Manager - Multi-Line Claims

When our square shaped burgers made their first sizzle on the scene more than 50 years ago, people knew our approach wasn't like any other. Same goes for the way we support our employees. Our culture of openness, flexibility, and inclusiveness allows everybody to flourish in their own way. If you're looking for a career where you can be part of the action as we continue to grow our iconic brand – We got you! The Claims Manager will maintain accountability for developing and implementing a strategic vision and providing oversight and direction of an industry best multi-line claims administration program. The Claims Manager will select a recognized framework of best practices and controls, develop a strategic program roadmap for claims administration, identify and manage key service providers needed to execute that strategic program, and oversee the day-to-day execution of claims administration by the claims team of a portfolio of over $5M in claims risk. This role will collaborate with other teams, including workplace health and safety and risk finance/FP&A, providing insights and advice on experience, trends, and industry best practices to help inform business and financial decisions. The Claims Manager will also be responsible for management and development of a team of 4-5 claims professionals responsible for administration of Workers' Compensation, General Liability, Products Liability, Auto Liability and Property claims, providing technical guidance and expertise, supporting individual and team development and cross-training needs, and generally fostering a claims team structure and culture capable of adapting to evolving challenges and risks related to multi-line claims, including through geographical expansion. 
Create and maintain relationships with insurance brokers, carriers, third party claims administrators, and external legal counsel, as well as a network of product and service providers, ensuring that the Company and brand are always represented by those delivering exceptional results in the most economical manner possible while maintaining the highest moral and ethical standards.
Partner cross-functionally with Risk Management, Restaurant Operations, Human Resources, Quality Assurance, Facilities, Loss Prevention and Security and other departments to ensure a clear understanding of internal policies and procedures.
Develop and maintain detailed documentation for all claims administration processes and leverage claims management software to maximize process efficiency. Identify opportunities for process improvement resulting in the most efficient and cost-effective outcomes for the company.
Directly oversee self-administration and third-party administration of claims, including development of best practices, client service instructions, service level agreements, litigation handling guidelines, and processes for every component of the claims administration process.
Provide oversight and direction to a team of claims professionals, delivered in an affirming manner, ensuring compliance with claims handling standards while maximizing opportunities for affirmation, coaching and technical development.
Maintain responsibility for an inventory of complex, high exposure, high profile claims, including litigation and catastrophic incidents that could have brand damaging impacts. 
Ensure the effectiveness of process controls, adherence to defined standards, and delivery of high-quality results, through execution of a comprehensive audit program that encompasses internal and external claims professionals as well as product and professional service providers.
Facilitate regular claims reviews with third party administrators and external counsel, providing creative insights, strategic direction and ensuing a constant focus on claim disposition. Regularly present claims-related recommendations to senior management to achieve consensus relative to strategy and financial authority. 
Ensure delivery of claims resolution with claimant advocacy as a fundamental value, maintaining the highest standards of customer care and empathy while protecting the brand and its reputation. Relentlessly focus on refining methods to improve the efficiency of claims investigation, identifying creative and equitable claim outcomes, and developing the most advanced negotiation skills among the claims team. 
Ensure that statutory benefits are provided in accordance with obligations and that potential liabilities are identified in a timely manner, accurately quantified to reflect the most likely probable outcome, and updated throughout the claims lifecycle. 
Financial Reserves - Accurate calculation of each of the elements that compromise the potential financial impact of claims. Approve financial reserves set by TPA adjuster greater than $50,000 and up to $100,000. Recommend reserves above $100,000.
Claims Settlements – Evaluation of potential legal and practical liability and risks, as well as each of the compensable elements of injuries and residual or permanent disabilities, to determine appropriate settlement position for the Company and strategic approach for resolution of claims. Approve settlements recommended by Analyst/TPA adjuster greater than $50,000 and up to $100,000. Recommend approval of settlements greater than $100,000.
Ongoing Medical Treatment - Analysis of medical records and recommendations of treatment providers in order to affirm ongoing treatment plan as reasonable, related directly to the accident in question and necessary for further physical improvement. 
Claims Management - Oversee design, development, and implementation of the Company's Products Liability, Workers' Compensation, Premises Liability, Auto and Property claims processes.
Investigation – Develop a risk-based approach to investigations, including fact investigation, witness interviews, and preservation of evidence, to appropriately protect the Company. 
This position can be on-site in Dublin, Oh or worked remotely. 
#hybrid
USD $88,000.00/Yr.
USD $154,000.00/Yr.
BA/BS degree, preferably in Risk Management, or a related field of study
Professional designations such as CPCU, CRM, ARM, AIC, paralegal or similar certification demonstrating a commitment to professional development
5 years professional experience in risk management, multi-line claims adjustment, or a closely related field
3 years professional experience in a leadership or supervisory role relative to claims and/or litigation management
Juris Doctorate helpful, although not required.
This position is located in Dublin, Oh and can be on-site full-time or hybrid.
"Wendy's was built on the premise, "Quality is our Recipe®," which remains the guidepost of the Wendy's system. Today, Wendy's and its franchisees employ hundreds of thousands of people across more than 7,000 restaurants worldwide with a vision of becoming the world's most thriving and beloved restaurant brand. The base pay range for this position is listed below. The base pay actually offered will take into account internal equity and budget for the open position and also may vary depending on the candidate's job-related knowledge, skills, and experience, among other relevant factors. This range does not include an estimated value for any benefits, bonus, or other incentives that may be applicable based on position. * The target annual bonus for this role is XX% of annualized base salary, based on actual company and personal performance.  Our square burgers make us different and so do our benefits! Our restaurant support roles are eligible for a wide array of benefits, including things such as parental leave, free EAP sessions, company 401k match and other great offerings. For more details about our benefits, including an overview of eligibility and terms for certain benefits, please visit our benefits website, .* *NOTE: Wendy's benefits, bonus, and other incentives are governed by the applicable legal plans and policies and, where appropriate, may be subject to Board approval an individual award agreement terms. Those documents supersede all other information regarding Wendy's benefits, bonus, and other incentives. Wendy's retains the right to amend or terminate its plans and policies at its sole discretion, in accordance with applicable plans, policies and laws."