Acrisure is a global fintech leader that provides innovative solutions for businesses and individuals. They are seeking a Lost Time Adjuster to effectively review Nevada Lost Time claims, ensuring accurate resolutions through excellent communication and organizational skills.
Responsibilities
- Assess coverage and review claims for purposes of investigations, action plans, evaluation, fraud, and claim resolution
- Complete quality investigations by gathering pertinent information. Reviews and evaluates coverage and/or liability. Secures necessary information (i.e., reports, policies, releases, statements, or other documents) in the investigation of claims
- Conduct a thorough analysis of liability and continually assess exposure and evaluate for accurate reserves
- Works toward the resolution of claims files and takes full charge of claim from inception to resolution
- Will affect settlements/reserves within prescribed limits and submits recommendations to supervisor on cases exceeding personal authority
- Ensures that claims payments calculated accurately and are issued in a timely and accurate manner
- Ensures compliance of claims handling pursuant to all state, legal, statutory, and regulatory bodies to comply with all company procedures and requirements
- Maintains a diary to follow claim progress on all claims
- Determine liability for permanent disability, mitigation of costs and resolution of claim
- Oversee litigation and coordination of claim with defense team
Skills
- Ability to provide professional and friendly customer service
- Demonstrated ability to manage relationships in a fast-paced environment along with problem solving and decision-making skills to work through a variety of challenging situations
- Ability to respond to requests effectively and efficiently
- Listens effectively and clearly expresses ideas and recommendations
- Proficient in communicating effectively and clearly, both orally and in writing
- Capable of carrying out detailed written or verbal instructions
- Complete understanding of all Microsoft Office applications
- Ability to apply concepts such as fractions, percentages, ratios, and proportions to practical situations
- Proficient in the operation of computer equipment and applications
- Responds timely and consistently with all communication
- Builds credibility with internal and external customer
- Creates customer satisfaction
- Familiar with the company tools and is comfortable reviewing with all levels of management in a professional manner
- Must have 1-3 years of experience managing lost time workers' compensation claims
- Holds the appropriate state adjusting licenses (NV)
- Familiarity with jurisdictional state and federal workers' compensation laws and regulations
- Candidates will be required to have strong customer service, communication (verbal and written), time management and organizational skills
- Must demonstrate an ability to work independently
- Must demonstrate a strong knowledge of computers and software
- Bachelor's degree preferred
- Familiarity with TPAs strongly preferred
- Multiple jurisdiction experience is preferred
Benefits
- Comprehensive medical insurance
- Dental insurance
- Vision insurance
- Life and disability insurance
- Fertility benefits
- Wellness resources
- Paid sick time
- Generous paid time off and holidays
- Employee Assistance Program (EAP)
- A complimentary Calm app subscription
- Immediate vesting in a 401(k) plan
- Health Savings Account (HSA) and Flexible Spending Account (FSA) options
- Commuter benefits
- Employee discount programs
- Paid maternity leave
- Paid paternity leave (including for adoptive parents)
- Legal plan options
- Pet insurance coverage
Company Overview
Acrisure offers financial services solutions for insurance, reinsurance, real estate, cyber services, and asset and wealth management. It was founded in 2005, and is headquartered in Grand Rapids, Michigan, USA, with a workforce of 10001+ employees. Its website is http://acrisure.com.