Workers' Compensation Claims Representative – NY
Location: New York, NY (Hybrid – 3 days in office, 2 days remote)
Salary Range: $60,000 - $100,000 per year

About the Company

A highly rated and financially stable national insurance provider is seeking an experienced Workers' Compensation Claims Representative to join their growing team. This company specializes in providing top-tier Property & Casualty insurance products through a vast network of independent agents and brokers. Their commitment to accountability, service, integrity, and empowerment has led to consistent success and growth.

Why Join Us?

• 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

Position 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.

Key Responsibilities:

• Evaluate and process loss time workers' compensation claims to determine compensability and coverage
• 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

Qualifications:

• 5+ years of experience in New York loss time workers’ compensation claims (litigated claims experience required)
• 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

Work Environment:

This is a hybrid role requiring in-office work 3 days per week. Occasional travel may be required.