Job Title: Workers’ Compensation & General Liability Claims Specialist
Department: Human Resources
FLSA Status: Non-Exempt (40 hours per week)
Work Schedule: Hybrid (4 days at the office, 1 day remote)

Position Summary

The Workers’ Compensation & General Liability (GL) Claims Specialist is responsible for coordinating and managing all workers’ compensation and general liability claims across the organization. This role serves as the primary internal liaison between restaurant operations, third-party administrators, insurance brokers, and adjusters to ensure timely reporting, accurate documentation, and effective claim resolution.

The Specialist plays a key role in reducing organizational risk, supporting injured team members, maintaining compliance, and driving timely claim closures.

Key Responsibilities

Claims Administration & Coordination

• Manage the full lifecycle of all workers’ compensation and general liability claims from initial report through closure.
• Ensure all claims are reported promptly and accurately to insurance carriers and third-party administrators (TPAs).
• Serve as the primary point of contact with brokers, insurance adjusters, and legal partners.
• Monitor claim status, reserves, and trends; proactively follow up on outstanding items to move claims toward resolution.
• Maintain organized, accurate, and confidential claim files and documentation.

Documentation & Compliance

• Collect, review, and submit required documentation including incident reports, witness statements, medical records (as applicable), wage statements, and investigative materials.
• Partner with operations leadership to ensure timely completion of incident documentation.
• Track deadlines and ensure compliance with state reporting requirements.
• Support OSHA-related documentation and reporting as needed.

Communication & Support

• Provide clear communication to restaurant managers and field leaders regarding claims procedures and required documentation.
• Communicate with injured employees regarding process expectations, return-to-work coordination, and required documentation (in partnership with HR/Leave team as applicable).
• Maintain professional and solution-focused communication with brokers, adjusters, and legal counsel.

Risk Mitigation & Reporting

• Prepare regular claims reports for your Supervisor, including open claims summaries, aging reports, and reserve tracking.
• Maintain accurate data within HRIS, and claims tracking systems.

Return-to-Work Support

• Coordinate return-to-work documentation and transitional duty tracking in partnership with field leadership.
• Monitor lost-time claims and support early and safe return-to-work efforts.

Qualifications

Education & Experience

• High School Diploma or equivalent.
• Minimum 3–5 years of experience in restaurant and/or retail.
• Multi-unit or restaurant/retail environment experience preferred.

Knowledge & Skills

• Strong organizational skills with the ability to manage multiple active claims simultaneously.
• High attention to detail and documentation accuracy.
• Strong written and verbal communication skills.
• Ability to handle sensitive and confidential information with discretion.
• Proficiency in Microsoft Office (Excel, Word, Outlook); experience with HRIS or claims management systems preferred.
• Ability to analyze data and prepare summary reports for leadership review.

Core Competencies

• Accountability and follow-through
• Maintains confidentiality
• Relationship-building and collaboration
• Problem-solving and critical thinking
• Time management and prioritization

Work Environment & Schedule

• Full-time, 40 hours per week.
• Hybrid schedule: Four days onsite at the Support Center and one designated remote workday per week.

Physical Requirements

• Ability to sit for extended periods while working at a computer.
• Ability to occasionally travel to restaurant locations for claim-related support or investigations.