Workers' Compensation Claims Administrator Job at Confidential, Morris County, NJ

bTFUSVBGL3BZZ1hjc0FiaEV5ZXhHSmtERkE9PQ==
  • Confidential
  • Morris County, NJ

Job Description

Seeking an experienced and adaptable Workers’ Compensation Claims Administrator on contract to oversee and manage workers’ compensation claims across internal employees and a geographically large workforce. This critical role requires a proactive, detail-oriented professional who thrives in a high-volume, multi-tasking environment and can balance the needs of both internal stakeholders and external clients.

The ideal candidate will have extensive experience managing multi-state claims, investigating incidents, and working collaboratively with cross-functional teams to mitigate risk, control costs, and improve outcomes. Strategic thinking, the ability to prioritize in real-time, and a willingness to raise concerns and challenge issues when necessary are key qualities for success in this role.

Key Responsibilities:

Claims Administration & Oversight

  • Manage the end-to-end process of workers' compensation claims, including claim intake, investigation, reporting, follow-up, and resolution.
  • Communicate effectively with injured workers, insurance carriers, third-party administrators (TPAs), healthcare providers, attorneys, clients, and internal stakeholders to drive claim progression and closure.
  • Monitor claims status, set reserves, track expenses, and actively pursue strategies to reduce overall claim costs and experience modification rates.
  • Ensure timely and accurate reporting in accordance with state-specific requirements.

Investigation & Analysis

  • Conduct or coordinate thorough investigations for workplace incidents and injuries, collecting witness statements, documentation, and job site information.
  • Assist in root cause identification and collaborate with safety teams to develop corrective actions when necessary.
  • Identify emerging risks, trends, or recurring issues and develop insights that inform proactive safety and claims management strategies.

Strategic Claims Management

  • Prioritize and juggle multiple open claims across different states and jurisdictions, ensuring compliance and timely resolution.
  • Proactively identify or challenge questionable claims or treatment plans when appropriate, working to ensure fair and accurate claim outcomes.
  • Evaluate return-to-work options and light-duty opportunities with clients and internal HR/safety teams.

Client and Internal Collaboration

  • Provide claims-related support and guidance to internal departments, branch locations, and external clients.
  • Present data and claims summaries to management and client partners, including trends, risk factors, and cost-saving opportunities.
  • Partner with sales, operations, and safety teams to address job placement risks and injury prevention opportunities.

Qualifications:

  • 3–5 years of hands-on experience in workers’ compensation claims management, preferably in a light industrial sector.
  • Strong working knowledge of multi-state workers’ compensation laws and procedures.
  • Experience conducting incident investigations and understanding root cause analysis.
  • Demonstrated ability to manage high volumes of claims while maintaining attention to detail and prioritizing effectively.
  • Exceptional verbal and written communication skills; able to communicate complex issues clearly and diplomatically.
  • Skilled in identifying risk trends, analyzing data, and presenting actionable insights to stakeholders.
  • Proficient in Microsoft Office Suite; experience with claims management systems a plus.
  • Ability to work independently and take initiative in a fast-paced, high-volume environment.

Preferred Attributes:

  • Strategic and analytical mindset with a proactive approach to problem-solving.
  • Comfortable pushing back professionally on claims-related issues when necessary.
  • Collaborative and team-oriented; able to work cross-functionally with HR, Safety, Operations, and client contacts.
  • Bilingual (Spanish/English) a plus.

Job Tags

Similar Jobs

D2B Groups

Generator Field Technician Job at D2B Groups

 ...We are currently hiring for the position of Generator Technician. As a Generator Technician, you will be responsible for installing,...  ...manufacturer guidelines and specifications Performing routine maintenance and inspections on generators, including oil and filter... 

IHG

Banquet Server (On-Call) - Regent Santa Monica Beach Job at IHG

 ...created in collaboration with an acclaimed celebrity chef as well as a high-end artisanal marketplace.**Job Summary:**As a Banquet Server (On-Call), you are responsible for providing high-quality, personalized experiences to guests during their time with us for their... 

Headway

Licensed Professional Counselor (Virtual) Job at Headway

 ...clients you see through Headway, so that you can set the hours that work for you. Grow your caseload by providing marketing support and...  ...patients in-person or remotely via telehealth while working from home. We accept the following licenses on a state by state basis:... 

ClearPath CPA Solutions

Finance & Invoicing Agent (Part-Time, Remote - U.S. Based) Job at ClearPath CPA Solutions

 ...Invoicing Agent to join our remote team. If you're someone who enjoys working with numbers, staying organized, and helping things run smoothly...  ...~ Able to manage your own time and work independently from home Pay & Hours: ~$40$45/hour, depending on experience ~... 

New York Technology Partners

Senior Software Engineer/Technical Lead Job at New York Technology Partners

Description:Research and analyze various software's/systems and database tools to identify best technologies for developing software applications in conjunction w/hardware. Participate in multiplephases of project life cycle development including requirement gathering...