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Remote Workers Compensation Adjuster Jobs in Rochester, NY

AMBA

Inside Sales Insurance Specialist

Rochester, NY · Remote

$50K - $60K/yr

Inside Sales Insurance Specialist (W2, Remote) Full-Time | Monday through Friday Compensation ... Comfort working in a fast-paced, goal-driven environment * Technical proficiency with CRM tools.

AMBA

Inside Sales Insurance Specialist

Rochester, NY · Remote

$50K - $60K/yr

Inside Sales Insurance Specialist (W2, Remote) Full-Time | Monday through Friday Compensation ... Comfort working in a fast-paced, goal-driven environment * Technical proficiency with CRM tools.

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All JobsWorkers Compensation Adjuster JobsRemote Workers Compensation Adjuster JobsRemote Workers Compensation Adjuster Jobs in Rochester, NY

Remote Workers Compensation Adjuster information

See Rochester, NY salary details

$40.5K

$75K

$97.7K

How much do remote workers compensation adjuster jobs pay per year?

As of Aug 9, 2026, the average yearly pay for remote workers compensation adjuster in Rochester, NY is $75,026.00, according to ZipRecruiter salary data. Most workers in this role earn between $65,100.00 and $84,400.00 per year, depending on experience, location, and employer.

What is a remote workers compensation adjuster?

A Remote Workers Compensation Adjuster is a professional who evaluates and manages workers compensation insurance claims from a remote location, usually working from home. Their main responsibilities include investigating workplace injury claims, determining the validity of claims, negotiating settlements, and ensuring compliance with relevant laws and regulations. They communicate with employers, employees, medical providers, and legal representatives primarily through phone, email, or video conferencing. This role requires strong analytical skills, attention to detail, and a thorough understanding of workers compensation laws. Remote adjusters use specialized software to process claims and maintain records securely.

What are the key skills and qualifications needed to thrive as a remote workers compensation adjuster?

To thrive as a Remote Workers Compensation Adjuster, you need a solid understanding of workers' compensation laws, claims management, and investigative techniques, typically supported by relevant experience or adjuster licensure. Familiarity with claims management software, online communication tools, and document management systems is essential. Strong attention to detail, empathy, and effective communication skills help in evaluating claims and coordinating with injured workers, employers, and medical providers remotely. These skills ensure accurate, timely claims resolution and maintain compliance, customer satisfaction, and organizational efficiency in a remote environment.

What is the difference between Remote Workers Compensation Adjuster vs Remote Property Claims Adjuster?

AspectRemote Workers Compensation AdjusterRemote Property Claims Adjuster
CertificationsAdjuster license, CPCU or similarAdjuster license, CPCU or similar
Work EnvironmentInsurance companies, remote or home-basedInsurance companies, remote or home-based
Industry UsageWorkers' compensation insuranceProperty insurance claims
Job FocusAssessing workplace injury claimsAssessing property damage claims

Both roles require similar certifications and work environments, but they focus on different insurance sectors. The Workers Compensation Adjuster handles workplace injury claims, while the Property Claims Adjuster deals with property damage. Understanding these differences helps job seekers find the right fit based on their expertise and interests.

What are some unique challenges faced by remote workers compensation adjusters, and how can they effectively manage them?

Remote workers compensation adjusters often face challenges such as building rapport with claimants and employers without in-person interactions, managing time zones, and ensuring secure access to sensitive information. Effective communication skills, strong organizational habits, and familiarity with digital claims management tools are essential to overcome these hurdles. Regular virtual check-ins with team members and maintaining clear documentation help ensure smooth claim processing and collaboration despite the remote setting.
What are popular job titles related to Remote Workers Compensation Adjuster jobs in Rochester, NY? For Remote Workers Compensation Adjuster jobs in Rochester, NY, the most frequently searched job titles are:
What job categories do people searching Remote Workers Compensation Adjuster jobs in Rochester, NY look for? The top searched job categories for Remote Workers Compensation Adjuster jobs in Rochester, NY are:
What cities near Rochester, NY are hiring for Remote Workers Compensation Adjuster jobs? Cities near Rochester, NY with the most Remote Workers Compensation Adjuster job openings:
Remote Workers Compensation Adjuster jobs near you
Infographic showing various Remote Workers Compensation Adjuster job openings in Rochester, NY as of August 2026, with employment types broken down into 94% Full Time, and 6% Part Time. Highlights an 100% Remote job distribution, with an average salary of $75,026 per year, or $36.1 per hour.

Clm Resltion Rep III, Hosp/Prv

University of Rochester

Rochester, NY • Remote

$20.30 - $27.41/hr

Full-time

Re-posted 2 days ago

University Of Rochester rating

8.3

Company rating: 8.3 out of 10

Based on 186 frontline employees who took The Breakroom Quiz

125th of 617 rated colleges and universities

Job description

As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we will set the highest standards for how we treat each other to ensure our community is welcoming to all and is a place where all can thrive.

Job Location (Full Address):

Remote Work - New York, Albany, New York, United States of America, 12224

Opening:

Worker Subtype:

Regular

Time Type:

Full time

Scheduled Weekly Hours:

40

Department:

910402 United Business Office

Work Shift:

UR - Day (United States of America)

Range:

UR URCA 205 H

Compensation Range:

$20.30 - $27.41

The referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job's compensation range, and will be determined by considering factors including, but not limited to, market data, education, experience, qualifications, expertise of the individual, and internal equity considerations.

Responsibilities:

GENERAL PURPOSE
The Claims Resolution Representative III is responsible for working across the professional fee organization, handling follow-up activities designed to bring all open accounts receivable to successful closure. Responsible for effective claims follow-up on complex, multi-faceted accounts to obtain maximum revenue collection and closure. Responsibilities include, but are not limited to, independent research, claim correction and resubmission, handling payer specific appeal process taking timely and routine action to resolve unpaid claims. The Claims Resolution Representative III reports to Accounts Receivable Management.

ESSENTIAL FUNCTIONS

With general direction of the Manager/Supervisor/Lead:

  • 40% Follows department policies and procedures and maintains and exercises comprehensive knowledge of insurance company billing requirements and regulations to research and resolve unpaid accounts receivable, making any corrections in the professional billing system necessary to ensure balance resolution for all assigned URMFG physician services.
  • 25% Follows up on multi-faceted denials through review of remittances (EOBs), insurance correspondence, rejections received thru daily electronic and claims submission, etc. Research claims, identify problems, and takes appropriate action to assure claim resolution.
  • 20% Responds to all billing-related inquiries from colleagues, departments, patients, and payors in a timely and professional manner. Communicates any missing/incomplete information to providers and department administrative support staff to ensure accurate billing. Communicates with insurance representatives through telephone calls, payer website, and written communication to ensure accurate processing of claims. Collaborate with appropriate departments to generate a detailed rational for appeals and grievances to the insurance companies.
  • 10% Keeps management informed of changes in billing requirements and rejection or denial codes as they pertain to claim processing and coding. Escalates system issues preventing claims submission and follow-up for review and resolution.
  • 5% Collaborates with Claim Edit Specialists and Patient Medical Billing Specialists assigned to pre claim WQ's to identify opportunities for improvement in clean claims rate.

May perform other duties as assigned.


QUALIFICATIONS

Required:

  • Associate degree and 2 years of related relevant experience; or equivalent combination of education and/or experience
  • Excellent problem-solving skills
  • Excellent communication skills
  • Excellent customer service skills

Preferred:

  • Strong working knowledge of the professional billing software applications
  • Ability to type 25 wpm.

The University of Rochester is committed to fostering, cultivating, and preserving an inclusive and welcoming culture to advance the University's Mission to Learn, Discover, Heal, Create - and Make the World Ever Better. In support of our values and those of our society, the University is committed to not discriminating on the basis of age, color, disability, ethnicity, gender identity or expression, genetic information, marital status, military/veteran status, national origin, race, religion, creed, sex, sexual orientation, citizenship status,or any other characteristic protected by federal, state, or local law (Protected Characteristics). This commitment extends to non-discrimination in the administration of our policies, admissions, employment, access, and recruitment of candidates, for all persons consistent with our values and based on applicable law.

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