ESSENTIAL DUTIES AND RESPONISBILITIES
- Claims Program Leadership: Directs claims programs to ensure proper, efficient handling and accurate recordkeeping, contributing to loss forecasting and overall risk management.
- Claims Analysis and Reporting: Provides reporting of claims outcomes and insights to the Workplace Safety Manager, Asset Protection leadership, and other key stakeholders.
- Broker and Captive Collaboration: Maintains collaborative relationships with Broker agencies, and the Captive group to ensure seamless claims management.
- Claims Administration Oversight: Works with third-party claims administrators to review and authorize reserve adjustments as needed.
- Cross-Team Coordination: Coordinates with store and support teams to ensure claims information is complete, accurate, and effectively managed.
- Return-to-Work (RTW) Facilitation: Facilitates return-to-work processes for injured associates through modified duty programs.
- Claims Communication Management: Serves as the primary administrator for communication related to claims, interfacing with employees, management, physicians, attorneys, insurance adjustors, and other relevant parties.
- Safety Awareness and Notification: Notifies leadership of safety concerns and ensures proactive measures are taken.
- OSHA Compliance Management: Oversees all OSHA communication and reporting including OSHA 300 and 300A logs for compliance and reporting purposes.
- Nurse Triage Program Administration: Trains staff and implements documentation for Nurse Triage reporting procedures; develops and compiles Nurse Triage metrics for reporting.
- Quarterly Claims Review Support: Supports quarterly claims reviews by gathering and analyzing relevant information.
- Confidential File Maintenance: Maintains confidential files and ensures sensitive information is handled appropriately.
- Employee and HR Inquiry Response: Responds to and supports a large variety of inquiries from associates and HR regarding claims.
- Insurance Renewal Participation: Participates actively in annual insurance renewal processes.
- Honor Commitments: Regular, timely attendance in compliance with the work schedule, and adequate notice to find a replacement for occasional absences.
- Support the Team: Other duties as assigned.
ORGANIZATIONAL RELATIONSHIPS/CONTACTS
Organization Relationships:
- Reports directly to the Workplace Safety Manager
- Collaborates and partners with Store and Support Operations, Asset Protection and Human Resources to effectively manage the claims process
External Relationships:
- Partners with insurance brokers, claims advocates, and insurance representatives across all coverage lines to ensure proper claims handling and process oversight.
QUALIFICATIONS
To perform this job successfully, an individual must be able to perform each essential job duty satisfactorily. The requirements listed below are representative of the knowledge, skills, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
- 2+ years of professional experience in claims management, safety, or related field
- Bachelor’s degree preferred; equivalent experience in a related field also considered
- OSHA 30 certification required within the first 6 months of employment (or willingness to obtain)
- Strong knowledge of claims management processes, OSHA regulations, and health and safety programs
- Commitment to ongoing training and professional development
- Skilled in navigating sensitive and confidential situations with professionalism and discretion.
- Strong interpersonal skills to manage relationships with leaders and associates effectively.
- Detail-oriented with the ability to prioritize, meet deadlines, and produce accurate documentation.
- Effective written and verbal communication skills across all organizational levels.
- Proficiency with office equipment and software (Microsoft Word, PowerPoint, Excel), with strong Excel skills preferred.
- Demonstrated problem-solving and decision-making capabilities.
PHYSICAL DEMANDS AND WORK ENVIRONMENT
The physical demands and work environment described below are representative of those that must be met by an employee to successfully perform the essential functions of the job. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.
- This position is based on-site at the Festival Foods – Green Bay Support Office.
- Primary duties involve sitting or standing at a computer at least 80% of the time.
- Ability to communicate well with others (written and verbal).
WORK SCHEDULE
The Senior Claims Specialist is a full-time position. This role participates in a rotating on-call schedule to provide after-hours support for urgent claims, incidents, or time-sensitive reporting needs.
