Workers' Compensation Claims Representative - Remote

Overview

The Workers' Compensation Claims Representative will be responsible for handling loss time claims across multiple jurisdictions, with a primary focus on New York. This role involves managing complex claims, working with legal teams, and ensuring compliance with state regulations.

In Short

• Evaluate and process loss time workers' compensation claims
• Negotiate settlements under management’s guidance
• Gather medical and factual evidence to support claim decisions
• Coordinate external investigations and direct field activities
• Manage litigation and work closely with outside counsel
• Communicate effectively with claimants, attorneys, insureds, medical providers, and other stakeholders
• Ensure compliance with company policies and state-specific regulations

Requirements

• 5+ years of experience in New York loss time workers’ compensation claims
• Knowledge of NY Employer’s Liability claims is a plus
• Ability to manage claims across multiple states
• Strong negotiation, problem-solving, and conflict resolution skills
• Demonstrates a positive and team-oriented attitude
• Bachelor’s degree preferred, or equivalent combination of experience and education
• Active NY adjuster license is a plus

Benefits

• Competitive salary with performance-based incentives
• Comprehensive healthcare benefits starting on Day 1
• 401(k) with company match
• Generous paid time off, including 9.5 paid holidays
• Up to 6 weeks of parental and bonding leave
• Hybrid work schedule: 3 days in the office, 2 days remote
• Longevity awards: monetary rewards for milestone anniversaries
• Tuition reimbursement available after 6 months
• Extensive training and career advancement opportunities