(NjPa)

Key Responsibilities

Claims Management

• Manage a caseload of NJ and PA workers compensation claims from initial filing to closure.

• Conduct thorough investigations including statements employer interviews and review of medical documentation.

• Evaluate compensability wage calculations medical necessity and reserve adequacy.

• Coordinate with medical providers vocational specialists and case managers to ensure appropriate care.

Regulatory Compliance

• Ensure full compliance with NJ Workers Compensation Act and PA Workers Compensation Act including required forms deadlines and benefit structures.

• Issue timely notices denials approvals and wage statements per state requirements.

• Maintain accurate documentation and adhere to internal audit standards.

Medical & Legal Coordination

• Review medical records to determine treatment appropriateness RTW ability and impairment levels.

• Communicate with defense counsel and attend hearings mediations or depositions as needed.

• Prepare case summaries litigation strategies and settlement evaluations.

Return-to-Work & Communication

• Collaborate with employers to facilitate light duty or full-duty return-to-work plans.

• Provide consistent updates to employers brokers claimants and internal teams.

• Maintain clear professional communication throughout the claims process.

Settlement & Financial Management

• Evaluate claim exposure and negotiate fair settlements within authority.

• Set monitor and adjust reserves based on claim progression.

• Identify potential subrogation or fraud issues and pursue recovery when applicable.

Canon Recruiting is committed to a diverse and inclusive workplace. Canon Recruiting is an equal opportunity employer and does not discriminate on the basis of race national origin gender gender identity sexual orientation protected veteran status disability age or other legally protected status.

The pay range for this position is listed above. Base pay information is based on market location.
We will consider for employment qualified applicants with arrest and conviction records. Our range of benefits may include health care and 401(k) savings plans.
For individuals with disabilities who would like to request an accommodation please email