Claims Manager

Areas USA, Inc•Miami, FL

About The Position

The Corporate Claims Manager is responsible for strategic claims administration, vendor performance management, cost-containment initiatives, and timely, compliant, and effective claim resolution across a national hospitality footprint. The role serves as the primary liaison between internal operations leadership, third-party administrators (TPAs), brokers, insurers, and legal partners. The manager supports workers’ compensation and general liability claims by gathering critical information and working with TPAs, Human Resources, Operations, and outside counsel to prepare documentation that protects the company from liability. The position also oversees workers’ compensation, general liability, and automobile liability claims; drives loss reduction; supports incident response and prevention; and provides reporting and risk-management analysis.

Requirements

  • Bachelor’s degree or 3–5 years of experience as an adjuster or in claims handling, or an equivalent combination of education and work experience.
  • Strong interpersonal, communication, and problem-solving skills.
  • Self-starter with excellent task-management and problem-solving skills and attention to detail.
  • Ability to manage and advance multiple projects within specific time requirements.
  • Experience with Microsoft Office, including Outlook, Word, Excel, and PowerPoint.
  • Ability to travel within the assigned area of responsibility, 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 designation such as ARM, CPCU, AIC, or SCLA.
  • Understanding of food and beverage or retail operations.
  • Knowledge of Micros POS and XBR exception-based reporting tools.

Responsibilities

  • Oversee administration of Workers’ Compensation, General Liability, and Automobile Liability claims nationwide.
  • Manage assigned TPAs and ensure adherence to service standards, KPIs, and contractual obligations.
  • Monitor claim handling for timely investigation, accurate reserves, and appropriate resolution strategies.
  • Drive proactive claims management focused 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 affecting hospitality operations and recommend mitigation strategies.
  • Partner with Operations, HR, Safety, and Compliance teams on incident response and claim prevention initiatives.
  • Guide field leadership on 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 reports 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.
  • Perform other duties as assigned by the supervisor.
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