Senior Workers' Compensation Claims Specialist | Remote
Our client, a respected leader within the insurance sector, is seeking a Senior Workers’ Compensation Claims Specialist to join their growing team. The ideal candidate will have a demonstrated ability to manage moderate to complex Pennsylvania and New Jersey Workers’ Compensation Lost Time claims while maintaining a strong commitment to accuracy, timeliness, and exceptional service. This position offers remote flexibility, though candidates should be based in Pennsylvania. Key Responsibilities • Oversee the full life cycle of PA and NJ Workers’ Compensation claims from first notice of loss through resolution and settlement. • Manage a pending of 115 - 125 files; negotiate settlements and approve payments within designated authority levels. • Ensure strict compliance with state regulations and internal claims procedures. • Collaborate with policyholders, attorneys, medical providers, and employers to secure needed documentation and facilitate claim resolutions. • Maintain thorough claim files and prepare timely status and progress reports for management. • Participate in hearings, mediations, and related legal proceedings when necessary. • Serve as a resource and mentor for junior examiners, offering technical support and guidance. Qualifications • 3 - 7+ years of experience handling workers’ compensation claims with solid knowledge of PA and NJ regulations. • Insurance carrier or TPA experience required. • Active Adjuster License preferred. • Strong organizational, analytical, and communication skills with the ability to manage tasks independently. • Bachelor’s degree in Business, Insurance, or a related discipline preferred. Compensation & Benefits • Competitive base salary of $85,000 – $105,000+ with annual bonus potential. • 401(k) with employer match. • Comprehensive medical, dental, vision, and life insurance coverage. • Employer contribution toward HSA. • Generous PTO and flexible scheduling. • Remote work option for qualified candidates. Employment Type: FULL_TIME Apply tot his job