Archived listing. The details below describe a past opening.
Job Description
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 The Senior Workers’ Compensation Claims Adjuster is responsible for the investigation, evaluation, management, and resolution of complex New Jersey workers’ compensation claims. This position independently manages claims from initial investigation through closure, including compensability decisions, medical and disability management, litigation oversight, reserve analysis, permanency exposure, and settlement negotiations.
The ideal candidate has strong technical knowledge of New Jersey workers’ compensation requirements and demonstrates sound judgment, proactive claim management, and the ability to develop practical resolution strategies on complex and litigated claims.
Responsibilities
- Manage a caseload of complex and litigated New Jersey workers’ compensation claims from assignment through final resolution.
- Conduct timely investigations addressing course and scope, accident details, causation, prior medical history, witnesses, employment status, wages, and compensability.
- Make well-supported compensability decisions and clearly document acceptance, denial, and investigation rationale.
- Calculate and administer temporary total disability (TTD) benefits and average weekly wage information in accordance with New Jersey requirements.
- Coordinate appropriate medical treatment, including specialist referrals, diagnostics, surgery, rehabilitation, work restrictions, and return-to-work planning.
- Monitor treatment progression and identify opportunities for modified duty, maximum medical improvement, permanency evaluation, and claim resolution.
- Evaluate permanent partial disability (PPD) exposure, including scheduled and nonscheduled losses and applicable prior credits.
- Establish, document, and maintain appropriate reserves for indemnity, medical, and expense exposure, updating reserves as claim circumstances change.
- Manage litigated claims in partnership with defense counsel, including review of pleadings, medical evidence, permanency evaluations, legal recommendations, and settlement strategy.
- Develop settlement valuations and negotiate claims within assigned authority, escalating recommendations when additional authority is required.
- Participate in settlement conferences and other litigation-related proceedings as appropriate.
- Maintain compliance with applicable New Jersey workers’ compensation reporting, benefit, and claim-handling requirements.
- Identify potential subrogation, recovery, fraud, Second Injury Fund, and Medicare-related issues, when applicable.
- Maintain accurate and timely claim notes, plans of action, diary activity, reserve documentation, and supervisory updates.
- Provide employers and clients with concise claim status updates, exposure assessments, and recommended next steps.
- Escalate high-exposure claims, significant reserve changes, questionable compensability issues, and emerging litigation risks to management.
- Mentor or provide technical guidance to less-experienced adjusters when needed.
- Meet organizational standards for claim quality, timeliness, compliance, customer service, and financial stewardship.
Requirements
- Demonstrated experience managing complex, litigated, lost-time, surgical, and permanency claims.
- Strong working knowledge of New Jersey workers’ compensation claim practices and procedures.
- Experience with medical management, reserve analysis, litigation strategy, settlement evaluation, and negotiation.
- Ability to interpret medical reports, diagnostic findings, work restrictions, permanency evaluations, and legal recommendations.
- Strong written documentation, analytical, negotiation, and employer/client communication skills.
- Ability to independently prioritize a caseload and establish clear resolution strategies.
Education and Experience
- 5+ years of workers' compensation claims handling experience; substantial New Jersey experience preferred
Pay Details:
The base compensation range for this position is $95,000 - $100,000. This range reflects Acrisure's good faith estimate at the time of this posting. Placement within the range will be based on a variety of factors, including but not limited to skills, experience, qualifications, location, and internal equity. 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 leaves@acrisure.com.
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.