Senior Claims Specialist, Insurance Risk Management

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What will you do?

A day in the life of a Senior Claims Specialist, Insurance Risk Management at VF looks a little like this.

This position is responsible for the administration and coordination of company-wide workers’ compensation, general liability, and automobile liability claims. The role partners closely with VF business stakeholders, brokers, and third-party claim administrators to ensure claims are managed efficiently, consistently, and in alignment with company objectives. In support of VF’s mission to deliver best-in-class, data-driven solutions, this role plays a key part in driving effective claim outcomes, enhancing the employee claims experience, and managing Total Cost of Risk (TCOR).

Let’s break down that day-in-the-life a bit more.

Claims Management Related Responsibilities:

• Coordinate day-to-day management of workers’ compensation, general liability, and automobile liability claims, with emphasis on workers’ compensation in California.
• Partner with third-party administrators to monitor claim activity, influence claim strategy, ensure appropriate reserving, and drive timely and effective claim resolution.
• Manage and drive effective third-party administration of claims through proactive follow-up and case management. 
• Track and manage claim lifecycle milestones, ensuring proactive follow-up and accountability across all stakeholders.
• Facilitate communication between VF business partners, adjusters, brokers, and other external parties to ensure alignment and transparency on claim status and strategy.
• Review claims for accuracy, completeness, and adherence to VF standards and applicable regulatory requirements.
• Support the development and execution of claim resolution strategies, including engagement with defense counsel, medical providers, and other vendors as needed.
• Monitor and identify trends, escalation points, and potential high-exposure claims, ensuring appropriate visibility and action.
• Apply technical knowledge of workers’ compensation, including California-specific laws and processes, to support claim decision-making and issue resolution.
• Review and challenge claim strategies, reserves, and action plans with third-party administrators to ensure alignment with VF objectives.
• Partner with VF Risk & Litigation Counsel and Paralegal, Litigation Operations on claim strategy and all phases of litigation for liability claims.
• Escalate high risk issues to Director, Insurance Risk Management and Associate General Counsel, Employment, Litigation & Operations in a timely manner.
• Deliver a high-quality, service-oriented experience by supporting internal stakeholders and employees through the claims process.

General Department Responsibilities:

• Support the preparation and delivery of claim reviews, reporting, and insights for leadership.
• Maintain, update, and identify areas of improvement within claim program materials, content, postings, and other compliance requirements across the VF Intranet, third-party administrator, and in VF facilities.
• Provide day-to-day support of internal and external risk management-related requests and business needs.
• Administer procedures for processing and payment of all department invoices & expenses.
• Other department support, compliance support, and special projects as needed.

What do you need to succeed?

We all have unique skills that we bring to work and celebrate every day. For this role, there are foundation skills you’ll need to succeed and excel. Additionally, while formal education in a related field is great to have, we are most interested in your 3-5 years of experience and professional achievements. 

The foundation skills you will need in this position are:

• 3-5 years of relevant claims experience, preferably in workers’ compensation, casualty claims, or a third-party administrator (TPA), carrier, or corporate risk management environment.
• Familiarity with California workers’ compensation laws, processes, and claim handling requirements preferred.
• Experience working with claims management systems (e.g., RMIS, TPA claim platforms).
• Proficiency in Microsoft Excel and data analysis to support reporting and claim review.
• Experience working in a multi-stakeholder environ