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About the Role

Support day-to-day operations across claims management, reporting, and insurance program administration, primarily focused on the Workers' Compensation program, while also assisting with other claim types.

Responsibilities

• Manage claim intake end-to-end, including FNOL processing, initial review, severity assignment, and escalation identification.
• Monitor and support claims throughout the lifecycle by handling routine follow-ups, identifying aging or high-risk claims, and coordinating with adjusters to ensure timely progression.
• Prepare and support bi-weekly claim reviews, including compiling data, tracking action items, and maintaining TPA performance metrics.
• Build, maintain, and validate dashboards and reports across claims, trends, KPIs, and loss data to ensure accuracy and consistency.
• Analyze claims data to identify trends, emerging risks, and recurring root causes, and partner with internal stakeholders to support action planning.
• Track Return-to-Work progression for injured workers, and compliance-related data, including audit support and timely updates across systems.
• Track and support subrogation and recovery efforts, including follow-ups on outstanding items and documentation.
• Assist with insurance program administration, including exposure data collection, renewal support, and submission preparation.
• Review claim files and collaborate with TPAs on reserve adequacy and claim strategy.
• Partner cross-functionally to gather required documentation and support efficient claim processing.
• Participate in regular calls with carriers, brokers, and TPAs to support claim oversight and program execution.
• Support additional risk management and claims-related tasks as needed.

Requirements

• 2–3 years experience with workers' compensation claims, either as a claims adjuster or through direct involvement of an employer's Workers' Compensation program within a risk management function.
• Proactive and self-motivated mindset.
• Highly responsive to meeting the needs of our internal and external customer.
• Ability to work both independently and collaboratively in a team environment.
• Effectively prioritize tasks and manage time.
• Ability to adapt to changing business needs, with a flexible approach to shifting priorities, processes, and responsibilities.

Skills

• Strong Excel and data analysis capabilities
• Power BI experience
• RMIS experience

Location

• New York
• Colorado

Work Type

• Full-time

Experience Level

• 2-3 years

Education Level

• Bachelor’s degree preferred
• High school diploma with 2+ years of experience

Salary/Compensations

• $68,040—$81,000 USD (New York)
• $63,000—$75,000 USD (Colorado)

Benefits

• Competitive Salary & 401k company match that vests immediately upon participation
• Generous parental leave of 16 weeks & PTO policy
• $0 monthly premium and other flexible health plans
• 85% discount on your subscription to HelloFresh (as well as other product initiatives)
• Employee Resource Groups

About the Company

• Collaborative, dynamic work environment within a fast-paced, mission-driven company.