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Senior Workers' Claims Specialist
Job in
Hamilton, Atlantic County, New Jersey, USA
Listed on 2026-08-26
Listing for:
Jobtailor
Full Time
position Listed on 2026-08-26
Job specializations:
-
Insurance
Insurance Claims, Insurance Analyst
Job Description & How to Apply Below
- Investigate and handle primarily complex and serious Workers' Compensation claims in New Jersey, Pennsylvania, and New York jurisdictions
- Handle claims in other jurisdictions as needed
- Perform special claims investigations and handling matters requiring broad technical claims knowledge
- Operate independently with little supervision
- Settle claims within assigned authority
- Maintain frequent contact with attorneys concerning serious claim matters
- Review court decisions, law, and coverage interpretations
- Assume Claims Supervisor duties during the Supervisor's absence
- 4-year degree in business administration or equivalent experience
- Minimum of 1–2 years as Claims Specialist or 3–4 years adjusting experience
- Lost time experience required
- Experience with NJ, PA, and/or NY jurisdictions preferred
- Required to obtain adjuster license(s) in the state(s) where assigned to adjust claims
- Licensing must be obtained within the Company-set timeframe and maintained as needed
- Broad knowledge and understanding of the law and claim practices
- Technical claims knowledge
- Customer service experience
- Investigative skills
- Detail orientation
- Decision-making skills
- Ability to communicate with insureds, attorneys, and other relevant parties
Demonstrates expertise in handling complex Workers' Compensation claims across New Jersey, Pennsylvania, and New York jurisdictions, with a strong focus on investigative skills and technical claims knowledge. Maintains effective communication with attorneys and insureds while ensuring compliance with legal standards and licensing requirements.
Highest-signal resume keywords- Workers' Compensation Claims Handling
- Claims Adjusting Experience
- Investigative Skills
- Customer Service Experience
- Adjuster License
Hard Skills
- Claims Investigation
- Technical Claims Knowledge
- Decision-Making Skills
- Detail Orientation
- Legal Review
- Coverage Interpretation
- Communication Skills
- Independence
- Problem-Solving
- Adjuster License
- Workers' Compensation
- New Jersey Jurisdiction
- Pennsylvania Jurisdiction
- New York Jurisdiction
- Claims Supervisor Duties
Position Requirements
10+ Years
work experience
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