Senior Claims Specialist

Superior Grocers•Santa Fe Springs, CA

3d•$80,000 - $95,000•Onsite

About The Position

The Senior Claims Specialist will report directly to the Director of Risk Management. Duties include overseeing and monitoring the timely response and proper handling of General Liability, Auto and Property claims on behalf of Superior Grocers. Moreover, attendance of Small Claims court matters will be ensured as required. Position will have the autonomy and authority to make settlement decisions within a pre-determined range. Responsible for timely feedback/response and providing of necessary documentation to insurance company/TPA, defense counsel and corporate office staff as instructed. Display and communicate an understanding of insurance concepts, internal practices and procedures.

Requirements

Working knowledge of Excel and Word.
Excellent verbal and written communication skills.
Ability to multi-task.

Nice To Haves

Bachelor Degree in business is preferred.
Attend insurance seminars and insurance classes with emphasis in insurance concepts, including, premises liability and related tort applicable to the position.
Bilingual (Spanish and English) helpful, but not mandatory.

Responsibilities

Oversee and monitor the timely response and proper handling of General Liability, Auto and Property claims.
Attend Small Claims court matters as required.
Make settlement decisions within a pre-determined range.
Provide timely feedback/response and necessary documentation to insurance company/TPA, defense counsel and corporate office staff.
Display and communicate an understanding of insurance concepts, internal practices and procedures.
Claim documentation: Respond timely to incoming claims and monitor ongoing.
Claim investigation as needed: Telephone and on-site investigation, Employee and customer interviews, Referrals to outside vendors.
Review and oversee new and existing customer related claims: Ensure Accident Reports and related support documentation are completed timely, thoroughly and objectively, and provided to TPA/defense counsel/necessary parties. Assist with determination of liability and corresponding/appropriate defense tactics. Ensure the timely logging of all new claims and timely reporting to our Insurance Carrier, with guidance by the Dir of Risk Management.
Review, oversee and manage legacy customer claims continuously and ongoing: Utilize TPA website/database (if appl.) or internal tracking system to review the status and monitor claims being handled by outside adjusters. Review and approve the status of any claim, any reserve changes, and maintain communication with the adjuster handling the claim. Coordinate employee recorded statements, internal/external investigations of incidents, copy and analyze video tapes, provide information on employees; current and terminated. Follow instructions communicated to pass on to defense attorney. Be prepared with monthly status report (when requested) concerning any significant changes on our position of liability or damages. Calendar deposition appearances, hearings, Mediation or settlement conferences as necessary.
Set up of Sweep Trax for new stores.
Maintain customer claim files in order: Inspect database in excel to make sure it is up to date and in order. Inspect physical claims file to make sure they are up to date and in order. Review carrier, TPA and attorney billing and update files.
Store Inspections: Inspect for adverse liability conditions and/or store operations. Report findings to manager and discuss a solution. Report to manager if a sweep compliance is unacceptable.
Porter Inspections: Meet with a Store as instructed. Review porter inspections and schedules for each store. Provide porter training on using scanners, the purpose for a sweep, and the need to be diligent in doing their job and in using the scanner.
Insurance Certificate Program: Maintain up to date our Insurance Certificate Program. Handle insurance certificates from vendors and contractors as needed. Handle New Vendor Application process.
Insurance Needs: Handle any General Liability Auto, and Property insurance needs. Add new vehicles and new stores as instructed.
Claims: Generate monthly reports, regarding frequency and location of customer claims. Analyze report; recommend preventative measures share with store management. Review monthly billing and present to Director of Risk Management timely. Check figures, claims, etc. ensuring reimbursement is appropriate. Perform monthly store inspections as needed.
Quarter end reports (same as monthly).
Assist where necessary regarding General Liability, Auto, and Property Insurance renewal (Administrative duties only).