[ref. y67126117] Senior Claims Analyst 2 - Egg Harbor
Company 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.
Job Description:
You Must be in New Jersey and have New Jersey Workers' Compensation Claims Experience- Manage, investigate, and resolve assigned New Jersey workers' compensation claims.
- Review and analyze records to determine compensability/liability and potential settlement of claims within established financial authority; communicate final outcomes to all appropriate parties. Research impact of new legislation or case law.
- Conduct interviews, secure vital facts from injured workers, clients, and medical providers to ensure compensability and/or causal relationship of medical treatment.
- Draft and process timely claim decision letters
- Establish financial reserve levels by assessing the cost of each assigned claim, monitor and recommend revision, as necessary.
- Coordinate implementation of client-approved return to work program.
- Development of case specific return-to-work program to mitigate financial exposure, enhance return-on-investment
Qualifications:
Minimum Education:
- High School or Equivalent Required
- Associates and Bachelor's Degree Preferred or 3-4 Years of Equivalent Experience in an Insurance, Medical/Health or Legal Industry
Required Skills and Experience:
- 2-3 years of Experience Handling New Jersey Workers' Compensation Knowledge Required
- Ability to Prioritize
- Time Management Skills
- Verbal and Written Communication Skills
- Negotiation Skills
Desired Skills and Experience:
- Medical Terminology and Medical/Injury Treatments
- Ability to Analyze and Decipher Medical Reports
We’re committed to supporting your ultimate well-being through our total compensation package offerings that support your health, wealth and self. These offerings include Medical, Dental, Vision, Health Savings Accounts / Flexible Spending Accounts, Life and AD&D Insurance, 401(k), Tuition Reimbursement, and an array of resources that encourage a lifetime of healthier living.
Benefits eligibility may differ depending on full-time or part-time status. Compensation depends on the applicable US geographic market. The expected base pay for this position ranges from $53,331 - $67,464 annually, and will be based on a number of additional factors including skills, experience, and education.
The Company is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability.
Don’t meet every single requirement? Studies have shown that women and underrepresented minorities are less likely to apply to jobs unless they meet every single qualification. We are dedicated to building a diverse, inclusive, and authentic workplace, so if you’re excited about this role but your past experience doesn’t align perfectly with every qualification in the job description, we encourage you to apply anyway.You may be just the right candidate for this or other roles.
#LI-MC1
#COV