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Senior Claims Specialist

Superior Grocers -
Santa Fe Springs, CA

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Job Details

$80,000 - $95,000 a year

Benefits

Health insurance
Dental insurance
401(k)
Tuition reimbursement
Paid time off
Vision insurance

Qualifications

Microsoft Word
Word embeddings

Full Job Description

The Senior Claims Specialist will report directly to the Director of Risk Management. Duties include overseeing and monitoring the timely response and proper handling of General Liability, Auto and Property claims on behalf of Superior Grocers. Moreover, attendance of Small Claims court matters will be ensured as required. Position will have the autonomy and authority to make settlement decisions within a pre-determined range. Responsible for timely feedback/response and providing of necessary documentation to insurance company/TPA, defense counsel and corporate office staff as instructed. Display and communicate an understanding of insurance concepts, internal practices and procedures.

DAILY JOB DUTIES:

1. Claim documentation

Respond timely to incoming claims and monitor ongoing

2. Claim investigation as needed

Telephone and on-site investigation
Employee and customer interviews
Referrals to outside vendors

3. Review and oversee new and existing customer related claims

Accident Reports and related support documentation must be completed timely, thoroughly and objectively, thereafter provided to TPA/defense counsel/necessary parties.
Assist with determination of liability and corresponding/appropriate defense tactics
Ensure the timely logging of all new claims (delegate to Claims Assistant if necessary) and timely reporting to our Insurance Carrier, with guidance by the Dir of Risk Management

4. Review, oversee and manage legacy customer claims continuously and ongoing

Utilize TPA website/database (if appl.) or internal tracking system to review the status and monitor claims being handled by outside adjusters.
Review and approve the status of any claim, any reserve changes, and maintain communication with the adjuster handling the claim.
Vice-Versa the adjuster can communicate with Senior Claims Specialist for added information

a. Authority requests are presented to the Director of Risk Management

b. Other Samples of requests from adjusters

Coordinate employee recorded statements
Coordinate internal/external investigations of incidents
Copy and analyze video tapes
Provide information on employees; current and terminated

a. When a claim is sent to our Attorney, same duties as above apply

b. Follow instructions communicated to pass on to defense attorney

c. Defense attorney is assigned in coordination with the Director of Risk Management

Be prepared with monthly status report (when requested) concerning any significant changes on our position of liability or damages
Calendar deposition appearances as necessary
Calendar hearings as necessary
Calendar Mediation or settlement conferences

5. Store Openings

Set up of Sweep Trax for new stores

WEEKLY JOB DUTIES:

1. Maintain customer claim files in order

Inspect our database in excel to make sure it is up to date and in order
Inspect physical claims file to make sure they are up to date and in order
Review carrier, TPA and attorney billing and update files

2. Store Inspections

Store visits will be done as instructed by the Director of Risk Management

Inspect for adverse liability conditions and/or store operations

a. Report to manager my findings and discuss a solution

b. Report to manager if a sweep compliance is unacceptable

3. Porter Inspections

Meet with a Store as instructed
Review porter inspections
Review porter schedules for each store
Provide porter training on using scanners, the purpose for a sweep, and the need to be diligent in doing their job and in using the scanner

4. Insurance Certificate Program

Maintain up to date our Insurance Certificate Program

a. Insurance certificates from vendors and contractors as needed.

b. Requests are made as needed

c. New Vendor Application process

5. Insurance Needs

Handle any General Liability Auto, and Property insurance needs

a. Add new vehicles as instructed

b. Add new stores as instructed

MONTHLY JOB DUTIES:

1. Claims

Generate monthly reports, regarding frequency and location of customer claims

a. Analyze report; recommend preventative measures share with store management

Review monthly billing and present to Director of Risk Management timely

a. Check figures, claims, etc. ensuring reimbursement is appropriate

b. Perform monthly store inspections as needed

QUARTERLY JOB DUTIES:

1. Claims

Quarter end reports (same as monthly)

YEARLY JOB DUTIES:

1. Assist where necessary regarding General Liability, Auto, and Property Insurance renewal

Administrative duties only

Job Requirements:

Education:

Bachelor Degree in business is preferred
In addition, attend insurance seminars and insurance classes with emphasis in insurance concepts, including, premises liability and related tort applicable to the position.

Experience:

At least 5 years work experience in the field if no Bachelor’s Degree

Knowledge:

Working knowledge of Excel and Word.

Skills and Ability:

Excellent verbal and written communication skills
Ability to multi-task
Bilingual (Spanish and English) helpful, but not mandatory

Salary Range: $80,000 - $95,000 annually

TO VIEW THE APPLICANT NOTICE ABOUT YOUR PERSONAL INFORMATION CLICK THE LINK BELOW.

https://superiorgrocers.com/about-us/privacy-disclosure/ (https://superiorgrocers.com/about-us/privacy-disclosure/)

About Superior Grocers
Founded in 1981, Superior Grocers is one of the largest independent supermarket chains in the Western U.S., operating 74 stores across California and Nevada with approximately 7,000 employees. Recognized as the 2026 “Top Hispanic Supermarket in the U.S.” by Abasto, we are committed to serving our customers, supporting our communities, and creating growth opportunities for our team members.

Our culture is grounded in four core values - Integrity, Service, Passion, and Excellence - which guide how we serve customers and develop our people. We strive to create a respectful, supportive workplace where employees can thrive and make a meaningful impact.

Why Join Us
We offer competitive pay, comprehensive benefits (medical, dental, vision, 401k, PTO), tuition assistance, employee support programs, and career development opportunities. At Superior Grocers, you’ll find a collaborative environment with strong potential for growth and a chance to positively impact the communities we serve.

Superior Grocers is an Equal Opportunity Employer

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights (https://www.eeoc.gov/poster) notice from the Department of Labor.

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Refine Your Search

solution specialist director jobs

Senior Claims Specialist

Physician (MD/DO) – Long-Term Care

Endodontist

Physician

Radiation Therapist - eligible for up to $10,000 relocation BONUS!

Senior Environmental Compliance Specialist

Pediatric Psychologist - Neurodevelopmental Evaluation Specialist

Compliance Specialist II

Director of Data, Automation, and Intelligence Services

Case Manager/Service Coordinator (Aging Population) - Lubec, ME

Mortgage Servicing Platform IT Specialist

School Social Worker

Family Medicine Physician, Walterboro

Lead Nurturing & Business Development Specialist

Area Director of Clinical Operations (North Florida area)

Audiologist / Hearing Instrument Specialist

Audiologist / Hearing Instrument Specialist

Adoption Specialist (Extreme Recruiter)

Radiation Therapist - eligible for up to $10,000 relocation BONUS!

Commercial Banking Specialist

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