Risk Claims Specialist

El Rio Grande Latin Market Careers•Dallas, TX

1d•Hybrid

About The Position

The Risk Claims Specialist will manage and oversee the investigation, documentation, and resolution of various claims, including customer injury and liability claims, workers' compensation claims, and fleet claims. This role involves coordinating with insurance providers, HR, legal teams, and safety personnel to ensure compliance with regulations and company policies. The specialist will also analyze claims data to identify trends, implement risk prevention strategies, and improve claims processes. Additionally, the role requires reconciling invoices, completing safety reports, and maintaining accurate records.

Requirements

Bachelor's degree in Business, Risk Management, Insurance, or a related field (or equivalent experience).
3-5 years of experience in claims management, risk management, or a specialist role, preferably in a retail or supermarket environment.
Strong understanding of risk management principles, insurance claims processes, and workers' compensation regulations.
Strong problem-solving and analytical abilities to investigate and resolve complex claims efficiently.
Excellent communication skills, both written and verbal, with the ability to manage sensitive issues with customers and employees.
Attention to detail and ability to maintain accurate records and reports.
Proficient in Microsoft Office and experience with claims management software or risk management tools.

Responsibilities

Manage customer injury and liability claims, including investigation, documentation, and resolution.
Coordinate with insurance providers for proper claims filing and resolution involving external parties.
Handle escalated customer claims and provide appropriate resolutions while protecting the store's interests.
Ensure all claims are properly documented in compliance with company policies and legal requirements.
Identify trends in customer claims and work with management to implement safety measures.
Oversee and manage workers' compensation claims, ensuring compliance with regulations and employee benefits.
Manage the investigation of employee injury claims, including gathering evidence and completing necessary forms.
Manage the investigation of employee fleet claims and support employees if injuries occur.
Provide support and guidance to injured employees throughout the claims process.
Collaborate with HR and legal teams to ensure employee-related claims are handled correctly.
Work with the Safety Team to conduct store visits, safety audits, checklists, and investigations.
Identify opportunities to improve the claims process through systems, documentation, or communication.
Review and analyze claims data to identify trends, recurring issues, and areas for improvement.
Prepare detailed reports for management on claim frequency, costs, and risk mitigation efforts.
Work closely with Risk Management and Safety teams to address causes of incidents and develop preventive strategies.
Ensure all claims are processed in line with company policies, industry standards, and legal requirements.
Reconcile and verify all invoices generated from claims.
Complete Safety Monitor reports and communicate with involved parties to resolve investigation-related issues.