New York Workers Compensation Claims Supervisor
About The Position
A well-established third-party administrator (TPA) is seeking an experienced workers’ compensation claims professional to support a dedicated account. This fully remote role involves independently managing a complex New York workers’ compensation caseload from claim inception through resolution while providing excellent service to the client and injured workers. The position requires knowledge of New York workers’ compensation regulations and experience with complex and litigated claims. Compensation is $95,000–$110,000 per year, with annual bonus potential. The role offers a comprehensive benefits package and the opportunity to work with a stable, long-term dedicated account and a collaborative, supportive claims leadership team.
Requirements
- At least 5 years of workers’ compensation claims adjusting experience within New York jurisdictions.
- Strong understanding of New York workers’ compensation regulations and claims procedures.
- Experience handling complex and litigated claims.
- Strong organizational, analytical, and negotiation skills.
- Ability to independently manage a full caseload in a remote work environment.
- Active Connecticut adjuster license or ability to obtain one quickly.
Nice To Haves
- Prior experience working for a TPA or insurance carrier.
Responsibilities
- Manage a full caseload of New York workers’ compensation claims from inception to closure.
- Investigate claims to determine compensability and appropriate reserves.
- Ensure claims comply with New York workers’ compensation laws and regulatory requirements.
- Coordinate and communicate with injured workers, employers, medical providers, attorneys, and other stakeholders.
- Establish and adjust reserves based on claim developments and exposure.
- Direct medical management, including coordinating with nurse case managers when appropriate.
- Evaluate claims for settlement opportunities and participate in negotiations when necessary.
- Manage litigated claims with defense counsel to develop strategies and control costs.
- Maintain accurate claim documentation and provide timely claim updates to the client.
- Deliver high levels of customer service to a dedicated client account while meeting service standards and KPIs.
Benefits
- Annual bonus potential
- Comprehensive benefits package
- Fully remote work environment
- Opportunity to support a stable, long-term dedicated account
- Collaborative and supportive claims leadership team
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What This Job Offers
Job Type
Full-time
Career Level
Senior
Education Level
No Education Listed
