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Workers' Compensation Claims Examiner | Remote

Role overview

Qualifications

  • 3 – 5+ years of experience handling New Jersey Workers’ Compensation claims
  • Prior experience with an Insurance Carrier or TPA required
  • Active New Jersey Adjuster License preferred
  • Bachelor’s degree in Business, Insurance, or related field preferred

Responsibilities

  • Manage and evaluate workers’ compensation claims from initial report through resolution
  • Investigate claims, determine compensability, and establish appropriate reserves
  • Negotiate settlements and authorize payments within delegated authority
  • Ensure compliance with New Jersey workers’ compensation laws and internal guidelines

Key facts

Hard skills

Other skills

  • Negotiation
  • Organizational Skills
  • Communication

About the company

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King's Insurance Staffing

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Job description

 Our client is currently seeking an experienced Workers' Compensation Claims Examiner to join their team handling New Jersey claims. This is a temp-to-hire opportunity ideal for a professional with a strong background in workers’ compensation who is comfortable managing moderate to complex claims in a fast-paced environment. This person will have the ability to work remotely.   Key Responsibilities:
  • Manage and evaluate workers’ compensation claims from initial report through resolution
  • Investigate claims, determine compensability, and establish appropriate reserves
  • Negotiate settlements and authorize payments within delegated authority
  • Ensure compliance with New Jersey workers’ compensation laws and internal guidelines
  • Communicate effectively with injured workers, employers, medical providers, and legal counsel
  • Maintain accurate and detailed claim documentation and provide regular status updates
  • Coordinate with defense counsel and attend hearings, mediations, or depositions as needed
Qualifications:
  • 3 – 5+ years of experience handling New Jersey Workers’ Compensation claims
  • Prior experience with an Insurance Carrier or TPA required
  • Active New Jersey Adjuster License preferred
  • Strong organizational skills with the ability to manage a high-volume caseload independently
  • Excellent communication and negotiation skills
  • Bachelor’s degree in Business, Insurance, or related field preferred
Salary / Benefits:
  • $35.00 - $45.00 per hour (based on experience) with opportunity for permanent conversion
  • Temp-to-hire structure with long-term growth potential
  • Comprehensive benefits available while on assignment, including:
    • Medical, Dental, Vision, and Life Insurance

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