Claims Specialist, Correction Claims

City of New York; New York (NY); On-site; USD 65,000 - 90,000; Full time

Job summary

The City of New York Comptroller’s Office, Bureau of Law & Adjustment, is seeking a Claim Specialist Level II to conduct thorough investigations of City claims, review records, assess liability and damages, and prepare objective evaluations for settlements or litigation. The role requires disciplined analysis, precise documentation, and effective communication with agencies and claimants.

You will maintain claim files, prepare abstracts, and use multiple data sources to support risk assessment.

Qualifications

• Must have a degree or equivalent combination of education and experience as described in the qualifications.
• Experience in investigating and/or settling claims for personal injury or property damage or loss is considered.
• Ability to analyze liability, damages, and prepare concise evaluations.

Responsibilities

• Conduct a full investigation of claims against the City, reviewing agency reports and medical records, analyzing liability, and evaluating damages.
• Maintain claim files, prepare abstracts, document events, and upload documents.
• Use databases and other sources to gather information relevant to investigations.
• Offer sound recommendations on settlements, disallowance, or litigation.
• Negotiate settlements within delegated authority where appropriate.
• Identify fraudulent claims and provide risk management input.
• Maintain backlog control and timely follow-up to bring claims to resolution.
• Communicate professionally with colleagues, agencies, claimants, and attorneys.
• Perform other related assignments and special projects.

Education

Bachelor's degree from an accredited college or university

Associate degree or 60 semester credits from an accredited college or university and two years of full-time satisfactory experience investigating and/or settling claims

Four-year high school diploma or its educational equivalent and four years of full-time satisfactory experience investigating and/or settling claims

Satisfactory combination of education and/or experience equivalent to 1–3

Job description

All applicants must be current City of New York employees serving in a permanent (not provisional) Civil Service title of Claim Specialist. To be considered for this position, PLEASE CLEARLY INDICATE YOUR CURRENT PERMANENT CIVIL SERVICE TITLE on your resume and cover letter.

The New York City Comptroller’s Office works to promote the financial health, integrity, and effectiveness of New York City government, in order to strengthen trust, secure a thriving future for all New Yorkers, and build a more just, equitable, and resilient city. Led by an independently elected citywide official, the comptroller’s office provides checks and balances needed to hold City government accountable for budgeting wisely, investing responsibly, operating efficiently, acting fairly, living up to its obligations and promises, and paying attention to the long-term challenges we face together.

Authorized by the New York City Charter, the Comptroller, through the Bureau of Law & Adjustment (BLA), negotiates and approves all monetary settlement of claims and lawsuits involving the City of New York. BLA investigates and, when in the best interest of the city, settles pre-litigation claims for and against the City of New York. In resolving claims before litigation is commenced, BLA protects the fiscal interest of the City while ensuring that pre-litigation claims are resolved in a fair and just manner, and in accordance with applicable laws. BLA furthers this goal in its review, evaluation, and authorization of requests to settle litigated cases involving the City and through diligent administration of disputes arising out of City contracts. BLA manages City risk by holding agencies accountable, rooting out fraud, and identifying trends, as well as, coordinating with the Law Department and other City agencies on issues that impact the public fiscal and public safety.

The Bureau of Law & Adjustment (BLA) is responsible for investigating and adjusting claims filed against the City of New York. The Correction Division investigates and resolves pre-litigation claims involving the Department of Correction. The Correction Division is within BLA’s Litigation Unit and works closely with the Office of the Corporation Counsel and the Department of Correction to resolve claims pre-litigation.

The Claim Specialist Level II works under the general supervision of the Division Chief, Correction Claims, with latitude for the exercise of independent analysis, judgment and initiative.

Responsibilities include, but are not limited to, the following:

• Complete a full investigation of claims against the City, which includes obtaining and reviewing agency reports and medical records, analyzing liability and assessing damages, and preparing an objective, concise, and accurate evaluation of the claim;
• Maintain accurate and complete claim files, prepare claim abstracts detailing the relevant information about the investigation and evaluation of liability and damages, document any events or conversations in claim notes, and upload documents upon receipt;
• Use available databases, media outlets, and other available sources to gather information relevant to the investigation of the claim;
• Offer sound, well-reasoned recommendations about whether a claim should be settled, disallowed, or litigated;
• When appropriate, negotiate and settle claims within delegated monetary authority level;
• Investigate, identify, and report fraudulent claims, utilize statistical data to identify claims that pose potential risks, and provide risk management recommendations to the Division Chief;
• Maintain control over claim backlog, timely follow-up on requests made to agencies, and close out claims that are beyond the statutory time frame to bring a lawsuit;
• Communicate effectively and professionally with other Comptroller staff, City agency employees, pro se claimants, and attorneys when investigating a claim or negotiating a settlement; and,
• Perform other related assignments and special projects as required.

CLAIM SPECIALIST - 30726

Qualifications

1. A baccalaureate degree from an accredited college or university; or
2. An associate degree or 60 semester credits from an accredited college or university and two years of full-time satisfactory experience investigating and/or settling claims for personal injury or property damage or loss; or
3. A four-year high school diploma or its educational equivalent approved by a State's Department of Education or a recognized accrediting organization and four years of full-time satisfactory experience investigating and/or settling claims for personal injury or property damage or loss; or
4. A satisfactory combination of education and/or experience that is equivalent to “1”, “2” or “3” above.

College education may be substituted for experience as described in “2” or “3” above on the basis that 30 semester credits from an accredited college or university may be substituted for each year of required experience. However, all candidates must have a four-year high school diploma or its educational equivalent.

Additional Information

The City of New York is an inclusive equal opportunity employer committed to recruiting and retaining a diverse workforce and providing a work environment that is free from discrimination and harassment based upon any legally protected status or protected characteristic, including but not limited to an individual's sex, race, color, ethnicity, national origin, age, religion, disability, sexual orientation, veteran status, gender identity, or pregnancy.