Vestis Retail & E-commerce

Risk Analyst

Remote Full-time

Position Summary The Risk Analyst serves as a key member of the Risk Management team, supporting workers’ compensation and liability claims administration, return-to-work initiatives, insurance compliance, and vendor oversight. This role acts as a liaison between injured employees, operations and third-party administrators (TPAs) to ensure claims are managed proactively, employees are supported throughout the recovery process, and organizational risk management objectives are achieved.

Essential Duties and Responsibilities Claims Management & TPA Oversight Monitor and oversee the handling of workers' compensation and auto liability property damage claims managed by third-party administrators (TPAs). Collaborate with TPA claim examiners to ensure claims are managed strategically, proactively, and in accordance with best practices. Review claim activity, potential red flags reserve adequacy, litigation strategy, settlement opportunities, and responsiveness.

Escalate significant claim issues and provide recommendations for appropriate resolution strategies. Serve as the Field point of contact regarding workers' compensation claim questions and concerns. Return-to-Work Coordination & Employee Advocate Act as a resource and advocate for injured employees throughout the claim and recovery process. Coordinate with operations, human resources and TPA to facilitate timely and safe return-to-work opportunities.

Partner with location leadership to identify and implement modified duty assignments consistent with medical restrictions. Promote return-to-work best practices to reduce lost workdays and improve employee outcomes. Insurance Administration Lead issuance of Certificates of Insurance (COIs) and automobile identification cards. Respond to insurance documentation requests from customers, vendors, and internal stakeholders.

Review insurance provisions and related insurance language in customer contracts. Compliance & Financial Administration Process and track invoices related to claims, insurance premiums, and risk management vendors. Prepare and submit quarterly workers' compensation filings for monopolistic state programs, ensuring compliance with applicable state requirements. Support audits, renewal processes, and special projects as assigned.

Qualifications Bachelor's degree in Risk Management, Business Administration, Finance, Insurance, Human Resources, or related field preferred. 5-7 years of experience in workers' compensation and liability claims, risk management, or insurance administration. Working knowledge of workers' compensation claim management and return-to-work programs. Experience collaborating with TPAs, insurance carriers, brokers, and operational leadership.

Strong organizational, analytical, and problem-solving skills. Excellent verbal and written communication skills with the ability to engage effectively with employees at all levels of the organization. Experience creating Power BI dashboards a plus. Proficiency in Microsoft Office applications, particularly Excel, Word and Outlook. This position is ideal for someone who enjoys a blend of claims oversight, employee advocacy, operational partnership, and insurance administration rather than serving as a traditional claims adjuster.

Job description provided by Vestis.
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