Workers Comp Claim Specialist

MEMIC • New York, NY

8d • $65,000 - $110,000

About The Position

At MEMIC, our mission is to make workers’ compensation insurance better—through compassionate service, trusted partnerships, and an unwavering focus on workplace safety. Our core values—Be Conscientious, Be an Expert, Be a Partner, Be Curious, and Be Transparent—guide everything we do. For over 30 years, MEMIC has helped businesses protect employees, reduce workplace injuries, and deliver exceptional claims services.
Job Overview: Claim Specialist – New York Jurisdiction
Are you an experienced insurance professional ready to take on a specialized role? MEMIC is seeking a Lost Time Claim Specialist with several years of experience handling workers’ compensation claims in New York.
In this role, you will manage complex lost time claims, ensure compliance with state-specific regulations, and deliver exceptional service to injured workers, policyholders, and agents. Your expertise will help maintain MEMIC’s reputation for excellence in claims management.

Requirements

• 5+ years of Lost Time Claim handling experience, preferably in the New York jurisdiction.
• Strong knowledge of workers’ compensation claims and jurisdictional compliance.
• Excellent verbal and written communication skills.
• Must be adaptable and have the ability to manage time and priorities effectively.
• Strong attention to detail and organizational skills.
• Strong team player with excellent customer service skills.

Responsibilities

• Claims Management: Investigate, evaluate, and resolve lost time claims in the NY Jurisdiction.
• Jurisdictional Compliance: Apply state-specific regulations and best practices for workers’ compensation claims.
• Communication: Serve as a point of contact for insureds, injured workers, agents, brokers, attorneys, and other stakeholders.
• Benefit Delivery: Administer medical and indemnity benefits in compliance with state statutes and MEMIC standards.
• Managed Care Coordination: Implement strategies, coordinate rehabilitation plans, and monitor case progress.
• Legal & Regulatory Compliance: Interact with boards and commissions to ensure proper reserves and compliance.
• Ongoing Learning: Stay updated on workers’ compensation laws and trends.

Benefits

• Health & Wellness: Medical, dental, vision insurance, plus fitness reimbursement.
• Financial Security: 401(k) with up to 5% match, profit sharing, and life insurance.
• Paid Time Off: Five weeks PTO and 11 paid holidays.
• Education & Growth: Tuition reimbursement and professional development opportunities.
• Work-Life Balance: Flexible schedules and paid volunteer days.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed
• Number of Employees: 101-250 employees