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Workers' Compensation Claims Examiner | Remote

Remote · Poland Full-time

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

Remote Skills: Claims Processing, Communication Skills, Compensation Analysis, Documentation, Healthcare Providers, Insurance, Legal, Life Insurance, Maintain Compliance, Negotiation Skills, Organizational Skills, People Management, Performance Reviews, Reporting Skills, Vision Plan, Worker's Compensation King'S Insurance Staffing

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