Workers Compensation Claims Examiner | NJ & PA Jurisdictional Experience | Open to Remote
About The Position
Analyze lost-time workers’ compensation claims for clients to determine benefits due, while ensuring claims are adjudicated in accordance with service expectations, industry best practices, and client-specific requirements. The role involves investigating claims, gathering information to assess exposure, developing action plans, negotiating settlements within assigned authority, communicating claim activity to claimants and clients, and handling excess-carrier reporting and requests. The position is based in Marlton, New Jersey, with a hybrid schedule, and is open to remote work for candidates outside commuting distance. NJ and PA jurisdictional knowledge is required; licensing is not required.
Requirements
- High school diploma or GED.
- At least 2 years of claims management experience, or an equivalent combination of education and experience.
- Knowledge of New Jersey and Pennsylvania jurisdictions.
- Ability to think clearly and conceptually, exercise judgment and discretion, troubleshoot, solve problems, analyze information, handle work-related stress and multiple priorities, and meet deadlines.
- Ability to perform computer keyboarding and the hearing, vision, and speaking requirements of the role.
Nice To Haves
- Bachelor's degree from an accredited college or university.
- Professional certification applicable to the line of business.
Responsibilities
- Analyze and process claims through well-developed action plans toward appropriate and timely resolution.
- Investigate claims and gather information to determine claim exposure.
- Negotiate claim settlements within designated authority.
- Communicate claim activity and processing with claimants and clients.
- Report claims to the excess carrier and respond to requests for direction professionally and promptly.
Benefits
- Flexible work schedule.
- Referral incentive program.
- Career development and promotional growth opportunities.
- Medical, dental, and vision coverage.
- 401(k) and matching.
- Paid time off.
- Disability and life insurance.
- Employee assistance program.
- Flexible spending account or health savings account.
- Additional voluntary benefits.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
