worker's compensation specialist
Job Description
Job Description
We are looking for an experienced Worker’s Compensation Specialist to join our team on a contract basis in Jersey City, New Jersey. In this role, you will play a key part in overseeing workers' compensation claims across the country, collaborating with third-party administrators and field teams to ensure effective claims management. This position is ideal for someone with expertise in workers' compensation processes and a strong understanding of related regulations.
Responsibilities:
• Collaborate with third-party administrators (TPAs) to oversee workers' compensation claims nationwide, ensuring proper claims handling and settlement processes.
• Partner with field operations teams to collect necessary documentation to support investigations and claim adjustments.
• Assist with claims-related reporting, exposure analysis, certificate of insurance management, and invoice processing.
• Monitor workers' compensation analytics to identify trends, investigate discrepancies, and implement strategies to improve claims handling.
• Review reserve amounts and settlement proposals to ensure accuracy and appropriateness.
• Develop and maintain processes that enhance the quality of workers' compensation file management.
• Provide guidance and support on workers' compensation-related inquiries and compliance matters.
• Proven experience in workers' compensation claims management and related administrative processes.
• Strong knowledge of relevant regulations and standards, including FMLA.
• Ability to analyze data and identify trends to improve operational efficiency.
• Excellent organizational skills and attention to detail when handling documentation and reports.
• Proficiency in managing certificates of insurance and exposure analyses.
• Effective communication and collaboration skills to work with TPAs and field teams.
• Familiarity with invoice processing and claims reporting systems.
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