Corporate Claims Specialist

About the role

The Casualty Claims Consultant is responsible for the oversight and strategic management of General Liability Bodily Injury claims arising from 7‑Eleven retail operations. This role provides direction to the Third‑Party Administrator (TPA), ensures high-quality claims handling, and manages complex and high-exposure matters. The Consultant partners closely with in-house counsel, defense counsel, internal business units, and external stakeholders to drive timely, accurate, and cost-effective claim outcomes.

Key Duties & Responsibilities

TPA Oversight & Claims Management

• Provide day-to-day oversight of the TPA responsible for General Liability Bodily Injury claims, ensuring compliance with established claim-handling guidelines, reserving practices, and performance expectations.
• Monitor reserves, payments, and claim trends; identify opportunities to improve claim outcomes and reduce total cost of risk.
• Conduct claim reviews, audits, and quality assurance activities to maintain accuracy, consistency, and service excellence.

Complex & Litigated Claims

• Manage high-severity, complex, or litigated claims within settlement authority.
• Partner with TPA, in-house counsel, paralegals, and defense counsel to guide litigation strategy, discovery, and deposition preparation.
• Oversee early case evaluation, and claim resolution strategy to mitigate legal and financial exposure.

Incident Response & Investigation

• Coordinate internal processes for incident reporting, evidence preservation, video capture, and early investigation.
• Support initial protected investigations when circumstances require legal involvement.
• Identify claims with questionable liability or potential fraud; assist in directing special investigations.

Stakeholder Collaboration

• Serve as primary contact for insurers, adjusters, defense counsel, and internal partners across Operations, Legal, Risk Management, and other departments.

Excess & Coverage Management

• Liaise with excess carriers on qualifying claims, ensuring timely reporting, documentation, and communication discipline.
• Assist with coverage analysis, reporting obligations, and strategic discussions regarding high-exposure files.
• Understand self-insured retentions (SIRs)
• Interpret contracts (indemnity, additional insured), and franchise agreement dates that determine coverage types

Program Support & Special Projects

• Participate in program improvements, including TPA performance evaluations, process enhancements, and technology initiatives.
• Support special projects, data analysis, and risk mitigation initiatives as assigned.
• Communicate with field teams related to safety recommendations.

Qualifications

• Bachelor's degree required.
• 4+ years of General Liability Bodily Injury claims experience, preferably in retail or high-volume environments.
• Strong analytical, investigative, and problem-solving skills.
• Effective negotiation capabilities with proven experience resolving complex claims.
• Demonstrated ability to exercise sound judgment consistent with policies, procedures, and federal/state laws.
• Ability to maintain confidentiality and operate effectively within a cross-functional, collaborative environment.
• Excellent time management skills and ability to manage multiple priorities simultaneously.
• Strong interpersonal and written communication skills for working with TPAs, legal counsel, carriers, and internal stakeholders.