Title: Medical Workers Compensation Claims Specialist (Hybrid Position)
Location: Mount Laurel, NJ 08054
Duration: Full Time (Direct hire)

Job Description:

• Under the supervision of a Claims Supervisor, a Senior Claims Representative investigates, evaluates and manages assigned indemnity and medical only workers' compensation claims in accordance with Claims Department procedures.
• This includes developing a measure of loss for each assigned claim, resolving claims within the limits of authority where possible and obtaining management authority to resolve claims when necessary.
• A Senior Claims Representative operates with additional authority compared to a Claims Representative, and with more autonomy.

• Initiates contact with individuals involved in claims and acquires information concerning the loss;
• Assembles and arranges factual information in a manner adequate to justify disposition subject to management authority;
• Develops a measure of damage for each loss
• Consults with medical staff and legal counsel as necessary
• Evaluates exposure and determines the action necessary to dispose of loss within authority level where possible
• Initiates with Management authority the actions necessary to dispose of loss
• Assembles, maintains, and prepares records
• Reviews medical expense bills for appropriateness and payment
• Provides customer service to internal and external clients relating to their claims
• Approves benefit payments as well as payment of medical and legal expenses.

• Bachelor's degree in Business Administration, Finance or Accounting or equivalent work experience required
• Minimum of three years' experience in adjusting workers' compensation indemnity claims in the State of New Jersey required, experience adjusting workers' compensation for an intergovernmental risk pool is preferred
• Associate in Risk Management, Certified Risk Manager, or Associate in General Insurance designation preferred
• Ability to work in an office environment with moderate noise level, ability able to work flexible hours, including evenings and weekends, and the ability to travel to other offices and client, carrier, and work sites as
• required
• Residency in the State of New Jersey in accordance with the New Jersey First Act, N.J.S.A. 52:14-7, et seq., unless otherwise exempted.

About our Company: -

22nd Century Technologies, Inc., is one of the fastest growing IT Service Integrator and Workforce Solution companies in the United States. Founded in 1997, 22nd Century Technologies is a Certified National Minority Business Enterprise with 6,000+ people including 600+ Cyber SMEs nationwide supporting our customers in all 50 states, Canada, and Mexico. With HQs in Somerset, NJ and Mclean, VA, 22nd Century has 14 offices throughout the United States. As part of our unrelenting focus on quality and compliance, 22nd Century Technologies’ delivery is based on Certified Matured Processes including CMMI L3 Dev & SVC, ISO 20000, ISO 27001, and ISO 9001 quality processes. With a strong focus on the public sector, 22nd Century currently holds government contracts with 14 out of 15 Federal Executive agencies including DoD, 37 other Federal agencies, 50 States, 115+ Local agencies, and 37 School Districts. In the last three years, we have expanded our services to Fortune 500 and other commercial clients and currently support 80+ commercial clients.

Recognized among “Best Company to Work For” by Forbes, 22nd Century Technologies, Inc., consistently exceeds our clients’ expectations by focusing on their absolute satisfaction with jobs while keeping our employees motivated.
“22nd Century Technologies is an Equal Opportunity Employer" and “US Citizens & all other parties authorized to work in the US are encouraged to apply."

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.