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WC Claims Specialist

Remote / Online - Candidates ideally in
Wilkes-Barre, Luzerne County, Pennsylvania, 18701, USA
Listing for: JCW Group
Part Time, Remote/Work from Home position
Listed on 2026-02-12
Job specializations:
  • Insurance
    Insurance Claims, Insurance Analyst
Salary/Wage Range or Industry Benchmark: 60000 - 80000 USD Yearly USD 60000.00 80000.00 YEAR
Job Description & How to Apply Below

JCW is currently working on behalf of a well-respected carrier looking for a strong WC Claims Specialist to join their team.

Responsibilities
  • Manage complex Workers’ Compensation claims end-to-end, ensuring timely, accurate handling in line with best practices
  • Evaluate compensability, coverage, exposure, fraud indicators, and subrogation opportunities by analyzing medical and factual evidence, developing proactive claim strategies, and collaborating with counsel, SIU, and internal partners as needed.
  • Serve as a primary point of contact for policyholders, agents, attorneys, and medical providers, building strong relationships through clear communication, on-site meetings, claim reviews, and onboarding support across PA.
Qualifications
  • 5+ years of Workers’ Compensation claims experience with strong working knowledge of PA, MD, and/or DE regulations, medical terminology, benefit administration, and full-cycle claim resolution.
  • WC adjuster license in DE and/or CT (or ability to obtain), with flexibility to travel 2–3 days per week.

If you're interested, please send your resume over to  or apply directly.

FULLY REMOTE POSITION, MUST BE IN PA

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