Claims Specialist

1 week ago


Trenton, New Jersey, United States Biogensys Full time
Job Title: Claims Specialist

We are seeking a skilled Claims Specialist to join our team at Biogensys. As a Claims Specialist, you will play a critical role in determining the compensability of Workers Compensation claims filed by State government employees against the State of New Jersey.

Key Responsibilities:

  • Under the direction of a supervisor, evaluate claims to determine compensability and make recommendations for further action.
  • Oversee medical case management for assigned files, ensuring that employees receive necessary medical treatment and benefits.
  • Process temporary compensation payments and order Independent Medical Examinations (IME) as needed.
  • Prepare evidence and support for litigated files to assist in litigation and/or trial.
  • Process claim petitions and other legal pleadings and discovery demands.
  • Conduct investigations and interviews to gather information and resolve disputes.

Work Environment:

  • Biogensys is a dynamic and growing company that values its employees and provides a supportive work environment.
  • Our team is committed to excellence and strives to deliver high-quality results in a timely manner.

Requirements:

  • High school diploma or equivalent required; bachelor's degree preferred.
  • Minimum 2 years of experience in claims handling or a related field.
  • Strong analytical and problem-solving skills.
  • Excellent communication and interpersonal skills.


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