What are the responsibilities and job description for the Workers' Compensation Claims Representative – NY position at Emerge Talent Cloud?
Workers' Compensation Claims Representative – NY
Locations: New York City, Wilkes-Barre, PA, Philadelphia, PA, Parsippany, NJ (Hybrid – 3 days in office, 2 days remote)
Salary Range: $60,000 - $100,000 per year
About the Company
A highly rated and financially stable national insurance provider is seeking an experienced Workers' Compensation Claims Representative to join their growing team. This company specializes in providing top-tier Property & Casualty insurance products through a vast network of independent agents and brokers. Their commitment to accountability, service, integrity, and empowerment has led to consistent success and growth.
Why Join Us?
- Competitive salary with performance-based incentives
- Comprehensive healthcare benefits starting on Day 1
- 401(k) with company match
- Generous paid time off, including 9.5 paid holidays
- Up to 6 weeks of parental and bonding leave
- Hybrid work schedule: 3 days in the office, 2 days remote
- Longevity awards: monetary rewards for milestone anniversaries
- Tuition reimbursement available after 6 months
- Extensive training and career advancement opportunities
Position Overview
The Workers' Compensation Claims Representative will be responsible for handling loss time claims across multiple jurisdictions, with a primary focus on New York. This role involves managing complex claims, working with legal teams, and ensuring compliance with state regulations.
Key Responsibilities:
- Evaluate and process loss time workers' compensation claims to determine compensability and coverage
- Negotiate settlements under management’s guidance
- Gather medical and factual evidence to support claim decisions
- Coordinate external investigations and direct field activities
- Manage litigation and work closely with outside counsel
- Communicate effectively with claimants, attorneys, insureds, medical providers, and other stakeholders
- Ensure compliance with company policies and state-specific regulations
Qualifications:
- 5 years of experience in New York loss time workers’ compensation claims (litigated claims experience required)
- Knowledge of NY Employer’s Liability claims is a plus
- Ability to manage claims across multiple states
- Strong negotiation, problem-solving, and conflict resolution skills
- Demonstrates a positive and team-oriented attitude
- Bachelor’s degree preferred, or equivalent combination of experience and education
- Active NY adjuster license is a plus
Work Environment:
This is a hybrid role requiring in-office work 3 days per week. Occasional travel may be required.
Salary : $60,000 - $100,000
