Claims Adjuster Senior
About The Position
The Senior Claims Adjuster investigates, evaluates, and resolves complex New York workers' compensation claims, including lost-time/indemnity and litigated claims. The role applies claims management experience and analytical judgment to assess exposure, plan appropriate action, and reach claim resolutions. It involves extensive communication with claimants and other parties, providing empathetic customer service on clients' behalf, and partnering with clients to improve claims management processes. The adjuster handles claims in accordance with client and corporate policies, procedures, industry practices, and applicable statutory, regulatory, and ethical requirements, while documenting and communicating claim activity promptly and efficiently. This position is fully remote.
Requirements
- High school diploma.
- At least 3 years of related claims experience, including experience adjusting a workers' compensation desk.
- Experience with lost-time/indemnity and litigated claims.
- Active adjuster license for the applicable state or reciprocal license; appropriately licensed and/or certified in all states where claims are handled.
- New York jurisdictional experience.
- Knowledge of accepted industry standards and practices.
- Computer experience with related claims and business software.
Nice To Haves
- Bachelor's degree.
Responsibilities
- Investigate, evaluate, and resolve complex workers' compensation claims, including lost-time/indemnity and litigation claims.
- Analyze claims exposure, make informed decisions, plan the appropriate course of action, and resolve claims.
- Communicate extensively with claimants and other parties involved in the claim process to support effective communication and resolution.
- Provide empathetic customer service to claimants on behalf of clients throughout the claims process.
- Handle claims in accordance with clients' and corporate policies, procedures, industry practices, and statutory, regulatory, and ethical requirements.
- Document and communicate claim activity timely and efficiently.
- Partner with clients to deliver solutions and enhance the claims management process.
- Think critically, solve problems, and plan and prioritize tasks to serve clients and claimants effectively.
Benefits
- Competitive compensation.
- Comprehensive benefits programs designed to support well-being.
- Career development opportunities and ongoing learning.
- Collaborative, people-first culture with accessible leadership.
- Opportunity to do meaningful work with global reach and local impact.
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What This Job Offers
Job Type
Full-time
Career Level
Senior
Education Level
High school or GED
