Job Application for Claim Specialist II or III-NJ and PA at MEMIC

New

Location: Remote
Company: MEMIC – Trusted Workers’ Compensation Insurance Provider

About MEMIC

At MEMIC, our mission is to make workers’ compensation insurance better—through compassionate service, trusted partnerships, and an unwavering focus on workplace safety. Our core values—Be Conscientious, Be an Expert, Be a Partner, Be Curious, and Be Transparent—drive everything we do. For over 30 years, we’ve been a leader in helping businesses protect their employees and reduce workplace injuries while delivering exceptional claims services.

Job Overview: Claim Specialist II or III NJ & PA Jurisdictions

The Claim Specialist investigates, evaluates, negotiates, and resolves lost time claims within settlement and reserving authority up to stated maximum. (Supervisor will determine actual individual authority up to the stated maximum). Conducts training classes (including research and position papers) for less experienced Claim Department Representatives. Based on experience and proven ability, an expanded and more difficult caseload will be expected, requiring a lesser degree of supervision.

Key Responsibilities

Claims Management: Investigate, evaluate, negotiate and resolve medical-only and lost time claims within settlement and reserving authority up to stated maximum.
Communication: Serve as a point of contact for insureds, injured workers, agents, brokers, attorneys, and other stakeholders to gather necessary information and provide timely updates.
Benefit Delivery: Administer medical and indemnity benefits in compliance with NJ and PA state workers’ compensation statutes and MEMIC’s best practices.
Quality Assurance: Maintain organized and high-quality claim files in accordance with company policies and procedures.
Managed Care Coordination: Implement Managed Care strategies, coordinate rehabilitation plans, process medical bills, and monitor case progress.
Legal & Regulatory Compliance: Interact with state and federal boards and commissions to ensure proper reserves and compliance with laws and regulations.
Ongoing Learning: Stay updated on state laws and workers’ compensation trends through MEMIC-provided training and external certifications like WCP or Claims Law (AEI).

Qualifications

3+ years workers' compensation lost time claim handling experience required.
Strong attention to detail and excellent verbal and written communication skills.
Proficiency in Microsoft Office Suite (Word and Excel) required and Imageright preferred.
Self-motivated, flexible, and capable of managing time and priorities effectively in a fast-paced environment.
Ability to collaborate and build relationships with cross-functional teams.
Valid driver’s license required.
Must have required adjuster's licenses in applicable states. (NJ and PA)

Why Join MEMIC?

At MEMIC, we value our employees and offer an exceptional benefits package to support your well-being and professional development, including:

Health & Wellness: Health, dental, and vision insurance, plus an annual wellness reimbursement.
Financial Security: 401(k) retirement plan with up to 6% match, profit sharing, and life insurance.
Paid Time Off: Five weeks of PTO and 11 paid holidays.
Education & Career Growth: Student loan paydown assistance, tuition reimbursement, and professional development opportunities.
Work-Life Balance: Paid volunteer day each year.

Join MEMIC Today!

Ready to make an impact in workers’ compensation insurance? As a Claim Specialist, you’ll play a critical role in ensuring injured workers receive the support they need while helping businesses thrive.

MEMIC is committed to fostering a diverse and inclusive workplace. We are an equal opportunity employer, encouraging applicants of all backgrounds and identities to apply.

Apply today and launch your career with MEMIC, where safety and compassion are at the heart of everything we do.

MEMIC is committed to a policy of nondiscrimination and equal opportunity for all employees and qualified applicants without regard to race, color, religious creed, national origin, ancestry, age, disability, genetics, gender identity, veteran's status, sexual orientation, or any other characteristic protected by law. MEMIC is an equal opportunity employer encouraging diversity in the workplace.

MEMIC's Job Applicant Privacy Notice

#IND2022

Create a Job Alert

Interested in building your career at MEMIC? Get future opportunities sent straight to your email.

First Name

Last Name

Country

Phone

Resume/CV

Accepted file types: pdf, doc, docx, txt, rtf

Cover Letter

Accepted file types: pdf, doc, docx, txt, rtf

Are you legally eligible for employment in this country?

Select...

Will you require MEMIC immigration sponsorship now (for example, permanent residence related filings, H-1B sponsorship, Form I-983 training plan, etc.)?

Select...

Will you require MEMIC immigration sponsorship now or in the future?

Select...

What is your desired annual salary?

If you are under 18, can you furnish a work permit?

Select...

What is the highest level of education you have completed?

Select...

What state do you reside in?

Select...

Will you relocate if the job requires it?

Select...

Will you travel if the job requires it?

Select...

Are you able to perform the "essential functions" of the job for which you are applying (with or without reasonable accommodation)?

Select...

Have you entered into an agreement with any former employer or other party (such as a noncompetition agreement) that might, in any way, restrict your ability to work for our company? If yes, please explain.

Have you ever been employed here before? If so, what dates?

I hereby certify that the information contained in the employment application I submit to Maine Employers’ Mutual Insurance Company, hereinafter referred to as (“MEMIC”) or (“the Company”) is true and complete to the best of my knowledge. I understand that material omissions or falsification of this application may result in my disqualification from consideration for employment or dismissal from employment. I understand that my employment is subject to a satisfactory check of references. I authorize MEMIC and/or its designees the right to investigate the information given and to secure additional information, if necessary. I authorize my previous employers, educational institutions and all other individuals and organizations listed in this application form to provide information about my employment, work habits and character. I agree that MEMIC, and/or its designees and my previous employers, educational institutions and all other individuals and organizations listed in this application form will not be held liable in any respect if an employment offer is not made, is withdrawn, or my employment is terminated because of furnishing necessary information incident to the employment process. I understand that MEMIC is in no way obligated to provide employment and I am in no way obligated to accept employment, if offered. This application does not bind either party, and the statements contained herein do not constitute and should not be interpreted to constitute any sort of contract of employment for a specific period of time. I understand this application for employment is valid for 30 days only. Consideration for employment after 30 days requires a new application. I understand that upon offer and acceptance of a position with MEMIC, I will be required to provide documentation establishing my identity and eligibility to be legally employed in the United States. I understand that employment at MEMIC is employment at will. Employment may be terminated with or without cause at any time by me or by the Company. Terms and conditions of employment with MEMIC may be modified at the sole discretion of the Company with or without cause and with or without notice, except as may be required by law. I also understand that other than the President of the Company, no one has the authority to make any agreement for employment other than for employment at will or to make any agreement limiting the Company’s discretion to modify terms and conditions of employment. MEMIC is an equal opportunity employer, considering all qualified applicants and employees for hiring, placement, and advancement, without regard to a person’s race, national origin, color, religion, age, gender, sexual orientation, gender identity or expression, disability, genetic information, military and veteran status, or any other protected status under applicable federal, state or local law. If you agree to the above, please type your first and last name and today's date.

Claim Specialist II or III-NJ and PA

Apply for this job