Sr. Claims Specialist

Staples•Framingham, MA

About The Position

The Sr. Claims Specialist is an experienced Risk Management professional responsible for managing and coordinating liability claims, including general liability, auto liability, premises liability, product liability, and other casualty exposures. The role evaluates claims, monitors reserves, coordinates litigation and resolution activities, supports risk transfer and subrogation opportunities, and partners with Third-Party Administrators (TPAs), insurers, defense counsel, and internal business teams to help drive timely, appropriate claim outcomes. The specialist independently manages routine and moderately complex matters, identifies opportunities to reduce loss, and serves as a technical resource to Claims Associates and business partners. The position works collaboratively with legal and risk professionals and clients across multiple businesses and industries. It offers a flexible environment focused on practical solutions, learning, and career development.

Requirements

Bachelor's degree in risk management, Business Administration, Finance, Legal Studies, Insurance, or related work experience.
5+ years of progressively complex experience in liability claims management in an insurance, TPA, or risk management environment.
Experience handling or supporting claims involving at least one of the following: general liability, auto liability, premises liability, product liability, or another casualty claims area.
Strong analytical thinking and practical problem-solving skills.
Sound judgment and ability to recognize when an issue requires escalation.
Strong written, verbal, and interpersonal communication skills.
Effective negotiation and conflict-resolution skills.
High attention to detail and commitment to accurate documentation and data.
Ability to organize and prioritize multiple claims and assignments with competing deadlines.
Collaborative approach when working across internal functions and external partners.
Continuous-improvement mindset and interest in developing technical claims expertise.

Nice To Haves

Experience managing or coordinating liability litigation with outside counsel.
Experience reviewing reserves, settlement recommendations, contractual risk transfer, or subrogation recoveries.
Master’s in Risk Management, Business Administration, Finance, Legal Studies, Insurance, or a related field.

Responsibilities

Manage general liability, auto, premises, product, and other casualty claims, evaluating liability, causation, damages, exposure, and resolution strategies.
Coordinate with TPAs, insurers, investigators, experts, and defense counsel on investigations, claims handling, and resolution within established guidelines.
Manage assigned litigation from filing through resolution, partnering with defense counsel on strategy, discovery, mediation, settlement recommendations, and trial preparation.
Review reserves, monitor significant exposures and claim trends, and support actuarial reviews, reserve studies, claim-cost forecasts, and loss projections.
Evaluate indemnification, additional insured status, insurance certificates, and other risk-transfer considerations; coordinate coverage and tender opportunities with brokers and insurers.
Support assigned subrogation activities and work with Claims Associates and other resources to identify and pursue recoveries.
Conduct claim reviews and stewardship discussions with TPAs and claims partners, monitoring service expectations and adherence to claim-handling guidelines.
Partner with Legal, Operations, Finance, Human Resources, Safety, brokers, insurers, and other stakeholders to investigate claims, identify emerging risks, and support mitigation.
Maintain complete and accurate claim records in the Risk Management Information System (RMIS) and support reporting for insurers, auditors, leadership, and other stakeholders.
Identify and help implement improvements to claims processes, reporting, analytics, vendor performance, and workflow efficiency.
Provide daily technical guidance to Claims Associates, sharing claims expertise and established practices.