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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