Senior Workers' Compensation Claims Adjuster | Remote

King'S Insurance Staffing•Newark, NJ

9d•$85,000 - $105,000•Remote

About The Position

Our client, a respected leader within the insurance sector, is seeking a Senior Workers’ Compensation Claims Specialist to join their growing team. The ideal candidate will have a demonstrated ability to manage moderate to complex New Jersey Workers’ Compensation Lost Time claims while maintaining a strong commitment to accuracy, timeliness, and exceptional service. This position offers remote flexibility, though candidates should be based in New Jersey.

Requirements

3 - 7+ years of experience handling workers’ compensation claims with solid knowledge of NJ regulations.
Insurance carrier or TPA experience required.
Active Adjuster License preferred.
Strong organizational, analytical, and communication skills with the ability to manage tasks independently.

Nice To Haves

Bachelor’s degree in Business, Insurance, or a related discipline preferred.

Responsibilities

Oversee the full life cycle of NJ Workers’ Compensation claims from first notice of loss through resolution and settlement.
Manage a pending of 115 - 125 files; negotiate settlements and approve payments within designated authority levels.
Ensure strict compliance with state regulations and internal claims procedures.
Collaborate with policyholders, attorneys, medical providers, and employers to secure needed documentation and facilitate claim resolutions.
Maintain thorough claim files and prepare timely status and progress reports for management.
Participate in hearings, mediations, and related legal proceedings when necessary.
Serve as a resource and mentor for junior examiners, offering technical support and guidance.