New York Labor Law Claims Examiner

Raphael and Associates

$80K — $95K *
Legal & Accounting
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • 5+ years of relevant experience in claims adjustment.
  • Current and valid adjuster license(s) is required.
  • Strong project management skills with the ability to work independently.
  • Proficient in insurance law and construction safety regulations.
  • Excellent verbal and written communication skills.
  • Strong customer service aptitude.
  • Experience with Third-Party Administrator (TPA) is advantageous.

Responsibilities

  • Manage complex New York Labor Law general liability claims effectively.
  • Stay updated with relevant statutes and case law.
  • Utilize expertise in policy coverages, both admitted and non-admitted.
  • Investigate claims, determine coverage, and address coverage issues.
  • Engage in litigation activities and monitor defense counsel work.
  • Provide regular updates on claims status to stakeholders.
  • Manage litigation processes, including negotiations and settlements.

Benefits

  • Competitive compensation package based on experience.
  • Bonus opportunities.
  • Paid time off to promote work-life balance.
  • Comprehensive medical, dental, and vision insurance.
  • Life insurance options offered.
  • 401k plan with matching contributions.
  • Collaborative environment with a dedicated team.
Full Job Description
Job Summary:

We are currently seeking a New York Labor Law Examiner to join our growing team. This position may be located at our Rutherford, New Jersey headquarters or Remote based.

The work of our examiners directly impacts the success of our organization. You will have the ability to make a meaningful impact by leveraging your claim handling skills, industry expertise, customer service skills, and ability to execute with a high degree of professionalism. This is the perfect opportunity for a self-motivated and skilled adjuster to apply their knowledge and grow with a forward-thinking organization!

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. When necessary, retain coverage counsel and implement recommendations.
  • Participate in litigation activities including assignment of defense panel counsel, 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 litigation and defense.
  • Manage all claims in accordance with industry best practices.
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.
Benefits and Perks

We are an organization that recognizes and appreciates hard work! We offer a competitive compensation package commensurate with experience, including salary, bonus, paid time off, medical/dental/vision/life insurance and 401k (with matching!). Most importantly, you will have the opportunity to work directly alongside an extraordinary and dedicated team to grow a critical function within a dynamic, growing company.

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