Remote NY Labor Law Claims Examiner - Coverage & Litigation

Raphael and Associates; United States; Remote; USD 110,000 - 150,000; Full time

Benefits offered by this job

Salary, bonus, paid time off, medical/

Job summary

Raphael & Associates seeks a New York Labor Law Examiner to join our growing team. The role offers the possibility to work remotely and involves managing complex New York Labor Law claims, including liability assessments and coverage determinations.

The candidate should have 5+ years of relevant experience, an active adjuster license, strong project management, and solid knowledge of insurance law and construction safety regulations.

Qualifications

• 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; identify coverage issues and draft coverage position letters; retain coverage counsel if needed.
• Participate in litigation activities including assignment of defense panel counsel and 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 all claims in accordance with industry best practices.

Skills

Project management

Communication skills

Customer service

Insurance law knowledge

Job description

Raphael & Associates seeks a New York Labor Law Examiner to join our growing team. The role offers the possibility to work remotely and involves managing complex New York Labor Law claims, including liability assessments and coverage determinations.

The candidate should have 5+ years of relevant experience, an active adjuster license, strong project management, and solid knowledge of insurance law and construction safety regulations.