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Acrisure
Acrisure
H1B Visa SponsorConsultingHealthcareMarketing
Acrisure brings together insurance, risk management, and financial services for individuals, businesses, and employees. Its offerings span personal and commercial insurance, mortgages, employee benefits, cybersecurity, managed IT, and reinsurance, with an international focus in the latter area. The company combines advisory expertise with technology-enabled solutions across a broad services portfolio and has also invested in community partnerships and outreach.
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Senior Workers' Compensation Claims Examiner - California Hybrid

Acrisure is seeking a senior claims examiner to independently manage complex California workers' compensation claims in a hybrid role. The position covers investigations, compensability, litigation, reserves, settlements, and regulatory compliance.

USUnited StatesCACalifornia
$90,000 – $110,000 / year
HybridFull-timeSeniorEnglish RequiredClaims Specialist

Description

  • Manage a caseload of California workers' compensation claims independently from assignment through resolution
  • Investigate claims, assess compensability, and select appropriate handling strategies
  • Review coverage, liability, medical records, and exposure in line with California regulations
  • Set and manage reserves according to claim exposure and developments
  • Handle complex indemnity claims, including litigated matters and settlement negotiations
  • Coordinate with defense counsel, medical providers, employers, and other stakeholders throughout the claims process
  • Track claim progress, maintain accurate diaries, and complete timely follow-up on assigned files
  • Support return-to-work coordination and favorable claim outcomes
  • Assess opportunities involving fraud, subrogation, and cost containment
  • Keep claims management system documentation complete, accurate, and current
  • Offer guidance and recommendations on complex claims when needed
  • Complete additional duties and projects as assigned

Requirements

  • At least five years of experience handling California workers' compensation claims
  • Professional experience managing indemnity claims
  • Experience handling litigated workers' compensation matters
  • Current California Adjuster Certification, OSIP/SIP self-insured qualification, or CWCP designation
  • Thorough knowledge of California workers' compensation laws, regulations, and claims practices
  • Experience creating claim resolution strategies and negotiating settlements
  • Capacity to manage complex claims independently with minimal supervision
  • Strong analytical, judgment, and problem-solving abilities
  • Excellent written and verbal communication skills
  • Highly organized, with the ability to balance competing priorities in a remote work environment
  • Proficiency with Microsoft Office and claims management systems
  • High school diploma or equivalent
  • Additional education is advantageous

Benefits

  • Medical, dental, and vision insurance
  • Life and disability insurance
  • Fertility benefits
  • Wellness resources
  • Paid sick leave
  • Paid time off and holidays
  • Employee Assistance Program
  • Complimentary Calm app subscription
  • Immediate 401(k) vesting
  • Health Savings Account and Flexible Spending Account options
  • Commuter benefits
  • Employee discount programs
  • Paid maternity and paternity leave, including adoption leave
  • Legal plan options
  • Pet insurance

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