Insurance Claims & Loss Prevention Specialist

- Workers Compensation and General Liability Case Management

• Responsible for working directly with insurance adjusters, nurse triage, multiple departments and team members to process claims.
• Review and track incidents using Workers Compensation and General Liability claims management site.
• Create reports and communication for all Workers Compensation and General Liability data to company stakeholders and provide trend analysis to support future improvement.
• Provide recommendations on improvement of all risk and safety directives.

- Video Footage Retrieval and Analyzation

• Analyze footage to provide direction and feedback on potential loss.
• Retrieve surveillance video footage in response to Loss Prevention, Workers Compensation and General Liability incidents.
• Identify key timestamps and relevant video segments related to each case.
• Maintain an organized database of video footage for future reference.

- Ticket Triage

• Prioritize and manage incoming Loss Prevention tickets and incidents.
• Assess the urgency and severity of each case and allocate resources accordingly.
• Ensure all relevant information is captured in the initial incident report.

- Communication

• Provide feedback and direction on Loss related incidents to support Operations and HR.
• Collaborate with cross-functional teams, including Operations and HR, to communicate findings and coordinate necessary actions.
• Provide timely updates and reports to the Director, Loss Prevention and other relevant stakeholders.

- POS Data Analysis

• Analyze Point of Sale (POS) data to identify trends and patterns related to potential losses or policy violations.
• Collaborate with the Director, Loss Prevention to develop strategies for minimizing losses based on data analysis.

• High school diploma or equivalent; bachelor’s degree in criminal justice or related field is a plus
• Familiarity with Workers Compensation and/or General Liability Insurance laws and practices
• Basic knowledge of surveillance systems and software
• Strong attention to detail and analytical skills
• Excellent communication and interpersonal abilities
• Ability to work under pressure and meet deadlines
• Willingness to learn and adapt to new technologies and procedures
• Integrity and a commitment to upholding ethical standards

• Organizational, planning, and time management skills
• Communication skills, both verbal and written
• Problem analysis and problem-solving expertise
• Working knowledge of Quick Serve Restaurant (QSR)
• Attention to detail and accuracy.
• Proficient in Microsoft (Word, Excel, and Outlook)
• Proficient in Loss Prevention Techniques
• Knowledge of Video Surveillance Equipment