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Senior Claims Specialist
- Festival Foods (WI)
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Location : Name
Green Bay Support Office
Position Type
Full-Time
Company Overview
ABOUT FESTIVAL FOODS:We are a Wisconsin grocer that is committed to giving back to the communities it serves and providing guests with exceptional service and value. We operate +40 full-service supermarkets across the state of Wisconsin.
At Festival, people are at the top of our list. You’ll see it in everything from our daily interactions to how we treat our guests – even in our extensive associate benefits and programs.
Job Summary
Job Title: Senior Claims Specialist
Reports to: Workplace Safety Manager
The Senior Claims Specialist oversees the administration of first- and third-party worker’s compensation, foodborne illness, food injury, general liability, auto, and product/property claims. This role ensures timely and effective reporting, investigation, and resolution of claims while maintaining compliance with all regulatory requirements. The position plays a key role in reducing risk exposure, supporting injured associates, and protecting company assets.
Job Description
ESSENTIAL DUTIES AND RESPONISBILITIES
+ Claims Program Leadership: Directs claims programs to ensure proper, efficient handling and accurate recordkeeping, contributing to loss forecasting and overall risk management.
+ Claims Analysis and Reporting: Provides reporting of claims outcomes and insights to the Workplace Safety Manager, Asset Protection leadership, and other key stakeholders.
+ Broker and Captive Collaboration: Maintains collaborative relationships with Broker agencies, and the Captive group to ensure seamless claims management.
+ Claims Administration Oversight: Works with third-party claims administrators to review and authorize reserve adjustments as needed.
+ Cross-Team Coordination: Coordinates with store and support teams to ensure claims information is complete, accurate, and effectively managed.
+ Return-to-Work (RTW) Facilitation: Facilitates return-to-work processes for injured associates through modified duty programs.
+ Claims Communication Management: Serves as the primary administrator for communication related to claims, interfacing with employees, management, physicians, attorneys, insurance adjustors, and other relevant parties.
+ Safety Awareness and Notification: Notifies leadership of safety concerns and ensures proactive measures are taken.
+ OSHA Compliance Management: Oversees all OSHA communication and reporting including OSHA 300 and 300A logs for compliance and reporting purposes.
+ Nurse Triage Program Administration: Trains staff and implements documentation for Nurse Triage reporting procedures; develops and compiles Nurse Triage metrics for reporting.
+ Quarterly Claims Review Support: Supports quarterly claims reviews by gathering and analyzing relevant information.
+ Confidential File Maintenance: Maintains confidential files and ensures sensitive information is handled appropriately.
+ Employee and HR Inquiry Response: Responds to and supports a large variety of inquiries from associates and HR regarding claims.
+ Insurance Renewal Participation: Participates actively in annual insurance renewal processes.
+ Honor Commitments: Regular, timely attendance in compliance with the work schedule, and adequate notice to find a replacement for occasional absences.
+ Support the Team: Other duties as assigned.
ORGANIZATIONAL RELATIONSHIPS/CONTACTS
Organization Relationships:
+ Reports directly to the Workplace Safety Manager
+ Collaborates and partners with Store and Support Operations, Asset Protection and Human Resources to effectively manage the claims process
External Relationships:
+ Partners with insurance brokers, claims advocates, and insurance representatives across all coverage lines to ensure proper claims handling and process oversight.
QUALIFICATIONS
To perform this job successfully, an individual must be able to perform each essential job duty satisfactorily. The requirements listed below are representative of the knowledge, skills, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
+ 2+ years of professional experience in claims management, safety, or related field
+ Bachelor’s degree preferred; equivalent experience in a related field also considered
+ OSHA 30 certification required within the first 6 months of employment (or willingness to obtain)
+ Strong knowledge of claims management processes, OSHA regulations, and health and safety programs
+ Commitment to ongoing training and professional development
+ Skilled in navigating sensitive and confidential situations with professionalism and discretion.
+ Strong interpersonal skills to manage relationships with leaders and associates effectively.
+ Detail-oriented with the ability to prioritize, meet deadlines, and produce accurate documentation.
+ Effective written and verbal communication skills across all organizational levels.
+ Proficiency with office equipment and software (Microsoft Word, PowerPoint, Excel), with strong Excel skills preferred.
+ Demonstrated problem-solving and decision-making capabilities.
PHYSICAL DEMANDS AND WORK ENVIRONMENT
The physical demands and work environment described below are representative of those that must be met by an employee to successfully perform the essential functions of the job. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.
+ This position is based on-site at the Festival Foods – Green Bay Support Office.
+ Primary duties involve sitting or standing at a computer at least 80% of the time.
+ Ability to communicate well with others (written and verbal).
WORK SCHEDULE
The Senior Claims Specialist is a full-time position. This role participates in a rotating on-call schedule to provide after-hours support for urgent claims, incidents, or time-sensitive reporting needs.
Benefits Overview
WHY YOU'LL LOVE IT HERE:
+ Associate Discount:Enjoy an industry-leading 15% off your grocery purchases for you and your immediate household!.
+ Weekly Pay & Premium Pay:Hourly associates are paid weekly, providing more frequent access to their funds. Part-time store associates are paid a $1 premium per hour on Sundays and select holidays. Hourly full-time store associates receive time and a half on Sundays and select holidays.
+ Two-Week Advanced Scheduling:Better Planning. Better Balance. We provide our associates with their schedules two weeks in advance, offering greater predictability & flexibility.
+ Vision & Dental Insurance:Part-time and full-time associates are eligible for vision insurance and two dental coverage options that are designed to fit your needs.
+ Support:Our associates receive support for their total well-being; including 3 weeks of paid parental leave, a fitness reimbursement program offering savings off of fitness membership fees; our EAP (Employee Assistance Program) and LEAPCare Care Coaches, which provide associates confidential care related to hospital visitation, conflict resolution, stress management, marriage or divorce, family issues and depression or anxiety.
+ Save for Your Future:Offering a 401(k), we’re proud to support our associates in planning for retirement. The 401(k) plan empowers associates to save a portion of their paychecks for retirement. Festival Foods has an annual discretionary match to help our associates reach their savings goals.
At Festival Foods we are committed to providing an environment of mutual respect where equal employment opportunities are available to all. We are dedicated to building a top-notch team of skilled, experienced and service-oriented associates. Festival Foods believes that an inclusive environment for teammates of all backgrounds and perspectives strengthens our ability to serve our guests and communities, as we seek to recruit, develop, and retain the most talented people.
Additional
Festival Foods will not accept unsolicited resumes from recruiters or employment agencies. In the absence of an executed recruitment Master Service Agreement, there will be no obligation to any referral compensation or recruiter fee. In the event a recruiter or agency submits a resume or candidate without an agreement, Festival Foods shall reserve the right to pursue and hire those candidate(s) without any financial obligation to the recruiter or agency. Any unsolicited resumes, including those submitted to hiring managers, shall be deemed the property of Festival Foods.
Address
1724 Lawrence Drive
City
De Pere
State
WI
Postal Code
54115
Location : NameGreen Bay Support Office
Location : Address1724 Lawrence Drive
Location : CityDe Pere
Location : State/ProvinceWI
Location : Postal Code54115
Requisition ID2025-51509
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