Workers' Compensation Claims Examiner | Remote

Our client, a leading provider in the insurance industry, is currently seeking an experienced Workers' Compensation Claims Examiner with a proven track record in managing moderate to complex claims in Pennsylvania and New Jersey. This role requires a professional with experience in workers' compensation claims, who is adept at handling high-volume caseloads with a focus on quality and efficiency. Our client is open to candidates working Fully Remote.

Key Responsibilities:

• Evaluate and manage claims from initial report to final settlement.
• Negotiate settlements and authorize payments within delegated limits.
• Ensure compliance with all state regulatory requirements and internal policies.
• Communicate effectively with policyholders, medical professionals, employers, and legal counsel to gather information and resolve claims.
• Maintain accurate records and prepare reports for management regarding claim status and resolution.
• Attend hearings, mediations, and other legal proceedings as required.
• Provide guidance and training to junior claims staff and support their development.

• 4+ years of experience as a Workers' Compensation Claims Examiner with a deep understanding of both Pennsylvania and New Jersey Workers' Compensation Law.
• Insurance Carrier or TPA experience is required
• Active Adjusters License is a plus
• Effective organizational skills and ability to work independently
• Bachelor's degree in Business, Insurance, or a related field preferred.

• $85,000 to $105,000+ base salary plus Annual Bonus
• Employer matching 401(k) plan
• Extremely competitive Medical, Dental, Vision and Life plans
• Employer Contribution to HSA
• Generous PTO
• Additional Long-Term Incentive Plans
• Flexible work schedule and ability to work from home