Regional Director Workers' Compensation Claims - Southeast

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

Acrisure is seeking a Regional Director of Workers Compensation Claims to join our growing team!

The Director of Regional Claims is responsible for overseeing 6-7 full time direct reports in determining coverage, compensability, and benefits due. Ensures ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements. Identifies subrogation of claims, clear and concise action plans, reserving and settlements. Some travel may be required.

Responsibilities

(Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.)

• Review, assign and supervise all claim activity for designated claims to ensure compliance with company best practices, client specific handling instructions and in accordance with applicable laws.
• Responsible for oversight in assessing compensability, coverage, AWW/CR and timely payments.
• Reviews and approves settlement of claims within designated authority.
• Responsible for overseeing reserve establishment and/or oversight of reserves for designated claims within established reserve authority levels.
• Monitors necessary state filings within statutory limits.
• Oversees the litigation process; ensures timely and cost-effective claims resolution.
• Reviews vendor referrals utilized in investigation and/or litigation management.
• Uses appropriate cost containment techniques including strategic vendor partnerships to reduce overall cost of claims for our clients.
• Monitors and approves claim recoveries, including but not limited to subrogation, Second Injury Fund excess recoveries and Social Security and Medicare offsets.
• Communicates claim activity and processing with the claimant and the client; maintains professional client relationships.
• Ensures claim files are properly documented and claims coding is correct.
• Refers cases as appropriate for further review.
• Leads team manager meetings and assigns accountability for follow-up items.
• Mentors and provide ongoing training and assist in the development of claim staff.
• Review and maintain supervisory diary on claim system.
• Oversees all claim activity for specified accounts.
• Compliance with Corporate Claim Handling Standards and special client handling instructions as established.
• Key part of the team with Team Manager/Lead to interview adjusters and provide feedback.
• Provides assistance and support to Team Manager/Lead with monthly review of adjusted workloads; notes trends and suggests adjustments when necessary.
• Participates in claim reviews both telephonic and in person as needed.
• Participates in onsite meetings with insureds.
• Collaborates with adjusters, team managers, insureds, and brokers on a regular basis.

• Actively and enthusiastically share experience and knowledge of creative resolution techniques to improve the claim results of others.
• Supports the organization and management.

Desired Skills/Abilities

• In-depth knowledge of appropriate insurance principles and laws for line-of-business handled, recoveries offsets and deductions, claim and disability duration, cost containment principles including medical management practices and Social Security and Medicare application procedures as applicable to line-of-business.
• Excellent oral and written communication, including presentation skills
• PC literate, including Microsoft Office products
• Analytical and interpretive skills
• Strong organizational skills
• Excellent negotiation skills
• Good interpersonal skills
• Ability to work in a team environment
• Ability to meet or exceed Performance Competencies

Education and Experience Requirements

• Bachelor’s Degree preferred
• Workers’ Compensation licensing a plus
• Five to ten years of adjusting experience
• Three to Five years of prior supervisory experience
• Familiarity with state workers’ compensation laws and regulations
• Strong communication and prior training experience

#LI-hybrid

#LI-remote

Pay Details:

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 [email protected].

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.