Senior Claims Representative- Workers Compensation

The New Jersey Schools Insurance Group (NJSIG) is a public entity self-insurance pool that provides insurance coverage and risk management services to school districts across New Jersey. With approximately four hundred boards of education and charter school districts as members, NJSIG offers a cost-effective way to obtain coverage for workers’ compensation, liability, property, and a wide range of specialized risks. Member districts pool their premiums into a common fund, gaining collective protection and benefits that are difficult to secure individually.

NJSIG delivers claims administration, underwriting, and loss control services, guided by a mission to be the premier insurance and risk management provider for New Jersey school districts. The organization is overseen by a board of trustees from member districts and remains focused on keeping more dollars where they belong: in the classroom.

The Senior Claims Representative – Workers Compensation is a full-time, hybrid role based in Mount Laurel, NJ, with some flexibility for work from home. This role is responsible for managing a caseload of workers’ compensation claims from first notice through resolution, including investigation, coverage analysis, evaluation, and settlement within established authority levels. The Senior Claims Representative will coordinate medical and disability management, communicate with injured workers, school district representatives, legal counsel, and medical providers, and ensure timely and accurate claim documentation.

The role includes analyzing claim trends, contributing to reserve and settlement strategies, and supporting risk management initiatives. The Senior Claims Representative will also assist with mentoring less experienced claims staff and collaborate with other internal teams to support high-quality service for member districts.

• Candidates should possess strong claims handling and claims management skills, including experience with workers’ compensation claims.
• Candidates should possess solid insurance knowledge, with an emphasis on public entity risks and regulatory requirements.
• Candidates should possess experience addressing property damage and related liability issues within an insurance or claims context.
• Candidates should possess excellent customer service skills, with the ability to communicate clearly and professionally with diverse stakeholders.
• Relevant qualifications include prior experience as a claims representative or adjuster, preferably at a senior or complex-claims level.
• Relevant qualifications include strong analytical, negotiation, and problem-solving abilities, and proficiency with claims management systems.
• Relevant qualifications include a high school diploma or equivalent; an associate or bachelor’s degree and professional insurance designations (such as CPCU, AIC) are beneficial.
• Relevant qualifications include the ability to work effectively in a hybrid environment, manage multiple priorities, and maintain confidentiality and compliance with applicable laws.