Senior Workers' Comp Claims Specialist — Complex Cases

Old Republic Commercial Risk; Trenton (NJ); On-site; USD 65,000 - 90,000; Full time

Job summary

Old Republic Commercial Risk is seeking a claims professional in New Jersey to independently investigate, evaluate and resolve complex workers’ compensation claims. You will administer high-risk claims timely per statutes, policy provisions and company guidelines.

The role requires 3–5 years of lost time workers' compensation experience, active licensure or ability to obtain within 90 days in mandated states, and strong analytical, communication and multitasking abilities in a fast-paced

Qualifications

• Strong organizational skills with ability to multitask.
• Proven critical thinking and sound judgment in handling claims.
• Excellent verbal and written communication and customer service skills.

Responsibilities

• Investigate assigned claims with minimal supervision, including complex cases.
• Determine coverage, compensability, potential subrogation, and second injury fund when applicable.
• Negotiate settlements with client approval and manage case resolution plans.

Skills

Organizational skills

Critical thinking

Verbal and written communication

Customer service

MS Office (Word/Excel/PowerPoint)

Education

Bachelor's degree

AIC or similar designation

Tools

MS Office

Job description

Old Republic Commercial Risk is seeking a claims professional in New Jersey to independently investigate, evaluate and resolve complex workers’ compensation claims. You will administer high-risk claims timely per statutes, policy provisions and company guidelines.

The role requires 3–5 years of lost time workers' compensation experience, active licensure or ability to obtain within 90 days in mandated states, and strong analytical, communication and multitasking abilities in a fast-paced