Claims Administrator

Position Summary

The Claims Administrator is responsible for managing the day-to-day administration of workers’ compensation, general liability, auto, property damage, and customer claims. This role ensures accurate intake, documentation, compliance, and communication of all claims across the organization. The Claims Administrator serves as the central liaison between field operations, insurance carriers, third-party administrators (TPAs), vendors, and internal stakeholders to drive timely and cost-effective claim resolution.

Key Responsibilities

Claims Management

• Receive, log, and process all new claims (workers’ comp, auto liability, general liability, property, and customer damage).
• Maintain accurate and organized claim files and records in compliance with company and regulatory standards.
• Monitor claim progress, track deadlines, and ensure timely reporting to insurance carriers and TPAs.

Communication & Coordination

• Serve as the primary point of contact for claims between field management, operations, insurers, legal, and vendors.
• Provide regular updates on claim status to leadership and other stakeholders.
• Coordinate repair vendors, medical providers, adjusters, and attorneys as needed.

Compliance & Reporting

• Ensure claims meet OSHA, DOT, state, and federal reporting requirements.
• Prepare weekly and monthly claims activity reports, including reserve levels, trends, and loss runs.
• Support audit requests, internal reviews, and regulatory inquiries.

Financial Oversight

• Track claim costs, settlements, and reimbursements.
• Reconcile invoices, payments, and expenses related to claims with Accounts Payable and Finance.
• Identify and pursue subrogation or recovery opportunities where applicable.

Process Improvement & Risk Support

• Identify trends and recurring incidents; escalate insights to Risk and Safety leadership.
• Contribute to training materials and SOPs related to incident reporting and claims handling.
• Support Safety team with accident investigations, root cause analysis, and corrective actions.

Qualifications

• Education: Associate or Bachelor’s degree in Risk Management, Business Administration, Insurance, or related field preferred.
• Experience: 2–4 years of claims administration, insurance, risk management, or related experience (workers’ comp, liability, or auto claims preferred).
• Knowledge & Skills:
  • Strong understanding of insurance claims processes, OSHA, and regulatory compliance.
  • Proficiency with claims management systems (e.g., Origami, Riskonnect, Fleet Response, Navex).
  • Excellent organizational skills and attention to detail.
  • Strong written and verbal communication abilities.
  • Ability to multitask and manage a high-volume caseload under strict deadlines.

Core Competencies

• Integrity and confidentiality in handling sensitive information.
• Customer service mindset when working with employees, customers, and vendors.
• Analytical and problem-solving skills to identify claim trends and recommend improvements.
• Team collaboration across Risk, Safety, HR, Legal, and Operations.

Qualifications

• Education: Associate or Bachelor’s degree in Risk Management, Business Administration, Insurance, or related field preferred.
• Experience: 2–4 years of claims administration, insurance, risk management, or related experience (workers’ comp, liability, or auto claims preferred).
• Knowledge & Skills:
  • Strong understanding of insurance claims processes, OSHA, and regulatory compliance.
  • Proficiency with claims management systems (e.g., Origami, Riskonnect, Fleet Response, Navex).
  • Excellent organizational skills and attention to detail.
  • Strong written and verbal communication abilities.
  • Ability to multitask and manage a high-volume caseload under strict deadlines.

Core Competencies

• Integrity and confidentiality in handling sensitive information.
• Customer service mindset when working with employees, customers, and vendors.
• Analytical and problem-solving skills to identify claim trends and recommend improvements.
• Team collaboration across Risk, Safety, HR, Legal, and Operations.