NY Workers Compensation Claims Adjuster - Remote
Job Description
About the Opportunity: Our client, a leading Third-Party Administrator (TPA), is seeking an experienced Workers’ Compensation Claims Adjuster to join their growing team. This role is responsible for managing a caseload of New York workers’ compensation claims from inception through resolution while ensuring compliance with all state regulations. Compensation & Benefits:
- $80,000 - $95,000/year (based on years of experience)
- Performance-based bonus opportunities
- Comprehensive benefits package (medical, dental, vision)
- 401(k) with company match
- Flexible remote work environment
Qualifications:
- Active New York Adjuster’s License (Required)
- 3+ years of experience handling NY Workers’ Compensation claims
- Strong knowledge of New York jurisdiction, regulations, and compliance requirements
- Experience working within a TPA or insurance carrier environment
- Excellent organizational, analytical, and negotiation skills
- Ability to manage a high-volume caseload in a fast-paced environment
- Strong written and verbal communication skills
Key Responsibilities:
- Manage a full caseload of New York Workers’ Compensation claims with varying levels of complexity
- Conduct thorough investigations, including reviewing medical records, accident reports, and witness statements
- Evaluate compensability and establish appropriate reserves
- Maintain proactive communication with claimants, employers, attorneys, and medical providers
- Ensure timely and accurate claim handling in accordance with New York Workers’ Compensation laws and guidelines
- Coordinate with defense counsel and attend hearings as needed
- Negotiate settlements and bring claims to timely resolution
- Maintain detailed and accurate claim documentation
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