Workers Compensation Claims Adjuster (Pennsylvania) | 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 but would prefer the candidate to be domiciled in either PA, NJ, or NY.

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.

Qualifications: • 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 • Effective organizational skills and ability to work independently • Bachelor’s degree in Business, Insurance, or a related field preferred. • Salary/Benefits: • $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

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