Senior NY Workers' Comp 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

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.