Remote NY Workers' Comp Claims Supervisor

The Jonus Group; Burlington (VT); Remote; USD 95,000 - 110,000; Full time

Job summary

The Jonus Group is seeking a Senior Workers’ Compensation Claims Adjuster to support New York from a fully remote setting. You will manage a Vermont-based caseload, handling complex and litigated claims with a focus on accuracy, compliance, and timely updates for clients and injured workers.

The role requires 5+ years of WC claims experience in NY jurisdictions, knowledge of NY regulations, and the ability to work independently in a remote environment.

Qualifications

• 5+ years of Workers’ Compensation claims adjusting experience in NY jurisdictions.
• 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.
• Active Connecticut adjuster license or ability to obtain quickly.

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 York 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.
• Maintain accurate claim documentation and provide timely claim updates to the client.
• Deliver high levels of customer service to a dedicated client account while meeting all service standards and KPIs.

Skills

Workers' compensation claims

Litigation experience

Remote work independence

Negotiation

Organizational skills

Analytical skills

Job description

The Jonus Group is seeking a Senior Workers’ Compensation Claims Adjuster to support New York from a fully remote setting. You will manage a Vermont-based caseload, handling complex and litigated claims with a focus on accuracy, compliance, and timely updates for clients and injured workers.

The role requires 5+ years of WC claims experience in NY jurisdictions, knowledge of NY regulations, and the ability to work independently in a remote environment.