Senior NY Lost-Time Workers' Comp Claims Specialist

MEMIC; City of Albany (NY); On-site; USD 90,000 - 110,000; Full time

Job summary

MEMIC in New York seeks a Lost Time Claim Specialist with several years of workers’ compensation experience. You will manage complex lost time claims, ensuring compliance with New York regulations and delivering exceptional service to injured workers, policyholders, and agents.

You will investigate, evaluate, and resolve claims, administer benefits, coordinate care, and maintain high-quality files while staying current on state laws and trends.

Qualifications

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

Responsibilities

• Investigate, evaluate, and resolve medical-only and lost time claims.
• Serve as a point of contact for insureds, injured workers, agents, brokers, attorneys and stakeholders to gather information and provide updates.
• Administer medical and indemnity benefits in compliance with state workers’ compensation statutes and MEMIC’s practices.
• Maintain organized, high-quality claim files per company policies.
• Implement Managed Care strategies, coordinate rehabilitation plans, process medical bills, and monitor progress.
• Interact with state and federal boards and commissions to ensure reserves and regulatory compliance.
• Stay updated on state laws and workers’ compensation trends through MEMIC training and external certifications.

Skills

Lost Time Claims

Communication

Time Management

Attention to Detail

Team Player

Customer Service

Job description

MEMIC in New York seeks a Lost Time Claim Specialist with several years of workers’ compensation experience. You will manage complex lost time claims, ensuring compliance with New York regulations and delivering exceptional service to injured workers, policyholders, and agents.

You will investigate, evaluate, and resolve claims, administer benefits, coordinate care, and maintain high-quality files while staying current on state laws and trends.