Workers' Compensation Claims Adjuster

This is a fully remote position, open to applicants in New Jersey, +5 more states.

📋 Description

• Evaluate Medical Only & Lost-Time Workers Compensation claims for our esteemed clients to ascertain due benefits.

• Maintain ongoing adjudication of claims in line with service expectations, best practices in the industry, and specific client requirements.

• Analyze and process claims utilizing well-structured action plans to achieve appropriate and timely resolutions.

• Investigate and collect information to assess the claim's exposure.

• Negotiate settlements for claims within the assigned authority.

• Communicate claim activities and processing updates with claimants and clients.

• Report claims to the excess carrier and respond to requests for direction in a professional and timely manner.

⛳️ Requirements

• 3 - 5 years of experience in claims management or an equivalent combination of education and experience is required.

• A High School Diploma or GED is mandatory.

• A Bachelor's degree from an accredited college or university is preferred.

• Professional certification relevant to the line of business is preferred.

• Knowledge of jurisdictions: NY, VT, & ME (training provided for other states).

• NY & VT licensing is preferred but not mandatory.

🏝️ Benefits

• Flexible working hours.

• Referral incentive program.

• Opportunities for career development and promotional growth.

• A diverse and comprehensive benefits package, including medical, dental, vision, and 401K on the first day of employment.