Claims Management Specialist

Apple Valley Waste•Baltimore, MD

4d•Remote

About The Position

The Claims Management Specialist manages the Company’s internal claims process in coordination with insurance carriers and third-party administrators. The role coordinates intake, investigation, documentation, reporting, and follow-up for commercial auto and fleet liability, general liability, third-party property damage, and workers’ compensation claims. It serves as a central communication point for internal teams and external partners, helping move claims toward timely and cost-effective resolution and identify opportunities to reduce future losses. The position is primarily administrative and remote based, with occasional visits to division yards, maintenance facilities, routes, or incident locations. Travel to Company locations or incident sites is anticipated up to approximately 15 percent. Occasional early-morning, evening, or weekend availability may be required for urgent claims matters. The role involves working around noise, dust, fumes, moving vehicles and equipment, uneven surfaces, and indoor or outdoor weather conditions, while following required personal protective equipment and safety rules.

Requirements

Associate degree or bachelor’s degree in risk management, insurance, occupational safety, business administration, or a related field preferred; equivalent relevant experience will be considered.
Two to five years of experience supporting or managing commercial auto, general liability, property damage, or workers’ compensation claims.
Working knowledge of commercial auto and general liability claims practices, workers’ compensation processes, and OSHA recordkeeping requirements.
Proficiency with Microsoft Office, particularly Outlook, Excel, and Word.
Strong investigative, analytical, and problem-solving skills, including the ability to evaluate facts, identify missing information, and recognize potential exposure.
Sound judgment and ability to distinguish matters that can be handled through established procedures from those requiring leadership or legal escalation.
Clear, professional written and verbal communication with employees, customers, operations leaders, adjusters, attorneys, medical providers, and other partners.
Strong organizational skills, attention to detail, and consistent follow-through while managing a high-volume caseload and claims that may remain open for extended periods.
Ability to analyze claims data, identify trends, and prepare clear status reports and summaries for leadership.
Ability to maintain confidential medical, legal, personnel, and business information and work independently in a fast-paced, team-oriented operation.
Valid driver’s license and ability to travel to Company locations or incident sites.
Ability to sit for extended periods and to stand, walk, bend, reach, climb steps, and occasionally lift or carry up to 25 pounds.
Ability to work around noise, dust, fumes, moving vehicles and equipment, uneven surfaces, and indoor or outdoor weather conditions, and to comply with required personal protective equipment and safety rules.

Nice To Haves

Two to five years of claims experience preferably in transportation, environmental services, construction, logistics, or another fleet-intensive or industrial environment.
Experience working with insurance carriers, third-party administrators, brokers, medical providers, or legal counsel.
Experience with claims management, risk management information, or telematics systems.

Responsibilities

Serve as the primary internal point of contact for reported vehicle accidents, workplace injuries, general liability incidents, and customer or third-party property damage claims.
Review incident information for completeness and submit claims to the applicable insurance carrier or third-party administrator within required timeframes.
Enter and maintain accurate claim details, coding, notes, documents, and status updates in claims management systems.
Respond to adjuster requests for supplemental information and coordinate with division leadership and internal partners to obtain missing documentation.
Maintain organized and complete claim files for claim reviews, audits, litigation, insurance renewals, and regulatory requirements.
Coordinate internal incident investigations and collect relevant evidence, including police reports, photographs, witness statements, driver and route information, DVIR records, and dashcam or telematics footage.
Partner with Customer Service, dispatch, and division operations to investigate customer-reported property damage and assess whether available records support the reported incident.
Prepare factual summaries and supporting documentation for adjusters, Company leadership, insurance carriers, or legal counsel.
Coordinate vehicle and equipment damage estimates, repair documentation, and subrogation information with Fleet Maintenance, vendors, and the third-party administrator.
For claims handled directly by the Company, coordinate estimates, repairs, payments, or written claim responses according to Company procedures and approval authority.
Manage intake and reporting of workplace injuries and coordinate communication among injured employees, division leadership, Human Resources, medical providers, and the workers’ compensation administrator.
Assist injured employees with claims-process questions and serve as the Company liaison when medical documentation, appointment information, or other required paperwork is delayed or incomplete.
Monitor treatment status, work restrictions, and claim developments; partner with Human Resources and operations on transitional-duty and return-to-work arrangements.
Escalate significant injuries, delayed treatment, disputed claims, litigation risks, and other material developments to the Director of Environmental Health and Safety and appropriate Company leaders.
Maintain OSHA 300 and 300A records and assist with annual posting, audits, and regulatory reporting, as assigned.
Track open claims from initial notice through closure and follow up with adjusters, employees, customers, division leaders, and other stakeholders.
Review claim status, reserves, exposure, and action plans with the Director of Environmental Health and Safety and the third-party administrator; escalate matters requiring reserve changes, investigation resources, settlement authority, or legal review.
Participate in claim reviews, recorded statements, settlement discussions, legal strategy meetings, audits, and other claim milestones as required.
Prepare and distribute routine reports on claim frequency, severity, cost, aging, status, and trends by division, location, and claim type.
Analyze claim activity to identify recurring loss drivers and partner with Safety and operational leaders on corrective actions to reduce claim frequency and severity.
Support insurance renewals and carrier reviews by compiling loss runs, claim narratives, exposure information, and supporting documentation.
Recommend improvements to claim reporting, investigation, documentation, escalation, and follow-up processes.
Perform other duties and special projects as assigned.