Loss Time Claims Adjuster

Brown & Brown Insurance

. Investigate and gather information to determine compensability through three-point contact interviews with the employer, claimant, and healthcare provider .

Posted 10/7/2026full-timeRemote • New York • United StatesMid-LevelSenior💰 $55,000 - $95,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in New York State workers' compensation claims management, including investigation, negotiation, and compliance with NYS Medical Treatment Guidelines. Proficient in establishing reserves, authorizing payments, and preparing for hearings while maintaining confidentiality and effective communication.

Highest-signal resume keywords

New York State LicenseWorkers' Compensation Claims AdjustmentMedical Bill Examination and AuthorizationNegotiation of SettlementsCost Containment Techniques

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Compensability InvestigationFROI and SROI FilingReserve EstablishmentPayment AuthorizationIME Referral RecognitionStrategic Case PlanningClaim Process Control

Soft Skills

Exceptional Telephone DemeanorHigh Level of Confidentiality

Certifications & Qualifications

New York State License

Industry Keywords

NYS Workers' Compensation Board207(a) Claims Handling207(b) Claims Handling

About the role

Key responsibilities & impact

Investigate and gather information to determine compensability through three-point contact interviews with the employer, claimant, and healthcare provider
Secure and file necessary documents, including FROI and SROI forms with the NYS Workers’ Compensation Board, claimant, and claimant’s attorney
Establish reserves and authorize payments and treatment within NYS Medical Treatment Guidelines and assigned authority
Examine and authorize payment of medical bills
Recognize and refer cases when IMEs are indicated
Prepare and instruct counsel to defend company interests at NYS Workers’ Compensation Board hearings
Respond to written and telephone inquiries from claimants, clients, attorneys, doctors, and vendors
Establish cost containment techniques, vendor referrals, recoveries, and strategic case planning
Identify cases meeting criteria for reporting to the Excess Carrier
Negotiate settlements
Control the claim process from investigation through settlement

Requirements

What you’ll need

New York State License is required or obtained within 6 months of employment
Exceptional telephone demeanor
Ability to maintain a high level of confidentiality
Prior experience in adjusting New York State workers’ compensation claims
Bachelor’s degree is preferred
Volunteer Firefighters, 207(a) and 207(b) claims handling experience are preferred

Benefits

Comp & perks

Medical/Rx insurance
Dental insurance
Vision insurance
Life Insurance
Disability Insurance
ESPP
401k
Student Loan Assistance
Tuition Reimbursement
Free Mental Health & Enhanced Advocacy Services
Paid Time Off
Holidays
Preferred Partner Discounts