Remote Workers' Comp Claims Examiner-Medical & Settlements

King's Insurance Staffing; New Jersey; Remote; USD 48,000 - 62,000; Full time

Benefits offered by this job

Medical Insurance

Dental Insurance

Vision Insurance

Life Insurance

Job summary

King's Insurance Staffing is seeking an experienced Workers' Compensation Claims Examiner to join our client in New Jersey. The role focuses on medical management within a moderate-to-complex claims portfolio, with an emphasis on maintaining files and coordinating care.

This temp-to-hire opportunity allows remote work, offers comprehensive benefits on assignment, and supports long-term growth as you handle hearings and settlements with internal guidelines.

Qualifications

• 3–5+ years of experience handling New Jersey Workers’ Compensation claims.
• Prior experience with an Insurance Carrier or TPA required.
• Bachelor’s degree preferred.

Responsibilities

• Manage 70-80 NJ workers’ comp lost-time claims focusing on medical management and settlements.
• Ensure compliance with NJ workers’ compensation laws and internal policies.
• Communicate with injured workers, employers, providers, and counsel.
• Negotiate settlements and authorize payments within authority.
• Maintain detailed claim documentation and provide status updates.
• Coordinate with defense counsel and attend hearings or depositions as needed.

Skills

Communication skills

Negotiation skills

Organizational skills

Education

Bachelor’s degree in Business/Insurance or related field

Job description

King's Insurance Staffing is seeking an experienced Workers' Compensation Claims Examiner to join our client in New Jersey. The role focuses on medical management within a moderate-to-complex claims portfolio, with an emphasis on maintaining files and coordinating care.

This temp-to-hire opportunity allows remote work, offers comprehensive benefits on assignment, and supports long-term growth as you handle hearings and settlements with internal guidelines.