Claims Manager

Areas USA, Inc•Miami, FL

20h•Onsite

About The Position

The Claims Manager will be responsible for strategic claims administration, vendor performance management, cost containment initiatives, and ensuring timely, compliant, and effective claim resolution across a national hospitality footprint. This role serves as the primary liaison between internal operations leadership, TPAs, brokers, insurers, and legal partners. The Corporate claims Manager will provide essential support for all workers compensation claims and General liability claims. They will assist in gathering critical information on claims and work with the TPA, Human Resources, Operations and outside counsel to prepare claims documents that best protect the company from liability.

Requirements

Bachelor’s degree or 3-5 years of experience as an adjuster or the handling of claims or an equivalent combination of education and work experience
Strong interpersonal, communication and problem-solving skills
Self-starter with excellent task management, problem solving skills, and attention to detail
Ability to manage and make progress on multiple projects under specific time requirements
Experience with MS Office suite “Outlook, Word, Excel, PowerPoint”
Ability to travel within assigned AOR which may include overnight travel.
Experience with self-insured or high-deductible insurance programs.
Knowledge of OSHA, incident management, and safety integration programs.

Nice To Haves

Professional designations such as ARM, CPCU, AIC, or SCLA preferred.
Understanding food and beverage / retail operations a plus
Knowledge of Micros POS and “XBR” exception-based reporting tools preferred

Responsibilities

Oversee administration of all Workers’ Compensation, General Liability, and Automobile Liability claims nationwide.
Manage and direct performance of assigned Third-Party Administrators (TPAs) to ensure adherence to service standards, KPIs, and contractual obligations.
Monitor claim handling practices to ensure timely investigation, reserving accuracy, and appropriate claim resolution strategies.
Drive proactive claims management focuses on loss reduction and cost containment.
Conduct regular claim reviews with TPAs, carriers, defense counsel, and medical management vendors.
Evaluate TPA performance metrics including closure rates, litigation management, reserve accuracy, and claim duration.
Partner with brokers and insurers to improve claims outcomes and program effectiveness.
Oversee litigated claims in coordination with outside defense counsel.
Review settlement authority recommendations and provide strategic direction.
Identify trends and emerging risks impacting hospitality operations and recommend mitigation strategies.
Partner with Operations, HR, Safety, and Compliance teams to support incident response and claim prevention initiatives.
Provide guidance to field leadership regarding incident reporting, documentation, and claim escalation procedures.
Support return-to-work and injury management programs.
Analyze claim data and loss trends to develop actionable risk management strategies.
Prepare executive-level reporting on claim performance, financial exposure, and reserve development.
Assist with actuarial reviews, renewals, and insurance program evaluations.
Ensure compliance with federal, state, and local regulatory requirements.
Maintain best practices aligned with hospitality and transportation risk exposures
Other duties as assigned by supervisor.