Job Description
Our client, a recognized leader in the Workers' Compensation Insurance Industry, is seeking to add (2) New York Workers’ Compensation Claims Adjusters to their Northeast team due to continued growth. You will be responsible for managing and resolving New York Workers’ Compensation claims from initial report through final settlement. This role requires an experienced claims professional with strong technical expertise in New York Workers' Compensation Law, attention to detail, and the ability to handle a caseload efficiently while maintaining a high standard of quality. This position will allow the candidate to work fully remote!
Key Responsibilities:Investigate, evaluate, and manage New York Workers’ Compensation claims from start to resolution.
Maintain a caseload of approximately 80–100 lost-time claims.
Negotiate settlements and authorize payments within delegated authority.
Ensure full compliance with state regulations, company policies, and best practices.
Communicate effectively with policyholders, employers, medical providers, and attorneys to gather details and resolve claims promptly.
Maintain timely and accurate claim documentation, reserve analysis, and file notes.
Monitor and update claim diaries on an ongoing basis to ensure proper claim handling and follow-up.
Qualifications:
3 – 10+ years of experience handling New York Workers’ Compensation claims.
Must hold an active New York Adjusters' License.
Experience handling New Jersey or Pennsylvania Workers’ Compensation claims is a plus but not required.
Experience working for an insurance carrier or TPA is required.
Prior experience handling Self-Insured or Large Deductible accounts is a plus.
Strong organizational and analytical skills with the ability to work independently.
Compensation & Benefits:
Base Salary: $80,000 – $110,000+ (based on experience) plus annual bonus.
401(k) with employer match.
Competitive Medical, Dental, Vision, and Life insurance plans.
Employer contribution to HSA.
Generous PTO and paid holidays.
Long-term incentive programs.
Flexible work schedule and the ability to work from home.
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