Claims Manager bei Herschend Enterprises

ABOUT US

Our story began 75 years ago when the Herschend family discovered wonder deep in an Ozark Mountain cave—and chose to share it with the world. Today, Herschend is the largest family-held themed attractions company, with 49 leading attractions and immersive experiences that reach audiences worldwide.

While each brand offers something unique, all are united by a shared purpose: Bringing Families Closer Together by Creating Memories Worth Repeating®. Our passionate hosts make this purpose possible through everyday acts of love and service—what we call Heartspitality®—the intersection of heart and hospitality.

As an equal-opportunity employer, we strive to provide environments where every host, guest, and partner feel welcome, valued, and loved. We firmly believe that words and actions matter, which is why all individuals are to be treated equally and with respect.

POSITION SUMMARY

The Claims Manager position will be responsible for overseeing one or multiple product claims, including Workers’ Compensation, General Liability and Auto claims for certain divisions within HFE. This position will be required to manage and liaison between our parks, adjusters, service providers, external counsel, and internal teams to ensure efficient claim outcomes. The individual will be exposed to a wide variety of corporate functions and operational leaders. This individual must learn quickly, be flexible and demonstrate a high degree of initiative.

ESSENTIAL DUTIES & RESPONSIBILITIES

• Manage and oversee the end-to-end claims process in coordination with management of the Third-Party Administrator (TPA) in accordance with claim handling instructions.
• Works with HE properties to investigate claims and gather incident details. Ensure incidents/claims are reported appropriately.
• Reviews insurance contracts to apply coverage and provides appropriate notice to insurance carriers.
• Reviews case records and reports, collects and analyzes data, evaluates injured person’s individual medical status, identifies needs and obstacles to medical case resolution, determines liability/compensability.
• Approves compensability determinations, reserve changes, and other claim expenses.
• Establishes and maintains positive working relationships with Property leaders including but not limited to Safety, Finance and Human Resources to communicate claim status.
• Collaborates with defense counsel, corporate legal, TPA and carrier partners to develop approaches for claim to achieve quality claim resolution.
• Reviews all legal documents and works with internal counsel to approval all legal documents.
• Manages external counsel on defense strategy and assists to prepare claims for approval or settlement.
• Participates in settlement negotiations and/or other litigation milestones.
• Aligns appropriate internal or external case management services for injured persons.
• Discusses medical treatment plans with treatment providers. Questions medical treatment plans to advocate best outcomes for claimants.
• Provides oversight of the enterprise Return to Work process.
• Creates and monitors metrics to measure overall claim performance.
• Reviews claim transactions and approve necessary invoices and transaction registers. Works with Corporate Finance and Captive Manager to ensure appropriate claims accounting.
• Analyzes claim book for opportunities in risk reduction and cost containment and reports monthly to management.
• Responsible for self-insurance applications and filings as well as Workers’ Compensation premium audits.
• Participate with other members of the Risk Management team on all insurance renewals and special projects.
• Collaborate with Safety Leadership team to drive enterprise initiatives.
• May be required to travel to various HE operations or for training.
• May perform other related duties as assigned.

EXPERIENCE & EDUCATION

• Willingness to learn and keep current on insurance contracts, claim strategies and tort reform.
• Willingness to learn applicable industry standards.

SKILLS & QUALIFICATIONS

• Ability to work efficiently, manage multiple tasks, prioritize workflow, and meet deadlines.
• Strategic thinking coupled with result oriented decision-making abilities.
• Effective communication and negotiation skills.
• Ability to work effectively with others in a friendly, professional manner.
• Handle confidential information responsibly.
• Communicate clearly and concisely, both verbal and written.
• Adapts to HE culture and can navigate the various operational exposures.
• Microsoft Excel experience is a plus.