Senior NY Workers' Compensation Claims Adjuster
About The Position
Good things are happening at Berkshire Hathaway GUARD Insurance Companies. We provide Property & Casualty insurance products and services through a nationwide network of independent agents and brokers. Our companies are all rated A+ “Superior” by AM Best (the leading independent insurance rating organization) and ultimately owned by Warren Buffett’s Berkshire Hathaway group – one of the financially strongest organizations in the world! Headquartered in Wilkes-Barre, PA, we employ over 1,000 individuals (and growing) and have offices across the country. Our vision is to be a leading small business insurance provider nationwide. Founded upon an exceptional culture and led by a collaborative and inclusive management team, our company’s success is grounded in our core values: accountability, service, integrity, empowerment, and diversity. We are always in search of talented individuals to join our team and embark on an exciting career path! Complex. Litigated. High‑Exposure. NY‑Focused. This role is built for seasoned New York Workers’ Compensation professionals who want ownership, autonomy, and challenging work. You’ll manage complex, lost‑time and litigated NY claims from start to resolution, driving strategy, negotiations, and outcomes with confidence.
Requirements
- 3+ years of New York lost‑time workers’ compensation experience, including litigated claims (required).
- Strong working knowledge of NY Workers’ Compensation Law.
- 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.
Nice To Haves
- Experience with NY Employer’s Liability claims (preferred).
- Bachelor’s degree preferred; equivalent experience considered.
- Active NY Adjuster License strongly preferred.
Responsibilities
- 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.
Benefits
- 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
- And much more!
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What This Job Offers
Job Type
Full-time
Career Level
Senior
