Claims Specialist

Mai Placement•Brooklyn, NY

2d•Onsite

About The Position

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.

Requirements

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
Strong organizational, communication, and follow-up skills
Comfortable working in a fast-paced, high-accountability environment

Nice To Haves

Familiarity with Section 32 settlements and Medicare Set-Asides
Workers’ Compensation Adjuster
Claims Examiner
TPA Claims Professional
Commercial Insurance Claims Specialist
Workers’ Compensation Litigation Claims Handling Experience

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