Remote NY Labor Law Claims Examiner

Raphael and Associates; Rutherford (NJ); On-site; USD 90,000 - 120,000; Full time

Job summary

Raphael & Associates is seeking a New York Labor Law Examiner to join our claims team. The role is capable of remote work and emphasizes analyzing complex NY labor law liability, coverage, and litigation management.

You will leverage your claim handling skills, industry expertise, and professionalism to impact our organization while maintaining regulatory know-how and service excellence. This is a growth-oriented opportunity with a forward-thinking firm.

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.

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; draft coverage position letters; retain counsel when needed.
• Participate in litigation activities including defense panel assignment and monitoring.
• Provide updates to internal and external stakeholders on reserves, coverage, and liability.
• Manage litigation and negotiate settlements.
• Determine reserves and monitor for accuracy; manage all claims per best practices.

Skills

Project management

Verbal & written communication

Customer service

Adjuster license

Insurance law

Construction safety regulation

Job description

Raphael & Associates is seeking a New York Labor Law Examiner to join our claims team. The role is capable of remote work and emphasizes analyzing complex NY labor law liability, coverage, and litigation management.

You will leverage your claim handling skills, industry expertise, and professionalism to impact our organization while maintaining regulatory know-how and service excellence. This is a growth-oriented opportunity with a forward-thinking firm.