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NJ Workers' Compensation Claims Examiner | Remote

$35 - $45 per hour

KING'S INSURANCE STAFFING LLC

Our client, a leading A rated Insurance Carrier, is seeking an experienced New Jersey Workers' Compensation Claims Examiner to join their team. This is a fully remote, temp-to-hire opportunity for a motivated claims professional with experience handling New Jersey workers' compensation claims from inception through resolution. The ideal candidate will have a strong understanding of New Jersey workers' compensation laws, prior Guidewire experience, excellent investigative and analytical skills, and the ability to effectively manage a caseload while providing exceptional service to all parties involved.

Key Responsibilities:

  • Responsible for handling a pending of 100 - 120 medical only and lost time New Jersey workers' compensation files from inception through closure
  • Average less than 5 new losses per week
  • Conduct thorough investigations, assess compensability, and establish appropriate reserves
  • Manage claim strategy, authorize payments, and negotiate settlements within authority limits
  • Ensure compliance with applicable New Jersey regulations and company best practices
  • Maintain ongoing communication with claimants, employers, attorneys, and medical providers
Qualifications:
  • 4+ years of experience handling New Jersey Workers' Compensation claims
  • Previous experience with a TPA or insurance carrier required
  • Previous Guidewire software experience strongly preferred
  • Ability to independently manage a caseload of moderate to complex claims
  • Strong analytical, organizational, and negotiation skills
  • Bachelor's degree preferred
Compensation & Benefits:
  • $35.00 - $45.00 per hour, depending on experience
  • Temp-to-hire opportunity with long-term career potential
  • Medical, Dental, Vision, and Life Insurance available while on assignment
  • Fully remote work environment
Vacancy posted 3 days ago
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