Claims Specialist (US)

About the role

Reporting to the Claims & Risk Management Lead - Treasury, you will provide full-cycle support for claims, including workers' compensation, general liability & product claims, and cyber claims. You will engage directly with team members to provide service, process and document claims to ensure compliance with legislative provisions, company policies, and insurance industry best practices. This role acts in a fiduciary capacity for our large deductible, including consultation on claim case reserves and negotiation and resolution of claims.

This role is hybrid, requiring onsite presence at West Chester, PA several days per month (onsite days are predetermined and standard across the company). Candidates must reside in NJ, DE, or PA. Relocation assistance is not available.

Responsibilities

• Manage workers' compensation, general liability, product, and cyber claims from inception to closure.
• Serve as the primary contact for evaluating recommendations and decisions regarding claim mitigation and resolution.
• Provide end-to-end administrative support for return-to-work assignments, including full and restricted returns for all U.S. QVC locations and panel providers.
• Track and comply with necessary statistics for management reporting.
• Evaluate and submit settlement authority proposals, reserve increases, and decreases.
• Prepare reports detailing claim status, payments, reserves, and claim trends.

Requirements

• 3+ years leading end-to-end review of insurance claims.
• 3+ years supporting workers' compensation and general liability claims.
• 3+ years using claims service vendor systems or on-site database software to maintain continuity of claims history.
• 3+ years using customer portals, payroll, HR resource systems, and team member data management.
• 3+ years of knowledge of jurisdictional requirements and applicable case law for each claim and respective state.
• 3+ years partnering with panel providers to evaluate claims.
• Experience documenting the claim review cycle (preferred).

Benefits

• Competitive compensation.
• Paid time off.
• Employee assistance program.
• Parental leave.
• Paid volunteer hours.
• Company discounts.
• Health care benefits starting on day 1 (U.S. market).
• 401(k) retirement plan.
• Tuition reimbursement.