing and updating digital claim files, completing claim maintenance audits, processing data corrections, handling Medicare and WCAB-related inquiries, supporting medical authorization and utilization review processes, coordinating vendor referrals, and assisting with subpoenas, liens, and claim file management activities.

• Organizes the digital claim records for uniformity by removing duplicate records and top-lining documents.
• Completes 10-day and 6-month claim maintenance checklists to ensure the highest level of claims statistical data processing in accordance with multiple calls for data. Processes corrections to data error crits as required.
• Completes manual Medicare query of claims at the CMS COB&R site as needed and documents the digital claim record.
• Processes class code corrections that accurately depict the scope of an injured workers’ job and payroll.
• Completes claim documents in both Image Right and Powersuite.
• Completes closure, re-opens, and reassignments of all claim files as submitted by Supervisory personnel.
• Assists with record subpoenas and completes lien reviews organized with a worksheet summary.
• Completes vendor referrals by service specialty and utilization review submissions to Rising.
• Maintains contact with the WCAB for status updates on claims where named as a party to suit in error.
• Complies with Maximus responses following IMR for timely fulfillment.
• Reviews adjuster Image Right tasks daily for medical authorization requests.
• Provides administrative assistance to claim adjusting team members as needed.
• The Claims Assistant II provides back-up in the entry of manual payments to the Claims Payable Analyst.
• Other duties and projects as assigned.

• Professional telephone demeanor, good verbal and written communication skills, good listening skills, along with strong organizational skills.
• Thorough knowledge of workers’ compensation claims procedures and policies.
• Possess a strong understanding of human nature and motivation principles.
• Readily control/handle problem issues in times of stress and in a climate of conflict and/or adversity.
• Computer literacy including strong familiarity with Microsoft Office Suite. Ability to type 45 WPM.
• Basic understanding of business technology.
• Responsiveness to changing business needs.
• Ability to work well under pressure and…