Labor Law Claims Examiner

🔥 0 minutes ago

🇺🇸 United States – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

📋 Claims Specialist

👻 Ghost score 12%

What it means: the chance that no one is really hiring for this job.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Raphael & Associates

WebsiteLinkedInAll Job Openings

201 - 500 employees

Founded 1978

🛡️ Insurance

🏢 Enterprise

📋 Compliance

Insurance • Enterprise • Compliance

Raphael & Associates is a Third Party Administrator and Independent Claims Adjusting company internationally recognized for its exceptional service and unsurpassed reputation in nationwide claims handling. With a strong focus on property and casualty claims, the company provides comprehensive claims management, field adjusting, and loss control services tailored to meet the needs of various clients, including self-insured and public entities. Through strategic partnerships and regional offices across the country, Raphael & Associates is dedicated to maintaining high standards of service and leveraging technology to improve the claims process.

📋 Description

• 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 • Apply expertise in admitted and non-admitted policy coverages • Investigate claims and determine coverage • Identify coverage issues and draft coverage position letters • Retain coverage counsel and implement recommendations when necessary • Participate in litigation activities, including assignment of defense panel counsel and monitoring defense counsel work • Provide internal and external stakeholders with regular updates, including reserve recommendations, coverage and contractual issues, and liability determinations • Manage litigation and negotiate settlements • Determine reserves and monitor for accuracy • Manage litigation and defense • Manage all claims in accordance with industry best practices

🎯 Requirements

• 5+ years of NYLL experience, or foundational construction/general liability experience • Must maintain current and valid adjuster license(s) • Strong project management skills • 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

• Excellent Salary • Multiple Bonus Opportunities • Medical Benefits including Dental, Vision and Life • Paid Holidays/Vacation • 401(k) Plan • Flex-Time • Educational Assistance Program • Competitive compensation package commensurate with experience • Paid time off • Medical/dental/vision/life insurance • 401k with matching • Opportunity to work directly alongside an extraordinary and dedicated team

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