WC Adjuster - New York

Canon Recruiting Group•Philadelphia, PA

12d

About The Position

We are seeking an experienced New York Workers’ Compensation Claims Examiner to manage a caseload of complex indemnity claims from initial investigation through final resolution. The role requires strong knowledge of New York Workers’ Compensation regulations, excellent claims management skills, and the ability to work independently. Candidates in the Philadelphia area are preferred for a hybrid schedule; candidates outside the area may be eligible for a fully remote arrangement.

Requirements

Minimum 3 years of Workers’ Compensation claims handling experience.
Experience handling New York indemnity claims.
New York Workers’ Compensation Adjuster License.
Strong understanding of New York Workers’ Compensation laws and regulations.
Experience managing complex and litigated claims.
Excellent communication, negotiation, and organizational skills.
Ability to independently manage a full caseload.

Nice To Haves

Bachelor’s degree or equivalent experience.

Responsibilities

Manage approximately 115–125 New York Workers’ Compensation claims, including complex indemnity files.
Investigate claims and determine compensability in accordance with New York state regulations.
Administer indemnity benefits and coordinate appropriate medical treatment.
Review and authorize medical bills and treatment as appropriate.
Establish and maintain accurate claim reserves.
Coordinate with defense counsel on litigated claims.
Negotiate settlements and manage claims through closure.
Maintain accurate claim documentation and diary management.
Communicate with injured workers, medical providers, employers, and clients.
Conduct independent file reviews and ensure regulatory compliance.