Job Schedule Store Support Center Job ID 66635 Post Date 06/19/2025 Apply

Casualty Claims Specialist

This role is responsible for managing casualty claim intake, investigation, and assists with developing action plans through claim closure by partnering with internal and external resources. This position is responsible for contributing to casualty claim mitigation strategy and coordinating with various cost containment partners to achieve optimal results.

The Details

What You Need:

Proficient in Microsoft Office with a focus on Excel
Ability to utilize online claim management systems
Effective organizational skills and attention to detail
Analytical skills with strong ability to identify opportunities and develop solutions
Strong ability to collaborate across an organization
Excellent communication skills
Outstanding customer service skills

What You’ll Do:

Assist in bringing optimal resolution to casualty claims including
Oversee claim intake to ensure all necessary information is received by the proper parties
Assist in the investigation and causation of such claims and report out to various internal business partners to address concerns and identify potential safety training opportunities
Coordinate with adjusters to assist them in securing evidence or data needed to adjust such claims
Review adjuster notes and strategic action plans to provide established settlement authority and reserve concurrence to Third-Party Claims Administrator (TPA)
Responsible for the success, execution, and maintenance of the Workers’ Compensation Return-to-Work Program
Oversee administration of the Texas Non-Subscriber program in lieu of Workers Compensation
Identify subrogation opportunities based on location/causation of injury, when applicable
Monitor performance of cost containment partners program and identify program opportunities and solutions to continuously drive optimal outcomes Request personnel files and additional wage information needed during discovery for litigated matters or for TPA adjusters
Act as primary liaison to injured team members to assist answering questions on the workers’ compensation process
Update Operations, Human Resources, or others on the status of workers’ comp claims
Assist TPA Return-to-Work Coordinator in securing information needed for a safe and timely return-to-work
Request workers’ comp physician panels from TPA, as needed, and ensure panels are distributed for display in required facilities
Participate in and contribute to claim reviews with TPA and broker
Assist in enhancing claim reporting to track various metrics across the claim program
Help to manage relationships with outside counsel for workers’ compensation litigation and recommend changes to firms, as needed
Occasionally assists in addressing questions from field operations, accounting, and other departments related to chargeback allocations for liability claims This position may require other duties be assigned or project work

Additional Requirements:

High School Diploma, college degree preferred
5+ years of workers’ compensation or degree in risk management
ARM, AIC or similar designation preferred

*This is a non-exempt role, paid an hourly wage. This is the lowest to highest salary we in good faith believe we would pay for this role at the time of this posting. We may ultimately pay more or less than the posted range, and the range may be modified in the future. An employee’s pay position within the salary range will be based on several factors including, but limited to, relevant education, qualifications, certifications, experience, skills, seniority, geographic location, performance, shift, travel requirements, sales or revenue-based metrics, any collective bargaining agreements, and business or organizational needs. Note: No amount of pay is considered to be wages or compensation until such amount is earned, vested, and determinable. The amount and availability of any bonus, commission, or any other form of compensation that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law.