Claims Specialist

Claims Specialist Workers Compensation & Commercial Auto

Brooklyn NY
$75000$85000 DOE

Company & Position Overview

Growing commercial insurance brokerage seeking a Claims Specialist to oversee and manage Workers Compensation claims while serving as a strategic partner to clients and internal teams.

This role will primarily focus on New York Workers Compensation claims from intake through resolution with additional exposure to Commercial Auto and select Property claims. The ideal candidate is highly organized proactive detail-oriented and comfortable managing complex claims while maintaining strong communication with carriers attorneys and insured clients.

This is an excellent opportunity for someone looking to move from the carrier/TPA side into a more client-facing strategic role within a growing brokerage environment.

Key Responsibilities

• Oversee Workers Compensation claims from intake through resolution
• Act as liaison between insureds carriers brokers and defense counsel
• Review claims for compensability reserves strategy and settlement opportunities
• Track diaries deadlines hearings and Board requirements
• Ensure compliance with New York Workers Compensation regulations and timelines
• Follow up aggressively on open action items and Notices of Decision (NODs)
• Coordinate light duty and return-to-work efforts
• Prepare and manage claim-related documentation and forms
• Conduct claim reviews with clients and internal stakeholders
• Assist with Commercial Auto and Property-related claims as needed

Qualifications

• Active New York State Adjuster License
• 2 years of New York Workers Compensation claims experience
• Strong understanding of NY Workers Compensation law and procedures
• Experience handling litigated claims and settlements
• Familiarity with Section 32 settlements and Medicare Set-Asides preferred
• Strong organizational communication and follow-up skills
• Comfortable working in a fast-paced high-accountability environment

Preferred Background

• Workers Compensation Adjuster
• Claims Examiner
• TPA Claims Professional
• Commercial Insurance Claims Specialist
• Workers Compensation Litigation Claims Handling Experience

This role is ideal for a strong Workers Compensation claims professional looking to join a growing brokerage where they can take ownership work closely with clients and have visibility within the organization.

Email resume to:

Required Experience:

IC