Remote Workers’ Comp Claims Adjuster (NY)

Questpro Consultants LLC; New York (NY); Remote; USD 65,000 - 95,000; Full time

Job summary

Questpro Consultants LLC is partnering with a leading claims-management firm to hire an experienced Workers' Compensation Adjuster for New York claims (license required). This remote role favors NY residents but accepts nearby states.

Responsibilities include evaluating claims, administering end-to-end processes, negotiating settlements, maintaining precise files, and collaborating with claimants, counsel, and medical professionals to reach the best resolutions.

Qualifications

• Bachelor's degree or equivalent experience in insurance or claims management.
• 3 years of workers' compensation claims adjusting experience.
• Strong analytical skills and data-informed judgment.
• Excellent communication and interpersonal skills — assertive, empathetic, and diplomatic.
• Proficiency with claims management software and Microsoft Office.

Responsibilities

• Evaluate claims: Conduct thorough investigations and deliver well-supported claim determinations.
• Administer processes: Manage claims end-to-end in compliance with jurisdictional guidelines and internal protocols.
• Negotiate resolutions: Drive negotiations with claimants, attorneys, and physicians to settle claims cost-effectively.
• Document with precision: Maintain complete, current, and accurate claim files.
• Advocate for stakeholders: Partner with clients, counsel, and medical professionals to reach the best resolution.
• Analyze trends: Identify and report emerging claim trends to improve process and service quality.

Skills

Analytical skills

Communication

Interpersonal skills

Data-informed judgment

Education

Bachelor's degree or equivalent in insurance/claims management

Tools

Claims management software

Microsoft Office

Job description

Questpro Consultants LLC is partnering with a leading claims-management firm to hire an experienced Workers' Compensation Adjuster for New York claims (license required). This remote role favors NY residents but accepts nearby states.

Responsibilities include evaluating claims, administering end-to-end processes, negotiating settlements, maintaining precise files, and collaborating with claimants, counsel, and medical professionals to reach the best resolutions.