Workers' Compensation Complex Claims Adjuster (NY) - Wilkes Barre, PA (18701)

Employer
Berkshire Hathaway GUARD Insurance Companies
Location
Wilkes Barre, PA (18701)
Posted
8/1/2026
Closes
7/2/2026
Ref
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Category
Finance

Overview Good things are happening at Berkshire Hathaway GUARD Insurance Companies. We provide Property & Casualty insurance products and services through a nationwide network of independent agents and brokers. Our companies are all rated A+ Superior by AM Best (the leading independent insurance rating organization) and ultimately owned by Warren Buffett's Berkshire Hathaway group one of the financially strongest organizations in the world! Headquartered in Wilkes-Barre, PA, we employ over 1,000 individuals (and growing) and have offices across the country. Our vision is to be a leading small business insurance provider nationwide. Founded upon an exceptional culture and led by a collaborative and inclusive management team, our company's success is grounded in our core values: accountability, service, integrity, empowerment, and diversity. We are always in search of talented individuals to join our team and embark on an exciting career path! Benefits: We are an equal opportunity employer that strives to maintain a work environment that is welcoming and enriching for all. You'll be surprised by all we have to offer! Competitive compensation Healthcare benefits package that begins on first day of employment 401K retirement plan with company match Enjoy generous paid time off to support your work-life balance plus 9 paid holidays Up to 6 weeks of parental and bonding leave Hybrid work schedule (3 days in the office, 2 days from home) Longevity awards (every 5 years of employment, receive a generous monetary award to be used toward a vacation) Tuition reimbursement after 6 months of employment Numerous opportunities for continued training and career advancement And much more! Responsibilities In this role, you'll manage a caseload of complex, losttime and litigated NY claims from start to finish, ensuring accuracy, timeliness, and strategic decisionmaking. You will: Handle complex NY losstime workers' compensation claims, including litigated matters and highexposure files. Determine compensability and coverage for claims under New York Workers' Compensation Law and other applicable jurisdictions. Drive settlement strategy, including negotiation and finalization of agreements under management review. Gather, evaluate, and interpret medical and factual evidence to support defensible claim outcomes. Coordinate and lead outside investigations, including IMEs, surveillance, and specialized field work. Manage and direct outside counsel, ensuring litigation progresses efficiently and within authority. Communicate frequently with injured workers, attorneys, investigators, medical providers, insureds, agents, and internal partners. Execute timely and accurate claims handling, including documentation, reserving, payment processing, and compliance reporting. Qualifications We're looking for a seasoned professional who understands the nuances, pace, and legal demands of New York Workers' Compensation claims. The ideal candidate has: 5+ years of New York losstime workers' compensation experience, including litigated claims (required). Experience handling NY Employer's Liability claims (strong plus). Ability to manage claims across multiple jurisdictions, with willingness to learn additional states. Strong negotiation, conflict resolution, and problemsolving skills. Excellent organization and timemanagement, with the ability to handle a fastmoving caseload. Effective written and verbal communication skills, including file documentation and attorney interactions. A positive, solutionsoriented approach and the ability to contribute to a highperforming team. Bachelor's degree preferred; equivalent experience considered. Active NY Adjuster License a strong plus. Options Apply for this job online Apply Share Email this job to a friend Refer Sorry the Share function is not working properly at this moment. Please refresh the page and try again later. Share on your newsfeed Loading... Application FAQs Software Powered by iCIMS www.icims.com