NJ Workers' Compensation Claims Examiner | Remote

Job Description

Job Description

Our client, a leading A rated Insurance Carrier, is seeking an experienced New Jersey Workers' Compensation Claims Examiner to join their team. This is a fully remote, temp-to-hire opportunity for a motivated claims professional with experience handling New Jersey workers' compensation claims from inception through resolution. The ideal candidate will have a strong understanding of New Jersey workers' compensation laws, prior Guidewire experience, excellent investigative and analytical skills, and the ability to effectively manage a caseload while providing exceptional service to all parties involved.

Key Responsibilities:

• Responsible for handling a pending of 100 - 120 medical only and lost time New Jersey workers’ compensation files from inception through closure
• Average less than 5 new losses per week
• Conduct thorough investigations, assess compensability, and establish appropriate reserves
• Manage claim strategy, authorize payments, and negotiate settlements within authority limits
• Ensure compliance with applicable New Jersey regulations and company best practices
• Maintain ongoing communication with claimants, employers, attorneys, and medical providers

Qualifications:

• 4+ years of experience handling New Jersey Workers’ Compensation claims
• Previous experience with a TPA or insurance carrier required
• Previous Guidewire software experience strongly preferred
• Ability to independently manage a caseload of moderate to complex claims
• Strong analytical, organizational, and negotiation skills
• Bachelor's degree preferred

Compensation & Benefits:

• $35.00 – $45.00 per hour, depending on experience
• Temp-to-hire opportunity with long-term career potential
• Medical, Dental, Vision, and Life Insurance available while on assignment
• Fully remote work environment