New York Labor Law Claims Examiner

Raphael & Associates; Rutherford (NJ); Remote; USD 90,000 - 120,000; Full time

Benefits offered by this job

Competitive compensation

401k with matching

Medical/dental/vision/life insurance

Paid time off

Job summary

Raphael & Associates seeks a New York Labor Law Examiner to join a growing team in a remote capacity. You will leverage claim handling skills, industry knowledge, and professional judgment to manage complex NY Labor Law general liability claims, including third‑party property and bodily injury, while remaining current on statutes and case law.

The ideal candidate has 5+ years of experience, active adjuster licenses, strong project management, and solid insurance law knowledge.

Qualifications

• Minimum 5+ years of relevant experience in labor law claims or related field.
• Must hold current and valid adjuster license(s).
• Strong project management skills and ability to work independently.
• Solid knowledge of insurance law and construction safety regulation.
• Excellent verbal and written communication, customer service oriented.

Responsibilities

• Handle complex New York Labor Law general liability claims and third‑party property and bodily injury.
• Maintain up‑to‑date understanding of statutes and case law.
• Demonstrate expertise in admitted and non‑admitted policy coverages.
• Investigate claims, determine coverage, draft position letters, and coordinate with coverage counsel as needed.
• Provide updates to stakeholders, including reserves, liability determinations, and insurance issues.
• Oversee litigation activities, assign defense panel counsel, and monitor outcomes.
• Determine reserves and monitor accuracy; manage litigation and defense processes.

Skills

5+ years experience

Adjuster license(s)

Project management

Insurance law

Communication

Customer service

TPA experience

Job description

Job Summary

We are currently seeking a New York Labor Law Examiner to join our growing team.

This position may be remote

The work of our examiners directly impacts the success of our organization. You will have the ability to make a meaningful impact by leveraging your claim handling skills, industry expertise, customer service skills, and ability to execute with a high degree of professionalism. This is the perfect opportunity for a self-motivated and skilled adjuster to apply their knowledge and grow with a forward-thinking organization!

Responsibilities

• Manage complex New York Labor Law general liability claims and third-party property and bodily injury.
• Maintain a current understanding of relevant statutes and case law.
• Expertise in admitted and non-admitted policy coverages.
• Knowledge of New York Labor Law: 200, 240(1), 241(6)
• Investigate claims and determine coverage. Identify coverage issues and draft coverage position letters. When necessary, retain coverage counsel and implement recommendations.
• Participate in litigation activities including assignment of defense panel counsel, monitoring of defense counsel work.
• Provide internal and external stakeholders with regular updates including reserve recommendations, coverage and contractual issues, determination of liability.
• Manage litigation and negotiate settlements.
• Determine reserves and monitor for accuracy.
• Manage litigation and defense.
• Manage all claims in accordance with industry best practices.

Qualifications

• At least 5+ years of relevant experience.
• Must maintain current and valid adjuster license(s).
• Strong project management skills and ability to work independently.
• Strong working knowledge of insurance law(s) and construction safety regulation.
• Strong verbal and written communication skills.
• Excellent customer service skills.
• Experience working for a Third-Party Administrator (TPA) company is a plus.

About Raphael and Associates

Raphael & Associates is a third-party claims administrator and independent claims adjusting company internationally recognized for exceptional service. We understand the importance of adapting to the demands of a dynamic market and we tailor our services to our client's specific needs. As a claim's organization, what we do is complex. Our mission is simple: to provide outstanding service, retain extraordinary professionals, and utilize the best technology in the industry!

As a leading organization in the industry, we offer dynamic and challenging opportunities to individuals who want to make a difference. We value camaraderie, vision, a passion for excellence, creativity, and self-reliant professionals.

Benefits and Perks

We are an organization that recognizes and appreciates hard work! We offer a competitive compensation package commensurate with experience, including salary, bonus, paid time off, medical/dental/vision/life insurance and 401k (with matching!). Most importantly, you will have the opportunity to work directly alongside an extraordinary and dedicated team to grow a critical function within a dynamic, growing company.