Join Our Team at MasterCorp, Inc.!
At MasterCorp, Inc., we provide exceptional service and innovative solutions in the hospitality industry. As a leader in our field, we believe in the power of teamwork, integrity, and a commitment to excellence. Our dynamic and inclusive workplace fosters growth, creativity, and the opportunity to make an impact. We are looking for passionate and driven individuals to join our team and help us continue to deliver outstanding results for our clients.
The Senior Claims Analyst supports the administration, investigation, analysis, and resolution of workers' compensation and casualty claims programs. This role partners with TPAs, insurance carriers, and internal stakeholders to support claim management, regulatory compliance, return-to-work initiatives, claim audits, and quarterly claim reviews. The position is responsible for claims reporting, trend analysis, and identifying opportunities to improve claim outcomes, reduce risk, and enhance operational processes. The Senior Risk Analyst provides recommendations and operational support to the Senior Risk Manager regarding claim strategy, reserve concerns, compliance matters, and program performance.
COMPETENCIES REQUIRED
- Action Oriented – Takes on new opportunities and tough challenges with a sense of urgency, high energy, and enthusiasm.
- Optimizes Work Processes – Knows the most effective and efficient processes to get things done, with a focus on continuous improvement.
- Collaborates – Builds partnerships and works collaboratively with others to meet shared objectives.
- Courage – Steps up to address difficult issues and says what needs to be said.
- Situational Adaptability – Adapts approach and demeanor in real time to match the shifting demands of different situations.
- Customer Focus – Builds strong customer relationships and delivers customer-centric solutions.
- Drives Results – Consistently achieves results, even under tough circumstances.
ESSENTIAL FUNCTIONS
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Serve as the primary administrator for the Company's workers' compensation program, managing claims from first report of injury through closure, including claim reporting, documentation, claim status monitoring, return-to-work coordination, and communication with employees, medical providers, TPAs, carriers, and regulatory agencies.
Support administration of casualty claims, including general liability, auto, guest injury, property damage, theft, and other operational claims, ensuring timely investigation, documentation, and resolution in accordance with company procedures.
Serve as a resource to managers and associates regarding workers' compensation procedures, claim reporting requirements, return-to-work processes, and applicable state regulations.
Maintain accurate claim files and records within risk management, TPA, and claims management systems, including claim notes, work status updates, medical documentation, and related correspondence.
- Prepare reports and trend analyses related to claim frequency, severity, lag time, lost workdays, medical utilization, and other key risk metrics, providing insights and recommendations for risk mitigation and process improvement.
- Coordinate return-to-work and light duty programs, including work status tracking, light duty offers, payroll coordination, and related recordkeeping.
- Conduct and support claim investigations by gathering and reviewing incident reports, witness statements, police reports, photographs, medical documentation, and other supporting evidence.
- Monitor open claim inventory, identify claim trends and potential exposure concerns, and provide recommendations to the Senior Risk Manager regarding claim resolution and risk mitigation opportunities.
- Support quarterly claim reviews, claim audits, subrogation efforts, and ongoing collaboration with TPAs, carriers, brokers, and legal partners as needed.
- Maintain OSHA compliance activities, including recordkeeping, inspections, annual summaries, injury/illness tracking, and required postings.
- Perform periodic claim file reviews and audits to ensure data integrity, regulatory compliance, and adherence to company claims procedures.
- Support company safety and risk management initiatives, including driver qualification reviews, slip-resistant footwear programs, and other loss prevention efforts.
- Collaborate with Operations, Human Resources, Safety, Legal, Finance, TPAs, and insurance partners to support claim resolution, regulatory compliance, and continuous process improvement.
Collateral Duties:
- Provide guidance and support to Claims Coordinators regarding claim processes, documentation requirements, and system administration.
- Maintain claim-related correspondence, records, and electronic filing systems.
- Assist with claim payment tracking, reporting, and related administrative functions.
- Monitor departmental KPIs and identify opportunities to improve claim handling efficiency, compliance, and service levels.
- Support implementation of risk, safety, and compliance initiatives directed by leadership.
EXPERIENCE AND EDUCATION
College degree and/or equivalent work-related experience.
5+ years of claims, workers' compensation, risk management, or insurance-related experience.
Strong knowledge of workers' compensation, casualty claims, insurance claims administration, and risk management principles.
OTHER QUALIFICATIONS
- Proficient with Office 365 (Outlook, Word, Excel, and PowerPoint)
- Excellent planning and organization skills
- Expense Management
- Claims adjuster certifications
- Bilingual English/Spanish
TRAVEL REQUIREMENTS
- Occasionally – on average 25% of travel on a quarterly basis
WORK ENVIRONMENT
This job operates in a professional office environment routinely using standard office equipment such as computers, phones, copiers, faxes, and filing cabinets.
The Senior Claims Analyst is not limited to the above-mentioned job description and may be requested to do additional tasks as directed by MasterCorp Management.
Physical Requirements:
This position frequently requires standing, walking, pushing, pulling, moving, lifting (up to 25 lbs), bending, reaching, occasional ascending/descending, and repetitive motions. Employee must be able to perform the
essential functions of the position satisfactorily, reasonable accommodations may be made to enable employees with disabilities to perform the essential functions of their job.
Equal Opportunity Employer Statement:
We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
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Thank you for considering a career with MasterCorp, Inc. We look forward to reviewing your application.