Senior Claims Analyst

Enlyte; Egg Harbor Township (NJ); On-site; USD 53,000 - 80,000; Full time

Benefits offered by this job

Medical insurance

Dental & Vision

401(k)

Tuition reimbursement

Life and AD&D insurance

Job summary

Enlyte seeks an experienced claims professional to manage complex workers’ compensation cases from start to finish. You will determine eligibility, coordinate treatment, and drive timely return-to-work strategies in collaboration with employers and medical providers.

The role emphasizes proactive claim management, subrogation opportunities, and effective collaboration with attorneys to control costs while delivering exceptional service to claimants and stakeholders.

Qualifications

• 5-6 years of experience handling workers’ compensation claims.
• Knowledge of jurisdictional statutes and compensability.
• Experience with subrogation and excess insurance is preferred.

Responsibilities

• Manage complex, high-exposure, and catastrophic workers’ comp claims from inception to closure.
• Determine compensability and coverage eligibility through investigation and policy analysis.
• Coordinate medical treatment with injured workers, physicians, and nurse case managers.
• Facilitate timely return-to-work programs with employers.
• Oversee litigated claims with defense counsel to control costs.
• Identify subrogation and recovery opportunities and manage claim reserves.

Skills

Workers’ compensation

Claim management

Investigation

Return-to-work

Subrogation

Litigation coordination

Education

High School diploma

Associate/Bachelor degree preferred

Job description

Company Overview

At Enlyte, we combine innovative technology, clinical expertise, and human compassion to help people recover after workplace injuries or auto accidents. We support their journey back to health and wellness through our industry-leading solutions and services. Whether you're supporting a Fortune 500 client or a local business, developing cutting-edge technology, or providing clinical services you'll work alongside dedicated professionals who share your commitment to excellence and make a meaningful impact. Join us in fueling our mission to protect dreams and restore lives, while building your career in an environment that values collaboration, innovation, and personal growth.

Be part of a team that makes a real difference.

Job Description

• Manage complex, high-exposure, and catastrophic workers’ compensation claims from inception through closure.
• Determine compensability and coverage eligibility through investigation, policy analysis, and application of jurisdictional statutes.
• Coordinate and oversee medical treatment, working closely with injured workers, physicians, nurse case managers, and other medical providers.
• Facilitate timely return-to-work programs, including modified-duty and full-duty placements in collaboration with employers.
• Ensure compliance with all statutory requirements, including timely payment, denial, and administration of benefits.
• Evaluate exposure and maintain accurate claim reserves, documenting rationale and adjusting reserves throughout the life of the claim.
• Manage litigated claims, partnering with defense counsel to develop strategies, assess exposure, and control legal costs.
• Identify and pursue recovery opportunities, including subrogation, Second Injury Fund reimbursements, excess insurance, and reinsurance recoveries.
• Apply appropriate offsets and credits, including disability, pension, and other available reductions to claim costs.
• Maintain proactive claim management practices, including diary management, timely follow-up, and resolution-focused action plans.
• Deliver exceptional customer service and communication, serving as a trusted resource for claimants, employers, clients, attorneys, and internal stakeholders.
• Drive effective claim resolution and closure, meeting organizational performance goals while achieving the best possible financial and operational outcomes.

Qualifications

Minimum Education:

• High School diploma required;
• Associate’s or Bachelor’s degree preferred, or five or more years of equivalent work experience required in an insurance, medical/health or legal related industry;

Required Skills and Experience:

• At least 5-6 years of experience handling workers’ compensation claims required; more experience may be required depending on complexity of claim pending.

Desired Skills and Experience:

• Completion of Workers’ Compensation training courses internally and/or externally in all significant areas affecting Workers’ Compensation claims handling and practices.
• Workers’ Compensation licenses, certifications, awards preferred.

Benefits

We’re committed to supporting your ultimate well-being through our total compensation package offerings that support your health, wealth and self. These offerings include Medical, Dental, Vision, Health Savings Accounts / Flexible Spending Accounts, Life and AD&D Insurance, 401(k), Tuition Reimbursement, and an array of resources that encourage a lifetime of healthier living. Benefits eligibility may differ depending on full-time or part-time status. Compensation depends on the applicable US geographic market. The expected base pay for this position ranges from $53,332 - $80,000 annually, and will be based on a number of additional factors including skills, experience, and education.

The Company is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability.

Don’t meet every single requirement? Studies have shown that women and underrepresented minorities are less likely to apply to jobs unless they meet every single qualification. We are dedicated to building a diverse, inclusive, and authentic workplace, so if you’re excited about this role but your past experience doesn’t align perfectly with every qualification in the job description, we encourage you to apply anyway. You may be just the right candidate for this or other roles.