Sr. Corporate Claims Specialist at Golden State Foods
Irvine, CA 92612, USA -
Full Time


Start Date

Immediate

Expiry Date

17 Oct, 25

Salary

125000.0

Posted On

18 Jul, 25

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

No

Skills

Tpa, Leadership, Workers Compensation, Procedure Manuals, Instructions, Writing, Excel, Communication Skills, Asset Protection, Presentations, Confidentiality, Critical Thinking

Industry

Insurance

Description
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
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