Workers Compensation Administrator jobs in Atlantic City, NJ

Workers Compensation Administrator II administers the workers' compensation program for an organization. Implements a consistent process for recording, investigating, and reporting workers' compensation claims complying with laws and regulations. Being a Workers Compensation Administrator II prepares and submits required reporting and documentation to OSHA, state and local agencies, and other entities. Monitors all claims and liaises with the employees, managers, insurance representatives, union representatives, medical staff, and attorneys involved with a case. Additionally, Workers Compensation Administrator II communicates case status details and necessary information to involved parties, including notifications of hearings, outcomes, return to work, or restrictions. Performs periodic reviews of overall cases to identify trends. Maintains up-to-date knowledge of all regulations and laws for reporting workers' compensation. May coordinate or assist with safety programs focused on injury prevention or facilitate accommodations for workers. May require a bachelor's degree. Typically reports to a manager. The Workers Compensation Administrator II occasionally directed in several aspects of the work. Gaining exposure to some of the complex tasks within the job function. To be a Workers Compensation Administrator II typically requires 2 -4 years of related experience. (Copyright 2024 Salary.com)

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Workers' Compensation Claim Adjuster (NJ / PA / DE) (Hybrid or Remote)
  • CCMSI
  • Linwood, NJ OTHER
  • Overview

    At CCMSI, we look for the best and brightest talent to join our team of professionals. As a leading Third Party Administrator in self-insurance services, we are united by a common purpose of delivering exceptional service to our clients. As an Employee-Owned Company, we focus on developing our staff through structured career development programs, rewarding and recognizing individual and team efforts. Certified as a Great Place To Work, our employee satisfaction and retention ranks in the 95th percentile.    

     

    Reasons you should consider a career with CCMSI:

      • Culture: Our Core Values are embedded into our culture of how we treat our employees as a valued partner-with integrity, passion and enthusiasm.
      • Career development: CCMSI offers robust internships and internal training programs for advancement within our organization.
      • Benefits: Not only do our benefits include 4 weeks paid time off in your first year, plus 10 paid holidays, but they also include Medical, Dental, Vision, Life Insurance, Critical Illness, Short and Long Term Disability, 401K, and ESOP.
      • Work Environment: We believe in providing an environment where employees enjoy coming to work every day, are provided the resources needed to perform their job and claims staff are assigned manageable caseloads.

     

    The Workers' Compensation Claim Consultant is responsible for the investigation and adjustment of assigned claims.  This position may be used as an advanced training position for consideration of promotion to a more senior level claim position.  Accountable for the quality of claim services as perceived by CCMSI clients and within our corporate claim standards.

    Responsibilities

    • Investigate, evaluate and adjust claims in accordance with established claim handling standards and laws.
    • Establish reserves and/or provide reserve recommendations within established reserve authority levels.
    • Review, approve or provide oversight of medical, legal, damage estimates and miscellaneous invoices to determine if reasonable and related to designated claims. Negotiate any disputed bills or invoices for resolution.
    • Authorize and make payments of claims in accordance with claim procedures utilizing a claim payment program in accordance with industry standards and within established payment authority.
    • Negotiate settlements in accordance within Corporate Claim Standards, client specific handling instructions and state laws, when appropriate.
    • Assist in the selection, referral and supervision of designated claim files sent to outside vendors. (i.e. legal, surveillance, case management, etc.)
    • Assess and monitor subrogation claims for resolution.
    • Review and maintain personal diary on claim system.
    • Client satisfaction.
    • Prepare reports detailing claim status, payments and reserves, as requested.
    • Compute disability rates in accordance with state laws.
    • Effective and timely coordination of communication with clients, claimants and appropriate parties throughout the claim adjustment process.
    • Prepare newsletter articles, as requested.
    • Provide notices of qualifying claims to excess/reinsurance carriers.
    • Handle more complex and involved claims than lower level claim positions with minimum supervision.
    • Conduct claim reviews and/or training sessions for designated clients, as requested.
    • Attend and participate at hearings, mediations, and informal legal conferences, as appropriate.
    • Compliance with Corporate Claim Handling Standards and special client handling instructions as established.
    • Performs other duties as assigned.

    Qualifications

    Education and/or Experience

    Five or more years claims experience is required.

     

    Computer Skills

    Proficient using MicroSoft Office products such as Word, Excel, Outlook, etc.

     

    Certificates, Licenses, Registrations

    Adjuster's license preferred. 

     

          

    CORE VALUES & PRINCIPLES

    Responsible for upholding the CCMSI Core Values & Principles which include: performing with integrity; passionately focus on client service; embracing a client-centered vision; maintaining contagious enthusiasm for our clients; searching for the best ideas; looking upon change as an opportunity; insisting upon excellence; creating an atmosphere of excitement, informality and trust; focusing on the situation, issue, or behavior, not the person; maintaining the self-confidence and self-esteem of others; maintaining constructive relationships; taking the initiative to make things better; and leading by example.

     

    CCMSI is an Affirmative Action/Equal Employment Opportunity employer offering an excellent benefit package included Medical, Dental, Vision, Prescription Drug, Flexible Spending, Life, ESOP and 401K.

     

  • 22 Days Ago

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Yard Workers
  • Willscot Mobile Mini
  • Toms River, NJ FULL_TIME
  • Hiring Yard Workers Earn More With WillScot Mobile Mini About the Job: The primary focus of this position is to ensure the Mobile Mini Storage Units and Offices are cleaned, repaired and in working co...
  • 9 Days Ago

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Compensation Analyst
  • AtlantiCare
  • Egg Harbor, NJ FULL_TIME
  • Minimum Qualifications: Bachelor's Degree in Human Resource management or related field required or equivalent experience 2 years compensation administration experience, within the human resources/hos...
  • 1 Month Ago

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Administrator
  • American Medical Associates
  • Linwood, NJ FULL_TIME
  • Licensed Nursing Home Administrator Needed - Linwood, NJ Apply Today!!! **SALARY- up to $200K per year (depending on experience)** Qualifications: Must have NJ Administrator license Must have prior ex...
  • 28 Days Ago

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Transportation Specialist for Injured Workers
  • Boomerang Transport
  • Atlantic, NJ FULL_TIME
  • At Boomerang Transport you will transport injured workers to their appointments from the comfort of your own vehicle.The Transportation Provider for Injured Workers is expected to accept rides from us...
  • 19 Days Ago

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Transportation Specialist for Injured Workers
  • Boomerang Transport LLC
  • Ventnor, NJ FULL_TIME
  • At Boomerang Transport you will transport injured workers to their appointments from the comfort of your own vehicle. Rides are scheduled in advance so that you can choose the times that work best for...
  • 14 Days Ago

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0 Workers Compensation Administrator jobs found in Atlantic City, NJ area

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Human Resources / Staffing Coordinator
  • Skilled Nursing of North Cape May
  • Cape May, NJ
  • Skilled Nursing of North Cape May - We are looking for an experienced Human Resources Manager/Business Office to ensure ...
  • 3/29/2024 12:00:00 AM

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Elementary School Principal
  • Uncommon Schools
  • Pleasantville, NJ
  • Company Description Uncommon Schools is a nonprofit network of high-performing, public charter schools providing an outs...
  • 3/29/2024 12:00:00 AM

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Human Resources Specialist - Plant/Manufacturing ONLY
  • Judge Direct Placement
  • New Gretna, NJ
  • 5+ years’ experience in the Human Resources field, Bachelor’s degree Employee Recruitment and retention programs Assist ...
  • 3/28/2024 12:00:00 AM

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Human Resources Generalist
  • Resorts International
  • Atlantic City, NJ
  • Responsibilities * The Human Resources Generalist is responsible for completing a variety of tasks to support the daily ...
  • 3/28/2024 12:00:00 AM

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H&M Sales Associate
  • H&M
  • Atlantic City, NJ
  • Company DescriptionJob Description About the Role At H&M, as a Retail Sales Associate you will be advising our customers...
  • 3/28/2024 12:00:00 AM

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Office Admin
  • College Hunks Hauling Junk & Moving
  • Absecon, NJ
  • Compensation: Competitive hourly wage About Us: At College HUNKS Hauling Junk & Moving, our success depends on our peopl...
  • 3/28/2024 12:00:00 AM

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Payroll Manager
  • Fritz Staffing Group
  • Franklinville, NJ
  • Job Description Job Description Are you a seasoned Payroll Manager with a knack for accuracy and a passion for teamwork?...
  • 3/26/2024 12:00:00 AM

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CNA Hospice Aide
  • Amedisys, Inc.
  • Linwood, NJ
  • Overview: Are you a compassionate certified nursing assistant (CNA) looking for a rewarding career in hospice? If so, we...
  • 3/26/2024 12:00:00 AM

Atlantic City is a resort city in Atlantic County, New Jersey, United States, known for its casinos, boardwalk, and beaches. In 2010, the city had a population of 39,558.[21][22] It was incorporated on May 1, 1854, from portions of Egg Harbor Township and Galloway Township.[23] It borders Absecon, Brigantine, Pleasantville, Ventnor City, Egg Harbor Township, and the Atlantic Ocean. Atlantic City inspired the U.S. version of the board game Monopoly, especially the street names. Since 1921, Atlantic City has been the home of the Miss America pageant. In 1976, New Jersey voters legalized casino g...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Workers Compensation Administrator jobs
$71,746 to $98,831
Atlantic City, New Jersey area prices
were up 1.5% from a year ago

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