How You'll Make an Impact
Do you know how to move claims forward, challenge reserves, coordinate return-to-work efforts, and identify opportunities to reduce claim lifecycle costs? As the Claims Operations Manager, you will own the day-to-day administration and strategic handling of U.S. claims across workers' compensation and casualty lines, including auto, general liability, property, and cargo/logistics. Reporting to the Associate General Counsel, you will serve as the first-line decision owner for routine and mid-level matters, partner closely with Safety, HR, Operations, Finance, insurers, third-party administrators (TPAs), and brokers, and escalate material legal, coverage, financial, or reputational risk as appropriate.
Work Location:Remote within the Northeast, Mid-Atlantic, or Philadelphia area specifically would be ideal. We are looking to hire for this position with a start date 1/2027.
Travel Requirements: Up to 20% company paid for travel (once per quarter)
Work Schedule:M-F 8AM-5PM
Compensation: $70,000 - $80,000 per year based on individual experience plus a yearly performance-based bonus, along with comprehensive benefits, including medical, dental, and vision insurance, a 401(k) with company matching, generous PTO, sick time, and company holidays.
What You'll Own
- Own day-to-day management of the U.S. non-litigated claims portfolio, including workers' compensation, auto liability, general liability, property, cargo/logistics, and other assigned insured or retained losses.
- Triage new incidents and claims, ensure timely and accurate reporting, preserve evidence, confirm required notices, and determine the appropriate handling pathway under company procedures and insurance programs.
- Serve as the first-line decision owner for routine and mid-level claims within delegated authority and promptly escalate severe injuries, fatalities, significant exposures, litigation, coverage disputes, large reserve or settlement issues, and other material or precedent-setting matters to the Associate General Counsel.
- Manage carrier, TPA, broker, and vendor performance through clear expectations, regular file reviews, disciplined follow-up, service-level accountability, and escalation of responsiveness or quality issues.
- Drive workers' compensation outcomes through active oversight of compensability, treatment, nurse case management, independent medical examinations, wage information, restrictions, modified duty, lost-time status, and return-to-work planning.
- Partner with site HR, Safety, and Operations to obtain complete claim information, document transitional-duty opportunities, address barriers to return to work, and escalate repeated site-level gaps.
- Review reserves, incurred values, medical and indemnity development, litigation posture, and aging; challenge unsupported reserve changes and identify opportunities for earlier resolution or closure.
- Develop settlement evaluations and recommendations, coordinate negotiations with adjusters and counsel, and obtain required approvals for settlements outside delegated authority.
- Manage non-workers' compensation casualty claims by evaluating coverage, deductibles, reportability, liability facts, damages, third-party demands, and appropriate use of insurers, brokers, or direct resolution pathways.
- Identify and pursue subrogation, contribution, reimbursement, salvage, and other recovery opportunities while preserving evidence and applicable rights.
- Monitor reservations of rights, coverage questions, denials, and significant insurer disputes; coordinate with the Insurance/Risk Manager and escalate material coverage issues to Legal.
- Maintain complete, accurate, and timely claim records in the company's claims management systems, including diaries, status notes, reserves, litigation indicators, settlement data, and closure documentation.
- Produce recurring dashboards and claim reviews covering frequency, severity, reserve movement, aging, closure, litigation, return-to-work performance, carrier/TPA performance, and emerging trends for Legal, Safety, HR, Finance, and leadership.
- Develop and improve claim-reporting procedures, playbooks, escalation protocols, and training for sites and corporate partners to improve consistency, data quality, and early intervention.
- As needed, support litigated claims with the Associate General Counsel by coordinating claim files, carrier strategy, discovery support, witnesses, deadlines, and implementation of agreed legal strategy.
- Collaborate with the Insurance/Risk Manager, Employment Counsel, Legal Administrator, Safety, HR, Finance, and Operations to create clean handoffs, avoid duplication, and ensure the right matters reach Legal leadership at the right time.
- Perform other duties as assigned.
#LI-SALARY
#LI-REMOTE
Preferred Qualifications
Skills for Success
- Bachelor's degree in Risk Management, Insurance, Business Administration, Finance, Legal Studies, or a related field.
- 5-8 years of responsible claims experience, including hands-on management of multi-state workers' compensation and casualty claims.
- Experience with large-deductible, self-insured, or other retained-risk programs and managing third-party administrators, carriers, or claims vendors.
- Demonstrated ability to evaluate exposure, reserves, settlement strategy, medical and indemnity drivers, and claim closure opportunities.
- Strong data discipline and experience using claims management systems, loss runs, dashboards, and spreadsheet-based analysis to manage a claims portfolio.
- Strong ownership, judgment, escalation discipline, business acumen, and practical, cost-conscious problem-solving skills.
- Strong analytical skills with reserves, exposure, trends, and claim data, with proactive case management and follow-through on aging claims and unresolved action items.
- Excellent communication, organization, prioritization, and time-management skills, with the ability to influence across HR, Safety, Operations, Finance, external partners, and senior stakeholders in a high-volume, fast-paced environment.
Ways You'll Stand Out
- Experience supporting logistics, warehousing, transportation, distribution, or similarly structured multi-site operations.
- Experience managing auto liability, general liability, property, cargo/logistics, and subrogation or recovery matters in addition to workers' compensation.
- JD, LLM, Associate in Claims (AIC), Associate in Risk Management (ARM), Chartered Property Casualty Underwriter (CPCU), state adjuster license, or another relevant claims/risk credential.
- Experience working directly with brokers, defense counsel, medical case managers, investigators, and carrier or TPA leadership.
Physical Requirements & Work Environment
This role regularly requires computer, telephone, virtual-meeting, and document-review work, along with communication and coordination across internal teams and external claims partners.
Compensation & BenefitsMedical, Dental, Vision-FSA/HSA programs available-401K with matching program-Vacation and sick time-Friendly and Open-Door cultureSimilar Jobs
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