The Risk/Claims Manager will be responsible for supporting the general day-to-day business operations of our growing HR company with an emphasis on Project Management Implementations and Workflow and defining, planning, tracking the projects and claims that they are assigned. The Risk/Safety Manager will be responsible for identifying key resources needed and providing the direction required for meeting the project objectives and achieving corporate goals. Our Risk Manager is also responsible for ensuring appropriate management of project and claims outcomes.

What you will do:

• The  Risk/Safety Manager will have the ability to coordinate Team efforts to reach goals, self-motivation, and the aptitude to motivate and encourage teamwork.
• Be able to communicate effectively with senior management and have a clear vision of what is needed to achieve corporate goals
• Report directly to the VP of Operations but will be involved and support all areas of the company (Sales, Operations & Administration).
• Ensure timely investigation and evaluation of events that could lead to an insured claim
• Ensure timely and accurate reporting of claims to legal counsel, Third Party Administrator (TPA), and insurance providers.
• Act as liaison between operations, health and safety, finance, TPA, defense attorneys, and in-house counsel.
• Effectively communicate recommended claim mitigation strategies to cross functional and internal leadership teams.
• Demonstrated ability to analyze and drive the resolution of large losses and pending settlements.
• Oversee liability claims data for large loss submissions and address insurers’ on-going questions and concerns through claims resolution.
• Comprehensive knowledge of insurance policy provisions, practices, laws and regulations, including contracts, tort, and foreign jurisdictions.
• Ability to interpret and apply laws and regulations, determine appropriate courses of action, including subrogation, present solutions, and resolve claims.
• Demonstrated knowledge of claim handling principles and the application of coverage language to fact patterns.
• Manage claims administration process for multiple jurisdictions, including foreign jurisdictions.
• Strong knowledge of statistical claims data analysis and reporting for senior leadership and use in insurance program design.
• Utilize and/or establish analytics, metrics, and benchmarking through multiple sources to evaluate loss trends and cost of risk to prioritize resources (e.g., RMIS, actuarial reports, and broker data).
• Provide guidance and support for loss prevention matters to cross functional partners to ensure an open, proactive, and effective risk management claims culture.
• Conduct and attend internal and external claim reviews as required.
• Attend settlement hearings and trial as needed.
• Conduct claims training for internal stakeholders
• Provide settlement authority.

What you will need:

• Bachelor’s degree in Business Administration, Finance, Accounting, Entrepreneurship, Healthcare Management, or similar field; MBA is preferred.
• Experience in any aspect of the insurance industry a plus but not required.
• Experience with evaluating and assessing internal company processes and improving them.
• Advanced problem-solving skills and the ability to work collaboratively with others.
• Demonstrated ability to prioritize workload and meet project deadlines.
• Strong organizational skills required
• Ability to plan, organize, and prioritize the actions required to accomplish day-to-day goals and objectives. As well as work effectively with fellow team members to further the goals of the business.
• Must be able to multi-task and work on simultaneous projects.
• Working knowledge of Risk Management Information Systems (RMIS).
• Ability to multitask in a fast-paced environment.
• Excellent analytical, problem solving, negotiation, vendor selection, and organization skills.