Senior Workers' Compensation Claims Specialist

Utica National Insurance Group

Senior claims specialist handling complex workers’ compensation claims for Utica National Insurance Group. Investigating, evaluating, and settling serious multi-state claims.

Posted 8/19/2026full-timeCharlotte, New Hartford • New Jersey, New York, North Carolina, Pennsylvania, Virginia • 🇺🇸 United StatesSenior💰 $71,000 - $95,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in handling complex Workers' Compensation claims across New Jersey, Pennsylvania, and New York jurisdictions, with a strong focus on investigative skills and technical claims knowledge. Maintains effective communication with attorneys and insureds while ensuring compliance with legal standards and licensing requirements.

Highest-signal resume keywords

Workers' Compensation Claims HandlingClaims Adjusting ExperienceInvestigative SkillsCustomer Service ExperienceAdjuster License

ATS Keywords

Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Claims InvestigationTechnical Claims KnowledgeDecision-Making SkillsDetail OrientationLegal ReviewCoverage Interpretation

Soft Skills

Communication SkillsIndependenceProblem-Solving

Certifications & Qualifications

Adjuster License

Industry Keywords

Workers' CompensationNew Jersey JurisdictionPennsylvania JurisdictionNew York JurisdictionClaims Supervisor Duties

About the role

Key responsibilities & impact

Investigate and handle primarily complex and serious Workers' Compensation claims in New Jersey, Pennsylvania, and New York jurisdictions
Handle claims in other jurisdictions as needed
Perform special claims investigations and handling matters requiring broad technical claims knowledge
Operate independently with little supervision
Settle claims within assigned authority
Maintain frequent contact with attorneys concerning serious claim matters
Review court decisions, law, and coverage interpretations
Assume Claims Supervisor duties during the Supervisor's absence

Requirements

What you’ll need

4-year degree in business administration or equivalent experience
Minimum of 1–2 years as Claims Specialist or 3–4 years adjusting experience
Lost time experience required
Experience with NJ, PA, and/or NY jurisdictions preferred
Required to obtain adjuster license(s) in the state(s) where assigned to adjust claims
Licensing must be obtained within the Company-set timeframe and maintained as needed
Broad knowledge and understanding of the law and claim practices
Technical claims knowledge
Customer service experience
Investigative skills
Detail orientation
Decision-making skills
Ability to communicate with insureds, attorneys, and other relevant parties

Benefits

Comp & perks

Medical and Prescription Drug Benefit
Dental Benefit
Vision Benefit
Life Insurance and Disability Benefits
401(k) Profit Sharing and Investment Plan, including annual Company financial contribution and discretionary Profit Sharing contribution
Health Savings Account (HSA)
Flexible Spending Accounts
Tuition Assistance, Training, and Professional Designations
Company-Paid Family Leave
Adoption/Surrogacy Assistance Benefit
Voluntary Benefits: Group Accident Insurance, Hospital Indemnity, Critical Illness, Legal, ID Theft Protection, Pet Insurance
Student Loan Refinancing Services
Care.com Membership with Back-up Care, Senior Solutions
Business Travel Accident Insurance
Matching Gifts program
Paid Volunteer Day
Employee Referral Award Program
Wellness programs