Senior Workers' Comp Claims Examiner (PA/NJ) - Hybrid

TEEMA; United States; Hybrid; USD 85,000 - 95,000; Full time

Benefits offered by this job

Financially stable organization

Competitive salary

Career growth opportunities

Ethical company culture

Job summary

A leading claims administration organization is looking for a Workers’ Compensation Claims Examiner III responsible for managing complex claims within Pennsylvania and New Jersey. The ideal candidate should have 3-5 years of experience, particularly handling indemnity and complex claims, with strong communication skills. This mid-senior level role offers a competitive salary, a people-first culture, and long-term career growth opportunities, making it an attractive position for experienced professionals in the insurance sector.

Qualifications

• 3-5+ years of workers’ compensation claims experience required.
• Experience handling both PA and NJ claims is essential.
• Strong knowledge of medical terminology and statutory regulations.

Responsibilities

• Manage 125-150 workers’ compensation claims.
• Investigate claims and determine compensability per laws.
• Communicate with claimants, medical providers, and stakeholders.

Skills

Workers’ compensation claims experience

Communication skills

Independence

Regulatory knowledge

Claims systems proficiency

Tools

Microsoft Word

Microsoft Excel

Job description

A leading claims administration organization is looking for a Workers’ Compensation Claims Examiner III responsible for managing complex claims within Pennsylvania and New Jersey. The ideal candidate should have 3-5 years of experience, particularly handling indemnity and complex claims, with strong communication skills. This mid-senior level role offers a competitive salary, a people-first culture, and long-term career growth opportunities, making it an attractive position for experienced professionals in the insurance sector.