Senior Workers' Compensation Claims Specialist – Hybrid

Utica National Insurance Group

Senior claims specialist handling complex workers’ compensation claims for Utica National Insurance Group. Investigating, evaluating, and settling serious claims across New York, New Jersey, and Pennsylvania jurisdictions.

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

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Demonstrates expertise in handling complex Workers' Compensation claims across New Jersey, Pennsylvania, and New York, with a strong focus on investigative skills, technical claims knowledge, and effective communication with stakeholders. Holds the necessary adjuster licenses and possesses a solid understanding of relevant laws and claim practices.

Highest-signal resume keywords

Workers' Compensation Claims HandlingAdjuster LicenseInvestigative SkillsTechnical Claims KnowledgeCustomer Service Experience

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claims InvestigationClaims SettlementLegal ReviewClaims AdjustingLost Time Experience

Soft Skills

Detail OrientationDecision-Making SkillsCommunication Skills

Certifications & Qualifications

Adjuster License

Industry Keywords

New Jersey JurisdictionPennsylvania JurisdictionNew York JurisdictionClaims Supervisor DutiesClaims Practices

About the role

Key responsibilities & impact

Investigate and handle primarily New Jersey, Pennsylvania, and New York Workers' Compensation claims of a complex and serious nature, plus 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
Contact attorneys concerning serious claim matters
Review court decisions, law, and coverage interpretations
Assume Claims Supervisor duties in 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) in which assigned to adjust claims
Licensing must be obtained within the timeframe set by the Company and maintained as needed throughout employment
Broad knowledge and understanding of the law and claim practices
Customer service experience
Investigative skills
Detail orientation
Technical claims knowledge
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 based upon annual company financial results
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
Career advancement and challenging work opportunities