New York Workers Compensation Claims Adjuster - Remote

The Jonus Group; Burlington (VT); Remote; USD 80,000 - 95,000; Full time

Benefits offered by this job

Annual bonus potential

100% remote work environment

Comprehensive benefits package

Job summary

The Jonus Group is seeking an experienced Senior Workers’ Compensation Claims Adjuster to support New York from a fully remote position. The ideal candidate will independently manage a complex Vermont WC caseload and deliver exceptional service to clients and injured workers.

Strong knowledge of Vermont WC statutes and experience with litigated claims are required, along with the ability to manage claims from inception to resolution. CT license or ability to obtain quickly is preferred.

Qualifications

• 5+ years of Workers’ Compensation Claims Adjusting experience in NY.
• Strong understanding of NY WC regulations and procedures.
• Experience handling complex and litigated claims.
• Remote work capable; ability to manage full caseload independently.
• CT adjuster license or ability to obtain quickly.

Responsibilities

• Manage a full caseload of New York workers’ compensation claims from inception to closure.
• Investigate claims to determine compensability and appropriate reserves.
• Ensure compliance with New England workers’ compensation laws and regulations.
• Coordinate with injured workers, employers, medical providers, attorneys, and other stakeholders.
• Establish and adjust reserves based on claim developments and exposure.
• Direct medical management and coordinate with nurse case managers when appropriate.
• Evaluate claims for settlement opportunities and participate in negotiations.
• Manage litigated claims with defense counsel to control costs.

Skills

Independent caseload management

Negotiation

Litigation handling

NY WC regs

Education

Licenses: CT Adjuster (or ability to obtain)

Job description

Overview

Job Description

A well-established Third-Party Administrator (TPA) is seeking an experienced Senior Workers’ Compensation Claims Adjuster to join their team supporting New York. This role is fully remote and requires a seasoned claims professional who can independently manage a complex Vermont workers’ compensation caseload while delivering excellent service to both the client and injured workers.

The ideal candidate will have strong knowledge of Vermont workers’ compensation statutes, proven experience handling litigated and complex claims, and the ability to manage claims from inception through resolution.

Compensation

• $80,000 - $95,000/year
• Annual Bonus Potential
• 100% Remote Work Environment
• Comprehensive benefits package
• Opportunity to support a stable, long-term dedicated account
• Collaborative and supportive claims leadership team

Job Requirements

• 5+ years of Workers’ Compensation Claims Adjusting experience, within the New York jurisdictions is required
• Strong understanding of NY Workers’ Compensation regulations and claims procedures.
• Experience handling complex and litigated claims.
• Prior experience working for a TPA or insurance carrier preferred.
• Strong organizational, analytical, and negotiation skills.
• Ability to manage a full caseload independently in a remote work environment.
• Active Connecticut adjuster license or ability to obtain quickly.

Key Responsibilities

• Manage a full caseload of New York workers’ compensation claims from inception to closure.
• Investigate claims thoroughly to determine compensability and appropriate reserves.
• Ensure all claims are handled in compliance with New England 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 coordination with nurse case managers when appropriate.
• Evaluate claims for settlement opportunities and participate in negotiations when necessary.
• Manage litigated claims, working closely with defense counsel to develop strategies and control costs.