Own complex New York State workers’ comp claims in the construction space, from investigation through resolution. This role is for an adjuster who can work independently, document cleanly, manage vendors and litigation risk, and keep claims moving while staying compliant with NY requirements.
About Amynta Group
Amynta Group is an underwriting-focused insurance services company with more than $3.5B in managed premium and 2,000 associates across North America, Europe, and Australia. They serve carriers, agencies, auto dealers, OEMs, and retailers through MGA, Warranty, and Specialty Risk Services segments.
Schedule
Full-time, remote (New York).
Travel less than 15% as needed.
Role sits within Oryx Insurance Brokerage, Inc. claims team.
What You’ll Do
⦁ Independently investigate complex construction-related NYS workers’ comp claims with minimal supervision
⦁ Determine coverage, compensability, subrogation potential, and applicable offsets
⦁ Identify red flags and escalate potentially suspect claims to leadership and carrier SIU
⦁ Ensure timely denial or payment of benefits based on jurisdictional requirements
⦁ Set, document, and adjust reserves throughout the claim lifecycle as exposure changes
⦁ Negotiate settlements with carrier approval and drive claims to appropriate resolution
⦁ Build and execute action plans covering medical/disability management, litigation, negotiation, and disposition
⦁ Collaborate with medical professionals to support return-to-work strategies
⦁ Select and manage vendors to balance allocated expense with claim outcomes
⦁ Maintain working knowledge of NYS requirements and applicable case law
⦁ Deliver strong customer service through day-to-day communication, claims reviews, and renewal meetings
⦁ Authorize medical treatment based on NYS WC law protocols
⦁ Support underwriting on new and renewal business as needed
What You Need
⦁ Claims Adjuster License (required)
⦁ Bachelor’s degree or 4+ years of equivalent work experience
⦁ 3+ years handling NYS lost time workers’ comp construction claims
⦁ Strong familiarity with medical terminology
⦁ Strong knowledge of OSHA construction standards and NYS Labor Law §240
⦁ Excellent organization skills and ability to manage multiple priorities
⦁ Strong judgment, data analysis skills, and decision-making ability
⦁ Strong written and verbal communication skills
⦁ Comfort working independently and collaboratively with a team
⦁ Computer literacy with MS Office (Word, Excel, PowerPoint); Claim Center is a plus
⦁ AIC designation or similar is preferred (not required)
Benefits
⦁ 18 days of paid time off per year
⦁ 11 paid holidays
⦁ Health, dental, and vision insurance
⦁ Short-term and long-term disability insurance
⦁ Basic term life and AD&D insurance
⦁ 401(k) with employer match
⦁ Voluntary life insurance options
Backbone check: this is not a “generalist adjuster” job. NYS construction WC plus §240 and OSHA knowledge means they want someone who already speaks that world. If you don’t have NY construction lost time experience, you’ll get screened out fast no matter how good you are.
If you’ve got the license and the NY construction background, you should apply with a resume that screams: reserves discipline, litigation handling, RTW wins, and clean compliance documentation.
Happy Hunting,
~Two Chicks…