Claims and Risk Manager

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profile Job Location:

Wilkes Barre, PA - USA

profile Monthly Salary: Not Disclosed
Posted on: 4 hours ago
Vacancies: 1 Vacancy

Job Summary

Position Summary

The Claims and Risk Manager is responsible for the day-to-day administration of the companys workers compensation and liability claims programs. This role works closely with employees supervisors insurance carriers third-party administrators (TPAs) legal counsel and insurance brokers to ensure claims are managed effectively from incident through resolution.

The position also supports the companys insurance renewal process manages claims reporting and analysis and helps identify opportunities to reduce risk exposure and improve safety outcomes across the organization.

Important Note: This role focuses on insurance claims administration and operational risk management related to workplace incidents and liability exposure. It is not an IT cybersecurity enterprise risk management (ERM) or information security risk position.

Key Responsibilities

Claims Management

  • Manage workers compensation and general liability claims from initial incident through resolution.
  • Serve as the primary liaison with insurance carriers TPAs and legal counsel regarding claims activity.
  • Monitor claim status and ensure timely communication with adjusters attorneys and internal stakeholders.
  • Maintain accurate claim documentation and internal records.
  • Participate in claims review meetings with insurance carriers and brokers.
  • Coordinate with HR and management regarding return-to-work programs and claim resolution.

Incident Investigation and Employee Interaction

  • Assist with investigations of workplace incidents and accidents.
  • Work with supervisors and employees to ensure accurate reporting and documentation of incidents.
  • Coordinate information needed for claims handling and follow-up.
  • Identify trends in claims activity and recommend improvements in safety or risk mitigation practices.

Insurance Program and Broker Coordination

  • Work with insurance brokers to support annual insurance renewals.
  • Compile claims data loss runs and exposure information for underwriters.
  • Assist leadership and brokers in evaluating coverage structures and insurance program performance.
  • Maintain relationships with insurance brokers carriers and risk service providers.

Risk Monitoring and Reporting

  • Track claims activity loss trends and financial exposure related to workers compensation and liability incidents.
  • Prepare reports and summaries for leadership related to claims performance and risk exposure.
  • Support insurance audits and provide documentation as needed.

Compliance and Safety Support

  • Stay informed on relevant workers compensation regulations and compliance requirements including multi-state considerations.
  • Support company initiatives to improve safety performance and reduce workplace incidents.
  • Assist with interactions involving regulators such as OSHA when related to claims matters.

Qualifications :

Experience

  • 5 years of experience managing workers compensation and/or liability claims.
  • Experience working with insurance carriers brokers or third-party administrators (TPAs).
  • Experience coordinating with legal counsel on claim-related matters.
  • Experience supporting insurance renewals or claims reporting.

Skills and Knowledge

  • Strong understanding of workers compensation claims processes.
  • Knowledge of liability claims and incident investigation practices.
  • Ability to manage multiple claims and priorities in a fast-paced environment.
  • Strong communication skills when working with employees management insurers and attorneys.
  • Strong organizational and analytical skills.

Education

  • Bachelors degree from an accredited four-year college or university in business finance insurance risk management or a related field.

Preferred Qualifications

  • Experience in construction infrastructure or field operations environments.
  • Experience working with multi-state workers compensation systems.
  • Professional certifications in risk management or insurance are a plus.

Additional Information :

Ideal Backgrounds for This Role

Candidates with experience in the following roles are strongly encouraged to apply:

  • Workers Compensation Claims Adjuster
  • Senior Claims Specialist
  • Liability Claims Manager
  • Insurance Claims Supervisor
  • Corporate Claims Administrator
  • Third-Party Administrator (TPA) Claims Professional
  • Professionals currently working for insurance carriers claims administrators or corporate risk departments managing claims will find this role particularly relevant.

Ideal Candidate Profile

This position is ideal for professionals with a background in workers compensation or liability claims adjusting who are interested in transitioning into a corporate risk and insurance management role.

Come be a part of the DeAngelo family today! 

DCS is an equal opportunity employer and complies with all hiring and employment the event an ADA accommodation is needed DCS is happy to help all employees achieve gainful employment in an atmosphere where they are appreciated and respected. DCS offers subcontracting services to government agencies as such candidates may be subject to pre-employment screenings such as criminal background checks pre-employment post-accident & reasonable impairment drug screenings motor vehicle record checks etc. as such DCS complies with all federal and state regulatory guidelines including the FCRA.


Remote Work :

No


Employment Type :

Full-time

Position SummaryThe Claims and Risk Manager is responsible for the day-to-day administration of the companys workers compensation and liability claims programs. This role works closely with employees supervisors insurance carriers third-party administrators (TPAs) legal counsel and insurance brokers...
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Key Skills

  • Arm
  • Risk Management
  • Financial Services
  • Cybersecurity
  • COSO
  • PCI
  • Root cause Analysis
  • COBIT
  • NIST Standards
  • SOX
  • Information Security
  • RMF

About Company

A LITTLE BIT ABOUT US: DCS is a family owned and operated business with treating all employees like family at the core of our values. Our employees provide innovative, safe and high-quality infrastructure/maintenance contracting services to State DOTs, railroads, and other commercial/ ... View more

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