Claims Supervisor – New York Automobile & No-Fault Claims

Location: Remote | Philadelphia, PA

Bring your New York automobile claims expertise to a leadership role where you can develop a team, guide complex claims decisions, and build strong client relationships.

An established national claims administration and risk management organization is seeking an experienced Claims Supervisor to lead a unit handling New York automobile and No-Fault claims, including claims involving governmental entities. This remote opportunity offers an experienced claims leader the chance to shape team performance and deliver accurate, timely, and compliant claims service.

What You’ll Do

• Lead and develop Claims Examiners and Claims Assistants through coaching, technical guidance, training, and performance management.

• Oversee daily operations, staffing, caseload distribution, productivity, and work quality; provide coverage when needed.

• Review claim evaluations, delays, denials, reserves, awards, and payments to ensure sound decisions and timely handling.

• Approve reserve changes up to $250,000 and claim payments up to $10,000, within assigned authority, and oversee priority payments.

• Ensure compliance with New York Insurance Law Article 51, No-Fault requirements, and Regulation 68, along with client instructions and internal procedures.

• Conduct monthly and client-required file reviews; coordinate internal, external, client, and regulatory audits.

• Resolve concerns from claimants, clients, medical providers, and vendors, and monitor vendor performance.

• Prepare and review client reports, participate in client meetings, and deliver training on claims procedures and regulatory updates.

• Partner with leadership and client-service teams on service needs and requests for proposals.

Required Qualifications

• 3–5 years of related automobile claims experience, including previous supervisory, leadership, or team-lead responsibilities.

• Valid New York adjuster license and any additional licenses required by applicable state regulations.

• Strong working knowledge of New York automobile and No-Fault claims, Article 51, and Regulation 68.

• Knowledge of applicable statutory regulations and medical terminology.

• Familiarity with Arbitration Forums and the American Arbitration Association.

• Strong claim-file review, analytical, organizational, and problem-solving skills.

• Experience using a diary system, prioritizing workloads, and meeting strict deadlines.

• Ability to coach employees at different experience levels and clearly explain technical claims information.

• Excellent written and verbal communication skills; proficiency in Microsoft Word and Excel.

• High school diploma or GED.

Preferred Qualifications

• Bachelor’s degree in business, insurance, risk management, or a related field.

• Experience handling claims involving governmental or public-sector entities.

• Experience with client audits, claim-file reviews, reporting, and claims training.

Equivalent combinations of education and relevant professional experience may be considered.