Workers' Compensation Complex Claims Adjuster (NY)

Berkshire Hathaway GUARD Insurance Companies•Parsippany, NJ

8d•$50,000 - $100,000•Hybrid

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! Benefits: We are an equal opportunity employer that strives to maintain a work environment that is welcoming and enriching for all. You’ll be surprised by all we have to offer!

Requirements

5+ years of New York loss‑time workers’ compensation experience, including litigated claims (required).
Ability to manage claims across multiple jurisdictions, with willingness to learn additional states.
Strong negotiation, conflict resolution, and problem‑solving skills.
Excellent organization and time‑management, with the ability to handle a fast‑moving caseload.
Effective written and verbal communication skills, including file documentation and attorney interactions.
A positive, solutions‑oriented approach and the ability to contribute to a high‑performing team.
Bachelor’s degree preferred; equivalent experience considered.

Nice To Haves

Experience handling NY Employer’s Liability claims (strong plus).
Active NY Adjuster License a strong plus.

Responsibilities

Handle complex NY loss‑time workers’ compensation claims, including litigated matters and high‑exposure files.
Determine compensability and coverage for claims under New York Workers’ Compensation Law and other applicable jurisdictions.
Drive settlement strategy, including negotiation and finalization of agreements under management review.
Gather, evaluate, and interpret medical and factual evidence to support defensible claim outcomes.
Coordinate and lead outside investigations, including IMEs, surveillance, and specialized field work.
Manage and direct outside counsel, ensuring litigation progresses efficiently and within authority.
Communicate frequently with injured workers, attorneys, investigators, medical providers, insureds, agents, and internal partners.
Execute timely and accurate claims handling, including documentation, reserving, payment processing, and compliance 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!