Full ownership of complex New York lost-time and litigated workers’ compensation claims
Compensability and coverage determinations under NY Workers’ Compensation Law and applicable jurisdictions
Settlement strategy and negotiations, including presenting and finalizing resolutions under authority
Analysis of medical, legal, and factual evidence to support defensible claim decisions
Direction of outside investigations (IMEs, surveillance, field resources)
Management of defense counsel to ensure effective, timely litigation
Ongoing communication with claimants, attorneys, medical providers, insureds, agents, and internal partners
Accurate, compliant claims handling including reserving, payments, documentation, and reporting

3+ years of New York lost-time workers’ compensation experience, including litigated claims (required)
Strong working knowledge of NY Workers’ Compensation Law
Experience with NY Employer’s Liability claims (preferred)
Confident negotiator with strong judgment and decision-making skills
Highly organized, able to manage a fast-moving, complex caseload
Clear, professional communicator—especially with attorneys
Bachelor’s degree preferred; equivalent experience considered
Active NY Adjuster License strongly preferred

Competitive compensation
Healthcare benefits package that begins on first day of employment
401K retirement plan with company match
Enjoy generous paid time off to support your work-life balance plus 9 ½ paid holidays
Up to 6 weeks of parental and bonding leave
Hybrid work schedule (3 days in the office, 2 days from home)
Longevity awards (every 5 years of employment, receive a generous monetary award to be used toward a vacation)
Tuition reimbursement after 6 months of employment
Numerous opportunities for continued training and career advancement

Senior Workers' Compensation Claims Adjuster

Key skills