Claims Manager

Position Title:           Coporate Claims Manager

Department:              Operations

Reports to:                Director of Asset Protection and Risk Management

Status:                       Exempt

Date:                          April 2026

Broad Functions:

The Claims Manager will be responsible for strategic claims administration, vendor performance management, cost containment initiatives, and ensuring timely, compliant, and effective claim resolution across a national hospitality footprint. This role serves as the primary liaison between internal operations leadership, TPAs, brokers, insurers, and legal partners.

The Corporate claims Manager will provide essential support for all workers compensation claims and General liability claims. They will assist in gathering critical information on claims and work with the TPA, Human Resources, Operations and outside counsel to prepare claims documents that best protect the company from liability.

Main Duties and Responsibilities: 

1. Oversee administration of all **Workers’ Compensation, General Liability, and Automobile Liability** claims nationwide.
2. Manage and direct performance of assigned **Third-Party Administrators (TPAs) to ensure adherence to service standards, KPIs, and contractual obligations.
3. Monitor claim handling practices to ensure timely investigation, reserving accuracy, and appropriate claim resolution strategies.
4. Drive proactive claims management focuses on loss reduction and cost containment.
5. Conduct regular claim reviews with TPAs, carriers, defense counsel, and medical management vendors.
6. Evaluate TPA performance metrics including closure rates, litigation management, reserve accuracy, and claim duration.
7. Partner with brokers and insurers to improve claims outcomes and program effectiveness.
8. Oversee litigated claims in coordination with outside defense counsel.
9. Review settlement authority recommendations and provide strategic direction.
10. Identify trends and emerging risks impacting hospitality operations and recommend mitigation strategies.
11. Partner with Operations, HR, Safety, and Compliance teams to support incident response and claim prevention initiatives.
12. Provide guidance to field leadership regarding incident reporting, documentation, and claim escalation procedures.
13. Support return-to-work and injury management programs.
14. Analyze claim data and loss trends to develop actionable risk management strategies.
15. Prepare executive-level reporting on claim performance, financial exposure, and reserve development.
16. Assist with actuarial reviews, renewals, and insurance program evaluations.
17. Ensure compliance with federal, state, and local regulatory requirements.
18. Maintain best practices aligned with hospitality and transportation risk exposures
19. Other duties as assigned by supervisor.

Skills & Qualifications: 

1.    Bachelor’s degree or 3-5 years of experience as an adjuster or the handling of claims or an equivalent combination of education and work experience

2.    Professional designations such as **ARM, CPCU, AIC, or SCLA** preferred.

3.    Understanding food and beverage / retail operations a plus

4.    Strong interpersonal, communication and problem-solving skills

5.    Self-starter with excellent task management, problem solving skills, and attention to detail

6.    Ability to manage and make progress on multiple projects under specific time requirements

7.    Knowledge of Micros POS and “XBR” exception-based reporting tools preferred

8.    Experience with MS Office suite “Outlook, Word, Excel, PowerPoint”

9.    Ability to travel within assigned AOR which may include overnight travel.

10. Experience with self-insured or high-deductible insurance programs.

11. Knowledge of OSHA, incident management, and safety integration programs.

Physical Demands:

The physical demands described here are representative of those that must be met by an associate to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the associate is regularly required to: stand for long periods of time, use hands and fingers, and be able to handle, feel, communicate verbally, and hear. The associate is frequently required to reach with hands and arms, climb, balance, taste and smell. The associate is also occasionally required to walk, stoop, kneel, crouch, crawl, and either lift or move to 50 lbs. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to focus. Be able to work in a standing position for long periods of time (up to 8hrs).