Labor Law Claims Examiner

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!

• 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, draft coverage position letters, and retain coverage counsel when necessary.
• Participate in litigation activities including assignment of defense panel counsel and monitoring of defense counsel work.
• Provide internal and external stakeholders with regular updates including reserve recommendations, coverage and contractual issues, and determination of liability.
• Manage litigation and negotiate settlements.
• Determine reserves and monitor for accuracy.
• Manage all claims in accordance with industry best practices.

• 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.

Raphael & Associates is a third‑party claims administrator and independent claims adjusting company internationally recognized for exceptional service. We understand the importance of adapting to the demands of a dynamic market and we tailor our services to our client’s specific needs. As a claims organization, what we do is complex. Our mission is simple: to provide outstanding service, retain extraordinary professionals, and utilize the best technology in the industry!

As a leading organization in the industry, we offer dynamic and challenging opportunities to individuals who want to make a difference. We value camaraderie, vision, a passion for excellence, creativity, and self‑reliant professionals.

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 401(k) 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.