Workers' Compensation Claims Examiner | New Jersey

King's Insurance Staffing; New Jersey; A distancia; USD 48.000 - 62.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Medical Insurance

Dental Insurance

Vision Insurance

Life Insurance

Descripción de la vacante

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.

Formación

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

Responsabilidades

• 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.

Conocimientos

Communication skills

Negotiation skills

Organizational skills

Educación

Bachelor’s degree in Business/Insurance or related field

Descripción del empleo

Our client is currently seeking an experienced Workers' Compensation Claims Examiner to join their team handling New Jersey claims. This is a temp-to-hire opportunity ideal for a professional with a strong background in workers’ compensation who is comfortable managing moderate to complex claims with an emphasis on the maintenance and medical management portion of the file. This person will have the ability to work remotely.

Key Responsibilities:

• Manage and evaluate a caseload of 70-80 workers’ compensation lost time claims with a primary focus on medical management and negotiating structured settlements
• Ensure compliance with New Jersey workers’ compensation laws and internal guidelines
• Communicate effectively with injured workers, employers, medical providers, and legal counsel
• Negotiate settlements and authorize payments within delegated authority
• Maintain accurate and detailed claim documentation and provide regular status updates
• Coordinate with defense counsel and attend hearings, mediations, or depositions as needed

Qualifications:

• 3 – 5+ years of experience handling New Jersey Workers’ Compensation claims
• Prior experience with an Insurance Carrier or TPA required
• Strong organizational skills with the ability to manage a high-volume caseload independently
• Excellent communication and negotiation skills
• Bachelor’s degree in Business, Insurance, or related field preferred

Salary / Benefits:

• $35.00 - $45.00 per hour (based on experience) with opportunity for permanent conversion
• Temp-to-hire structure with long-term growth potential
• Comprehensive benefits available while on assignment, including:
• Medical, Dental, Vision, and Life Insurance