Claims Specialist

Aston CarterNew York, NY
5d$25 - $35Onsite

About The Position

Under the guidance of a manager, this role involves handling a range of specialized and analytical tasks related to auto and workers’ compensation claims. Responsibilities include monitoring, coordinating, and processing claims, maintaining detailed case documentation, and interviewing injured employees. The Claims Specialist will serve as a key resource on workers’ comp matters, work across various claims systems, and ensure timely updates to support business goals. Strong multitasking abilities, attention to detail, and organizational skills are essential.

Requirements

  • Claims processing
  • Claims analysis & examination
  • Workers compensation claims
  • Auto claims
  • Microsoft Office

Nice To Haves

  • Bilingual Spanish highly preferred

Responsibilities

  • Manage workers’ compensation and auto claims, including bodily injury, physical damage, property damage, and liability.
  • Act as a subject matter expert on workers’ comp and auto claims, providing guidance on relevant laws, regulations, policies, and procedures.
  • Respond to inquiries from employees, TPAs, medical providers, and other stakeholders.
  • Track and record appropriate leave usage related to workers’ comp benefits; coordinate with payroll and relevant departments for necessary adjustments.
  • Review claims and collaborate with claim consultants to ensure reserve accuracy within established authority.
  • Maintain detailed records, case files, correspondence, and OSHA documentation related to claims activities.
  • Verify job-related incidents with claimants and supervisors; issue required notices as appropriate.
  • Support escalated client issues and complex requests as needed.
  • Prepare account status reports and maintain strong communication with carriers and clients.
  • Participate in meetings, workshops, and conferences to stay current on industry practices.

Benefits

  • Medical, dental & vision
  • Critical Illness, Accident, and Hospital
  • 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available
  • Life Insurance (Voluntary Life & AD&D for the employee and dependents)
  • Short and long-term disability
  • Health Spending Account (HSA)
  • Transportation benefits
  • Employee Assistance Program
  • Time Off/Leave (PTO, Vacation or Sick Leave)

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What This Job Offers

Career Level

Mid Level

Education Level

No Education Listed

Number of Employees

1,001-5,000 employees

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