Senior Claims Specialist, Insurance Risk Management (Workers' Comp)

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What will you do

A day in the life of a Senior Claims Specialist Insurance Risk Management at VF looks a little like this.

This position is responsible for the administration and coordination of company-wide workers compensation general liability and automobile liability claims. The role partners closely with VF business stakeholders brokers and third-party claim administrators to ensure claims are managed efficiently consistently and in alignment with company support of VFs mission to deliver best-in-class data-driven solutions this role plays a key part in driving effective claim outcomes enhancing the employee claims experience and managing Total Cost of Risk (TCOR).

Lets break down that day-in-the-life a bit more.

Claims Management Related Responsibilities:

• Coordinate day-to-day management of workers compensation general liability and automobile liability claims with emphasis on workers compensation in California.
• Partner with third-party administrators to monitor claim activity influence claim strategy ensure appropriate reserving and drive timely and effective claim resolution.
• Manage and drive effective third-party administration of claims through proactive follow-up and case management.
• Track and manage claim lifecycle milestones ensuring proactive follow-up and accountability across all stakeholders.
• Facilitate communication between VF business partners adjusters brokers and other external parties to ensure alignment and transparency on claim status and strategy.
• Review claims for accuracy completeness and adherence to VF standards and applicable regulatory requirements.
• Support the development and execution of claim resolution strategies including engagement with defense counsel medical providers and other vendors as needed.
• Monitor and identify trends escalation points and potential high-exposure claims ensuring appropriate visibility and action.
• Apply technical knowledge of workers compensation including California-specific laws and processes to support claim decision-making and issue resolution.
• Review and challenge claim strategies reserves and action plans with third-party administrators to ensure alignment with VF objectives.
• Partner with VF Risk & Litigation Counsel and Paralegal Litigation Operations on claim strategy and all phases of litigation for liability claims.
• Escalate high risk issues to Director Insurance Risk Management and Associate General Counsel Employment Litigation & Operations in a timely manner.
• Deliver a high-quality service-oriented experience by supporting internal stakeholders and employees through the claims process.

General Department Responsibilities:

• Support the preparation and delivery of claim reviews reporting and insights for leadership.
• Maintain update and identify areas of improvement within claim program materials content postings and other compliance requirements across the VF Intranet third-party administrator and in VF facilities.
• Provide day-to-day support of internal and external risk management-related requests and business needs.
• Administer procedures for processing and payment of all department invoices & expenses.
• Other department support compliance support and special projects as needed.

What do you need to succeed

We all have unique skills that we bring to work and celebrate every day. For this role there are foundation skills youll need to succeed and excel. Additionally while formal education in a related field is great to have we are most interested in your 3-5 years of experience and professional achievements.

The foundation skills you will need in this position are:

• 3-5 years of relevant claims experience preferably in workers compensation casualty claims or a third-party administrator (TPA) carrier or corporate risk management environment.
• Familiarity with California workers compensation laws processes and claim handling requirements preferred.
• Experience working with claims management systems (e.g. RMIS TPA claim platforms).
• Proficiency in Microsoft Excel and data analysis to support reporting and claim review.
• Experience working in a multi-stakeholder environment including coordination with TPAs brokers legal counsel and internal business partners.
• Exposure to litigated claims and coordination with defense counsel preferred.
• Bachelors degree in Risk Management Business or related field preferred.
• Progress toward or interest in professional designations (e.g. AIC WCCP ARM CPCU) is a plus.
• Experience supporting the management of claims with a focus on workers compensation and general liability including interaction with insurance companies third-party administrators and brokers.
• Working knowledge of the end-to-end claims management process including reserving litigation management and cost containment strategies.
• Foundational knowledge of workers compensation including familiarity with California-specific processes and requirements.
• Strong analytical organizational and time management skills with the ability to prioritize competing demands and follow through on key deliverables.
• Sound judgment and problem-solving skills with the ability to respond effectively in a fast-paced evolving environment.
• Highly effective interpersonal and communication skills with the ability to collaborate across internal teams and external partners.
• Demonstrated ability to work collaboratively and influence outcomes in a cross-functional team-oriented environment.
• Customer-focused mindset with a strong commitment to delivering a high-quality service experience and supporting VF business partners.
• Ability to identify operational issues navigate ambiguity and contribute to practical solutions-oriented outcomes.
• Basic understanding of business and financial concepts as they relate to claim exposure and cost management.
• High attention to detail with strong follow-through and ownership of deliverables.

Now WE have a question for YOU.

Are you in

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Hiring Range:

Incentive Potential: This position is eligible for additional compensation awards that may include an annual incentive plan sales incentive orcommissionpotential. Specific details of the additional compensation eligibility for this position will be provided during the recruiting and interview process.

Benefits at VF Corporation: You can review a general overview of each benefit program offered including this years medical plan rates on and by clicking Looking to Join VF Detailed information on your benefits will be provided during the hiring process.

Please note our hiring ranges are determined and built from market pay determining the specific compensation for this position we comply with all local state and federal laws.

At VF we value a diverse inclusive workforce and we provide equal employment opportunity for all applicants and employees. All qualified applicants for employment will be considered without regard to an individuals race color sex gender identity gender expression religion age national origin or ancestry citizenship physical or mental disability medical condition family care status marital status domestic partner status sexual orientation genetic information military or veteran status or any other basis protected by federal state or local laws. If you require accommodations during the application process please contact us at . VF will provide reasonable accommodations for qualified individuals to the extent required by applicable law.

Pursuant to all applicable local Fair Chance Ordinance requirements including but not limited to the San Francisco Fair Chance Ordinance VF will consider for employment qualified applicants with arrest and conviction records.