Workers' Comp. Adjuster - New Jersey - Military veterans preferred

Genex Service LLC


Workers' Comp. Adjuster - New Jersey

US-NJ-Remote

Job ID: 25-18095
Type: Regular Full-Time
# of Openings: 1
Category: Insurance & Administration
Mitchell International, Inc.

Overview

At Enlyte, we combine innovative technology, clinical expertise, and human compassion to help people recover after workplace injuries or auto accidents. We support their journey back to health and wellness through our industry-leading solutions and services. Whether you're supporting a Fortune 500 client or a local business, developing cutting-edge technology, or providing clinical services you'll work alongside dedicated professionals who share your commitment to excellence and make a meaningful impact. Join us in fueling our mission to protect dreams and restore lives, while building your career in an environment that values collaboration, innovation, and personal growth.

Be part of a team that makes a real difference.

Full-time, remote position

*Must be located in the New Jersey area for onsite meetings*

Independently investigates, evaluates, and resolves assigned New Jersey Workers’ Compensation lost time claims of a more complex or litigated nature in a timely manner in accordance with legal statutes, policy provisions and company guidelines.

• Evaluate claimant eligibility; communicate with attending physician, employer and injured worker.
• Manage high exposure, complex and catastrophic claims.
• Work with both the claimant and their physician to medically manage the claim, from initial medical treatment to reviewing and evaluating ongoing treatment and related information.
• Work directly with employers to facilitate a return to work, either on a full-time or modified duty basis.
• Identify potential for third party recovery, including subrogation, Second Injury Fund or other fund involvement (when applicable) and excess or reinsurance reimbursement. 
• Establish compensability status through case investigation and evaluation and application of jurisdictional statutes and laws.
• Where litigation is filed, evaluate exposure and work with defense counsel to establish strong defenses, prepare litigation plan of action, set legal reserve and manage litigation over life of claim.
• Manage diary in accordance with Best Practices and complete tasks to ensure that cases move to the best financial outcome and timely resolution.

Education:

High School diploma required; Associate’s or Bachelor’s degree preferred

Experience:

At least 2-3 years of experience handling New Jersey workers’ compensation claims required; more experience may be required depending upon complexity of claim pending.

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