5-7 years of experience in insurance claims administration, particularly in workers compensation and auto claims processes.
Bachelor's degree in a related field from an accredited institution.
Demonstrated knowledge of risk identification, loss control, and employee safety principles.
Experience managing Third Party Administrators (TPAs) and partially self-insured programs.
Proficiency in MS Office Suite, especially Excel, and experience with RMIS/claims databases.
Strong analytical, critical thinking, and problem-solving skills.
Excellent communication skills, both written and oral, with the ability to present effectively.
Responsibilities
Oversee new and existing claim filings across various divisions including workers compensation and general liability.
Support Assistant General Counsel on complex and litigated claims.
Review potential causes of accidents and recommend preventive measures to enhance safety culture.
Develop and enhance claims handling procedures to streamline processing and mitigate losses.
Manage quarterly claim reviews with Third Party Administrators, ensuring follow-up on action items.
Foster strong relationships with internal teams and external service providers like brokers and insurers.
Establish loss prevention standards and evaluate strategies to address losses and exposures.
Benefits
Comprehensive health insurance coverage.
Retirement savings plan with company match.
Professional development opportunities and training programs.
Flexible work arrangements and work-life balance initiatives.
Employee wellness programs and resources.
Full Job Description
Description
The (Sr.) Corporate Claims Specialist analyzes, coordinates, and manages all aspects of GSF's insurance claims (workers compensation, auto, and general liability) process to efficiently mitigate the total cost of risk and exposure to the company. This position proactively coordinates with both internal and external resources to facilitate the handling from initial filing to eventual closure. The (Sr.) Corporate Claims champions internal GSF initiatives to better educate leadership on industry trends and best practices.
Responsibilities:
Oversees new and existing claim filings across all divisions in workers compensation, auto liability, physical damage, general liability.
Support Assistant General Counsel on complex and litigated claims
Reviews potential causes of accidents, injuries, and/or loss; recommends preventive measures and plans to support GSF's safety culture and to prevent accidents and injuries
Develops and oversees claims handling procedures and program enhancements to streamline claims processing and mitigate loss
Manage quarterly claim review with Third Party Administrators (TPA) through selection of claims to be covered, review of claims, and action item follow up post review.
Fosters good business relationships internally and with third party service providers including brokers, insurers, and TPA
Establishes loss prevention standards and evaluates alternative approaches to address losses and exposures; develops, implements, and monitors the adjustment of liability, subrogation, and property loss issues, and develops presentations to communicate risk management policies across all levels of leadership
Prepares and is responsible for key performance indicators, loss analyses, identifying exposures, recommending solutions, implementing approved programs, and promoting loss prevention
Documents, updates, and communicates procedures and processes
Collaborates with corporate and division safety department personnel, legal and other departments on cross-functional initiatives, programs, insurance policies, and incidents/accidents related to loss prevention and risk mitigation
Collects and analyzes data; prepares statistical reports and trending data
Ensures the accuracy and confidentiality of data, records, and files
Other duties as assigned
Qualifications:
Demonstrated application of knowledge, principles, and practices of claims administration, including risk identification/reduction, loss control, asset protection, and employee safety
Successful and progressive history of insurance claims administration including the management of TPA's
Demonstrated knowledge and experience with partially self-insured programs
Demonstrated application of statistical methods and analyses
Proficiency in MS Office Suite, particularly in Excel with RMIS/claims database experience
Demonstrated history of leadership, including mentoring staff and/or co-workers, prior supervisory experience
Strong critical thinking, analytical, and problem-solving skills
Track record of maintaining confidentiality and the highest level of integrity in all aspects of the job for self and staff
Ability to manage multiple priorities and deadlines
Demonstrated ability to collaborate successfully across functional lines and at all levels
Demonstrated excellent communication skills both orally and in writing and the ability to make presentations
Demonstrated ability to read and interpret documents such as procedure manuals and instructions in written, oral, or schedule form
EDUCATION AND OTHER REQUIREMENTS:
Bachelor's degree (B.A.) in a related field from a four-year college or university.
5-7+ years of progressive experience as an Insurance Claims Adjustor, TPA Team Lead, or Corporate Risk Manager with a high acuity for workers compensation and/or auto claims processes.
Associate of Risk Management (ARM) desirable
An acceptable background check to include a local and state criminal history check and a valid driver's license with an acceptable driving record.
About Golden State Foods
Golden State Foods is a food and beverage company that specializes in the manufacture and distribution of food products to restaurants and other food service providers. The company was founded in 1947 and is headquartered in Irvine, California. Golden State Foods offers a range of food products, including beef, poultry, and seafood, as well as bakery and dairy products. The company operates in more than 60 countries around the world and has more than 50 facilities. Golden State Foods is committed to sustainability and has implemented a number of initiatives to reduce its environmental impact.
