Sr Claims Specialist, Work Comp and Auto

Sr. Claims SpecialistTopgolf has an exciting opportunity for an exceptional individual for the role of Sr. Claims Specialist – Workers’ Compensation & Auto.Role:The Sr. Claims Specialist is the primary subject matter expert for Workers’ Compensation and Auto within the Risk Management department. This driven and highly organized individual will report to the Sr. Director of Risk Management and support a variety of occupational-injury and vehicle claim responsibilities and initiatives. The ideal candidate will be a team player and a motivated self-starter who thrives in a fast-paced, growing, dynamic environment. This person must be proficient in workers’ compensation, and have exceptional written and verbal communication skills, along with a proven ability to multi- task and meet tight deadlines.Responsibilities:

Review incoming incidents from RMIS system, triage as appropriate and approve indemnity escalations with the insurance carrier/third-party administrator

Resolve venue requests relating to the claim reporting process

Coordinate leave of absence processing with Benefits as required

Assess reported occupational injuries for potential required OSHA reporting and assist Director of EH&S with investigative efforts

Process risk related invoices for payment while adhering to company guidelines; approve invoices within designated authority

Create and maintain filing systems for workers’ compensation and auto related paperwork

Coordinate the timely response to wage statement requests with payroll for work-related injury claims

Follow up with venue managers for more information on playmaker and auto incidents to identify root cause and litigation exposure

Ensure new venues as well as existing locations have and are using up to date Medical Provider Panels

Coordinate the proper submission of medical bills to the carrier for Workers’ Compensation claims

Oversee return-to-work efforts between the injured playmaker, insurance adjuster, and venue manager

Approve bona fide job offers as applicable

Review and approve/deny requests for claim denials for WC

Review and approve surveillance requests

Oversee monopolistic state WC programs

Complete WC legal discovery as required

Review and make recommendations on reserve and settlement evaluations, approving those within assigned authority

Fulfill adjuster requests for information such as lease agreements, vendor contracts, and venue level contact information

Create standard operating procedures as appropriate for use by operations in relation to insurance claims

Conduct training for operations management on claims-related topics

Ensure compliance with state-specific guidelines relating to required notices, posting, and reporting in relation to occupational injuries

Additional tasks and project assistance as requested by supervisor

Skills and Abilities:

Ability to organize, prioritize, and work efficiently under pressure and subject to changing priorities; proven experience managing multiple projects, meeting deadlines, and using judgment and initiative in problem resolution.

Professional discretion required when dealing with sensitive or confidential issues.

Calm and professional demeanor even when dealing with potentially upset playmakers.

Strong organizational skills and attention to detail.

Strong inter-personal service skills and professionalism, proven track record of putting the playmaker first and ensuring satisfaction.

Excellent oral and written communication skills including spelling, grammar, and punctuation.

Ability to work effectively with diverse individuals at all levels in a fast-paced growing organization.

Experience in roles requiring the ability to work independently, anticipate next steps, take initiative, exercise discretion and sound judgment and work collaboratively as a member of the team.

Demonstrated proficiency using Microsoft Office (Word, Excel, Outlook, PowerPoint).

Proficiency in using risk management information systems preferred.

Bi-lingual (Spanish) preferred but not required.

Some travel and off-hours/weekend support may be required for this position.

Experience and Education

5-7 years experience working as a specialist in risk management or human resources supporting casualty claims programs

Workers’ Compensation experience required

Candidates with restaurant, hospitality, or retail experience preferred

Bachelor’s degree preferred

Experience may be considered in lieu of educational requirements

Risk certifications such as the Associate in Claims (AIC) or Associate in Risk Management (ARM) preferred

State of Texas property and casualty adjuster’s license a plus

ADAThe above statements cover what are generally believed to be principal and essential functions of the job. Specific circumstances may allow or require some incumbents assigned to the job to perform a different combination of duties.EEO StatementTopgolf is a global sports and entertainment community and is committed to equal opportunity and is firmly committed to preventing discrimination and harassment, including sexual misconduct, based on legally protected diversity characteristics (such as race, color, religion, national origin, sex, age, disability, sexual orientation, gender identity or expression, family status, citizenship, genetic information and veteran status) in its application and hiring processes and in its employment decisions. As an affirmative action employer, Topgolf also takes steps to prevent retaliation and to create a respectful, equitable and inclusive environment for our Guests, Associates, business partners, vendors, and the communities we serve.Topgolf is an equal opportunity affirmative action employer and administers all personnel practices without regard to race, color, religion, sex, age, national origin, disability, sexual orientation, gender identity or expression, marital status, veteran status, genetics or any other category protected under applicable law.Topgolf Entertainment Group does not accept unsolicited agency resumes. Please do not forward unsolicited agency resumes to our website, employees or Human Resources. Topgolf will not pay fees for unsolicited agency resumes and will not be responsible for any agency fees associated with unsolicited resumes. Unsolicited resumes received will be considered property of Topgolf Entertainment Group and will be processed accordingly without fee.Topgolf participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S.