Workers' Compensation Claims Manager jobs in Atlantic City, NJ

Workers' Compensation Claims Manager manages accountabilities in the administration of first and third party worker's compensation claims. Manages domestic and/or international claim management strategies critical to the organization's success. Being a Workers' Compensation Claims Manager is responsible for reporting, investigation, and analysis; litigation management; resolution/outcome management; and the delivery of claim information. Manages litigated and moderately complex claims and is entrusted with significant settlement authority. Additionally, Workers' Compensation Claims Manager creates and develops relationships with claims adjusters, insurers, outside legal counsel, and other claims related parties. Directs workers' compensation claims policies and procedures within the claim information analysis. Requires a bachelor's degree. Typically reports to a head of a unit/department. The Workers' Compensation Claims Manager manages subordinate staff in the day-to-day performance of their jobs. True first level manager. Ensures that project/department milestones/goals are met and adhering to approved budgets. Has full authority for personnel actions. Extensive knowledge of department processes. To be a Workers' Compensation Claims Manager typically requires 5 years experience in the related area as an individual contributor. 1 to 3 years supervisory experience may be required. (Copyright 2024 Salary.com)

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Senior Workers' Comp. Claims Analyst 2
  • Coventry
  • Egg Harbor, NJ FULL_TIME

  • Coventry


    Senior Workers' Comp. Claims Analyst 2

    US-NJ-Egg Harbor Township

    Job ID: 24-16668
    Type: Regular Full-Time
    # of Openings: 1
    Category: Insurance & Administration
    Mitchell International, Inc.

    Overview

    The Enlyte Family of Businesses

    Mitchell | Genex | Coventry

    Enlyte is the parent brand of Mitchell, Genex and Coventry, an organization unlike any other in the Property & Casualty industry, bringing together three great businesses with a shared vision of using technology innovation, clinical services and network solutions to help our customers and the people they serve. Our suite of products and services enable our employees to help people recover from challenging life events, while providing opportunities for meaningful impact and career growth.



    Responsibilities

    • Participates in large loss reviews of the teams' claims providing direction and feedback.
    • Manages medical with nurse case manager on claims.
    • Works with employers to facilitate a return to work, either full-time or modified duty basis.
    • Identifies potential and manage third party recovery.
    • Complies with excess reporting requirements.
    • Identifies potential for disability or pension credits or offsets, Second Injury Fund (when applicable) timely denial or payment of benefits.
    • Estimates the exposure of each assigned claim, establishes reserves with documented rationale, maintains and adjusts reserves over the life of the claim to reflect changes in exposure.
    • Works with defense counsel to establish strong defenses, litigation plan of action, set legal reserve and manage litigation over life of claim.
    • Maintains closing ratio by closing files timely.
    • Completes PARs (payment authorization request).
    • Communicates effectively, verbally and in writing with internal and external parties on a wide variety of claims and account-related issues.


    Qualifications

    Education:
    Bachelor's Degree strongly preferred, HS Diploma required
    Workers Compensation Licensure (i.e. AIC, WCCC) a plus

    Experience:
    Minimum of 5 years of experience handling New Jersey workers' compensation claims
    Experience in an insurance medical/health or legal related industry




    Salary:

    Please see job description



    PI237829292

     

  • 14 Days Ago

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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 ...
  • 21 Days Ago

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Assistant General Manager
  • Oakland Manager LLC
  • Waretown, NJ FULL_TIME
  • Our Team is seeking ambitious positive individuals who are like-minded in their commitment to the cannabis plant, understand its history and therapeutic qualities and are passionate about providing ex...
  • 6 Days Ago

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Patient Care Advocate I
  • Oakland Manager LLC
  • Waretown, NJ FULL_TIME
  • The Patient Care Advocate (PCA) is responsible for delivering an exceptional customer experience. This role ensures all sales are compliant with state regulations and that customer needs are heard and...
  • Just Posted

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Part Time Patient Care Advocate
  • Oakland Manager LLC
  • Waretown, NJ PART_TIME
  • Summary The Patient Care Associate (PCA) is responsible for delivering an exceptional customer experience. This role ensures all sales are compliant with state regulations and that customer needs are ...
  • 6 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...
  • 8 Days Ago

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0 Workers' Compensation Claims Manager jobs found in Atlantic City, NJ area

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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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Front Desk Sales Associate
  • Club Pilates - Somers Point
  • Somers Point, NJ
  • COMPANY OVERVIEW: Club Pilates is a well-established, nation-wide brand, committed to providing affordable and accessibl...
  • 3/28/2024 12:00:00 AM

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Licensed Social Worker
  • Emonics Healthcare
  • Manahawkin, NJ
  • Job Description Job Description JOB TITLE : Licensed Social Worker DURATION : 13–Week Contact with Possible Extension LO...
  • 3/28/2024 12:00:00 AM

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Psychotherapist- LCSW, LSW, LPC, LAC
  • Empower U
  • Egg Harbor Township, NJ
  • Job Description Job Description HAVE YOU HEARD THE NEWS? EMPOWER U’S PSYCHOTHERAPIST HOURLY RATES NOW RANGE FROM $65-$95...
  • 3/27/2024 12:00:00 AM

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Internal Revenue Agent (Reviewer - Examiner) 12 MONTH ROSTER - AMENDED
  • Department Of The Treasury
  • Mays Landing, NJ
  • Duties WHAT IS THE WHISTLEBLOWER OFFICE (WBO) DIVISION? A description of the business units can be found at: https://www...
  • 3/27/2024 12:00:00 AM

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Commercial/Personal Lines Insurance CSR
  • JERSEY COAST INSURANCE AND FINANCIA
  • Margate City, NJ
  • Job Description Job Description Start the year with a new, exceptional working environment - and growing insurance agenc...
  • 3/26/2024 12:00:00 AM

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Client Relationships Manager
  • Coventry WCS
  • Egg Harbor Township, NJ
  • Company Overview: The Enlyte Family of Businesses Mitchell | Genex | Coventry Enlyte is the parent brand of Mitchell, Ge...
  • 3/24/2024 12:00:00 AM

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Greeter
  • Dave & Buster's, Inc.
  • Atlantic City, NJ
  • Job Description: Dave & Buster's is different from everywhere else. No two days are ever the same. Time will fly by serv...
  • 3/24/2024 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 Claims Manager jobs
$91,236 to $117,855
Atlantic City, New Jersey area prices
were up 1.5% from a year ago

Workers' Compensation Claims Manager in Rockford, IL
The title of Nurse Case Manager is the most frequently used name for the role, but like workers’ comp adjusters are sometimes referred to as claim examiners, there are other names for the NCM. In some insurance companies the role is referred to as the “workers compensation case manager” or “injury management facilitator” or “field case manager” (FCM) if most of the work is done away from the office, or “telephonic case manager” (TCM) if the work is done in the office by using the telephone.
December 07, 2019
Workers' Compensation Claims Manager in Mcallen, TX
The Division contracts with a third-party administrator for the processing of state employees’ workers’ compensation claims through a managed-care framework that includes a provider network and pharmacy management. The Division’s staff monitors the work done by the administrator and acts as a liaison between state employees, the third party administrator, and medical providers.
February 08, 2020
Workers' Compensation Claims Manager in Salt Lake City, UT
Some employers will have workers fill out an incident report, while others will be satisfied with just a simple written or emailed notification.
January 27, 2020