Claims Specialist Jobs in New York
Claims Specialist jobs in New York are concentrated in New York City, Buffalo, and Albany, where property, liability, and workers' compensation claims drive the bulk of openings. Employers with a consistent presence in New York including Travelers, Liberty Mutual, and New York State Insurance Fund regularly hire across entry-level to senior adjuster roles. The most in-demand specialties are auto liability, workers' comp, and commercial property claims. Scan the live roles below and apply to whichever ones fit.
Find Claims Specialist JobsOverview
Showing 5 of 23+ Claims Specialist jobs
By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve.
Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies
Certified as a Great Place to Work®
Fortune Best Workplaces in Financial Services & Insurance
Sr. Claims Specialist, Professional Liability | Medical Malpractice | Long Term CarePRIMARY PURPOSE OF THE ROLE: To analyze complex or technically difficult medical malpractice claims including long term care facilities; to provide resolution of highly complex nature and/or severe injury claims; to coordinate case management within Company standards, industry best practices and specific client service requirements; and to manage the total claim costs while providing high levels of customer service.
ARE YOU AN IDEAL CANDIDATE?
We are seeking experienced professionals to manage complex medical malpractice claims involving severe injury and high exposure. Ideal candidates demonstrate strong analytical and negotiation skills, exercise sound judgment, and are committed to delivering timely, cost‑effective claim resolutions while maintaining a high level of customer service.
ESSENTIAL RESPONSIBLITIES MAY INCLUDE:
Analyzes and processes complex or technically difficult medical malpractice claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution.
Conducts or assigns full investigation and provides report of investigation pertaining to new events, claims and legal actions.
Calculates and assigns timely and appropriate reserves to claims; monitors reserve adequacy throughout claim life.
Recommends settlement strategies; brings structured settlement proposals as necessary to maximize settlement.
Coordinates legal defense by assigning attorney, coordinating support for investigation, and reviewing attorney invoices; monitors counsel for compliance with client guidelines.
Uses appropriate cost containment techniques including strategic vendor partnerships to reduce overall claim cost for our clients.
Identifies and investigates for possible fraud, subrogation, contribution, recovery, and case management opportunities to reduce total claim cost.
Represents Company in depositions, mediations, and trial monitoring as needed.
Communicates claim activity and processing with the client; maintains professional client relationships.
Ensures claim files are properly documented and claims coding is correct.
Refers cases as appropriate to supervisor and management.
Performs other duties as assigned.
Supports the organization's quality program(s).
QUALIFICATIONS
Education & Licensing: 6 years of claims management experience or equivalent combination of education and experience required.
Bachelor's degree from an accredited college or university preferred. Licenses as required.
Professional certification as applicable to line of business preferred.
Work environment requirements include –
Physical: Computer keyboarding
Auditory/visual: Hearing, vision and talking
Mental: Clear and conceptual thinking ability; excellent judgement and discretion; ability to meet deadlines.
As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is $100,000. A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.
The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time.
Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.
If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.
By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve.
Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies
Certified as a Great Place to Work®
Fortune Best Workplaces in Financial Services & Insurance
Sr. Claims Specialist, Professional Liability | Medical Malpractice | Long Term CarePRIMARY PURPOSE OF THE ROLE: To analyze complex or technically difficult medical malpractice claims including long term care facilities; to provide resolution of highly complex nature and/or severe injury claims; to coordinate case management within Company standards, industry best practices and specific client service requirements; and to manage the total claim costs while providing high levels of customer service.
ARE YOU AN IDEAL CANDIDATE?
We are seeking experienced professionals to manage complex medical malpractice claims involving severe injury and high exposure. Ideal candidates demonstrate strong analytical and negotiation skills, exercise sound judgment, and are committed to delivering timely, cost‑effective claim resolutions while maintaining a high level of customer service.
ESSENTIAL RESPONSIBLITIES MAY INCLUDE:
Analyzes and processes complex or technically difficult medical malpractice claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution.
Conducts or assigns full investigation and provides report of investigation pertaining to new events, claims and legal actions.
Calculates and assigns timely and appropriate reserves to claims; monitors reserve adequacy throughout claim life.
Recommends settlement strategies; brings structured settlement proposals as necessary to maximize settlement.
Coordinates legal defense by assigning attorney, coordinating support for investigation, and reviewing attorney invoices; monitors counsel for compliance with client guidelines.
Uses appropriate cost containment techniques including strategic vendor partnerships to reduce overall claim cost for our clients.
Identifies and investigates for possible fraud, subrogation, contribution, recovery, and case management opportunities to reduce total claim cost.
Represents Company in depositions, mediations, and trial monitoring as needed.
Communicates claim activity and processing with the client; maintains professional client relationships.
Ensures claim files are properly documented and claims coding is correct.
Refers cases as appropriate to supervisor and management.
Performs other duties as assigned.
Supports the organization's quality program(s).
QUALIFICATIONS
Education & Licensing: 6 years of claims management experience or equivalent combination of education and experience required.
Bachelor's degree from an accredited college or university preferred. Licenses as required.
Professional certification as applicable to line of business preferred.
Work environment requirements include –
Physical: Computer keyboarding
Auditory/visual: Hearing, vision and talking
Mental: Clear and conceptual thinking ability; excellent judgement and discretion; ability to meet deadlines.
As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is $100,000. A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.
The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time.
Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.
If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.
See All 23 Claims Specialist Jobs in New York
Find roles in New York that match your experience and apply in just a few clicks.
Find Claims Specialist JobsClaims Specialist Jobs by City in New York
Where New York roles are concentrated, by current openings.
Claims Specialist Job Market in New York
A snapshot from current New York openings, updated as new roles post.
Who's Hiring
Top Industries Hiring
- Healthcare & Medical Services
What New York Employers Look For
The qualifications that appear most often in claims specialist jobs across New York.
- Active New York property and casualty adjuster license or eligibility to obtain one
- Bachelor's degree in business, finance, or a related field preferred by most employers
- Two or more years of claims adjusting or investigation experience in a relevant line
- Proficiency with claims management systems such as Guidewire or similar platforms
- Strong written and verbal communication skills for coverage determinations and correspondence
- Ability to interpret policy language and apply coverage accurately across claim types
Claims Specialist Jobs in New York: Frequently Asked Questions
How do you become a claims specialist in New York?
To work as a claims specialist handling property or casualty lines in New York, you need a New York State independent or company adjuster license issued by the New York Department of Financial Services. Candidates typically complete a pre-licensing course, pass the DFS adjuster exam, and submit an application through the DFS licensing portal. A bachelor's degree in business or a related field strengthens your application, though some employers hire candidates who are still pursuing licensure.
Which companies hire claims specialists in New York?
Employers hiring claims specialists in New York right now include CorVel Corporation, CFC, and Progressive, based on current listings on Migrate Mate as of September 2026. New York's concentration of major insurance carriers, self-insured corporations, and third-party administrators means hiring is consistent across both the New York City metro and upstate regional offices.
Which New York cities have the most claims specialist jobs?
The cities with the most claims specialist openings in New York are Syracuse, New York, and Melville. New York City dominates because it is home to the headquarters or large regional offices of most major carriers and TPAs, while Buffalo and Albany reflect the concentration of state government accounts, workers' compensation boards, and regional insurance operations that generate steady claims volume outside the metro.
Are there remote claims specialist jobs in New York?
Yes, and claims specialist work is more remote-friendly than most insurance roles because it centers on documentation review, coverage analysis, and written communication rather than physical inspections. About 100% of claims specialist openings tied to New York are remote or hybrid as of September 2026, with the strongest remote availability in liability, auto, and workers' compensation lines where file-based handling does not require on-site visits.
How can I get hired as a claims specialist in New York with little or no experience?
The most realistic entry path is an associate claims representative or claims trainee role, which large New York employers such as Travelers and the New York State Insurance Fund offer specifically for candidates without prior adjusting experience. Completing the New York DFS adjuster pre-licensing course before you apply gives you a clear edge. Adjacent roles in customer service, paralegal work, or insurance underwriting are also common lateral moves that hiring managers in New York recognize as relevant preparation.
Where can I find and apply to claims specialist jobs in New York?
You can find and apply to claims specialist jobs in New York on Migrate Mate, which lists current New York openings updated regularly. Search the roles, find the ones that match your experience and preferred location, and apply directly to each listing that fits your background.
See All 23 Claims Specialist Jobs in New York
Find roles in New York that match your experience and apply in just a few clicks.
Find Claims Specialist Jobs