Los Angeles, CA30+ days ago
Claims Oversight & Risk Mitigation • Manage WC, auto liability, and general liability claims, leading Third-Party Administrators (TPAs), insurers, and legal teams to positive results • Build intuitive reports that enable analysis of claim drivers • Recommend data-driven mitigation strategies to reduce claim costs, claims frequency, and improve outcomes • Collaborate with cross-functional teams (e.g., Finance, Legal, Safety) to ensure claims data is leveraged for operational improvements • Ensure compliance with insurance program requirements • Review and analyze claims for delays, denials, and other potential issues, providing guidance on resolutions • Drive claim reviews and manage/lead TPA within assigned claims inventory and support overall TPA management • Return to Work (RTW) Program Support • Drives and manages RTW within assigned claims • Supports the management and success of the RTW program, ensuring compliance with relevant regulations and assisting injured employees in their transition back to work • Collaborates with HR, Safety, and Legal teams to develop and implement effective RTW strategies and policies • Manage return to work for assigned claims, communicates work restrictions, and coordinates modified duty to reduce claims costs. • Bachelor's Degree in Business/Finance preferred • 7+ years of experience in risk management, casualty claims, and insurance (preferably with Workers' Compensation and Auto liability exposure) • Strong proficiency in data analysis and visualization tools (e.g., Excel, Power BI, Tableau, SQL, RMIS) • Experience working with claims management systems (e.g., Origami Risk, Riskonnect, or similar) • Knowledge of insurance policies, coverage interpretation, and claims handling best practices • Strong problem-solving and critical-thinking skills with a keen attention to detail • Excellent communication and collaboration skills, with the ability to present complex data to stakeholders • Strong project management skills • Highly analytical, with the ability to use data to drive desired results and support intelligent risk-taking • Ability to challenge the status quo and drive change where appropriate • Thrives on change, pace, action, and accountability combined with an ability to adjust to changing priorities • Ability to support and contribute to a high-performing team and lead external TPAs to desired results • Demonstrated high level of collaboration within a claims team and broader cross-functional partners.