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Emerge

Workers Compensation Claims Representative – NY

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In-Office
New York, NY, USA
60K-100K Annually
In-Office
New York, NY, USA
60K-100K Annually

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Workers' Compensation Claims Representative – NY
Location: New York, NY (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.

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