About this role
Risk AnalystKey Responsibilities Claims Administration & Risk Management
• Manage guest incident claims from intake through resolution, escalation, or litigation referral, ensuring timely investigation, documentation, evaluation, and follow-up. • Conduct claim review, investigation, and risk assessment to identify exposure, escalation triggers, documentation gaps, and appropriate next steps. • Collect, review, and analyze claim-related documentation, including incident reports, photographs, witness statements, receipts, communications, and other supporting materials. • Evaluate guest incident claims for completeness, liability indicators, potential litigation concerns, policy application, and allocation applicability. • Exercise sound judgment in determining when claims require escalation, additional investigation, management review, or litigation referral. • Serve as a primary operational liaison between Legal, Risk, Operations, Guest Relations, third-party administrators, insurance partners, and outside counsel. • Coordinate with third-party administrators on claim status, documentation needs, investigation follow-up, escalation, reserve or exposure concerns, and resolution strategy. • Review TPA claim updates, assessments, and recommendations, and identify issues requiring additional action, escalation, or Sr. Manager review. • Attend claim reviews with third-party administrators and support follow-up on action items, trends, and open issues. • Monitor claim activity and proactively identify inconsistencies, missing information, recurring issues, or operational gaps that may impact claim handling. • Review allocation disputes and provide recommendations based on Company policy, available documentation, supporting evidence, and established guidelines. • Support oversight of claim handling expectations, escalation protocols, reporting requirements, and TPA performance. • Maintain and update guest incident handling procedures, allocation guidelines, chargeback processes, claims administration materials, and related policies in partnership with the Sr. Manager. • Identify trends in guest incidents, claim activity, recurring issues, or policy gaps and recommend operational or process improvements to reduce exposure and support risk mitigation. • Assist in developing and implementing best practices related to claims handling, investigation standards, documentation requirements, escalation protocols, allocation management, and claim file maintenance. • Support training, guidance, and communication efforts related to guest incident documentation, claim handling procedures, and claims administration processes. • Other tasks as assigned by manager.
Litigation & Legal Operations Support
• Provide litigation support for escalated guest incident claims and related matters, including document preservation, file organization, case tracking, and coordination with internal partners and outside counsel. • Ensure claim and litigation files are complete, accurate, organized, and maintained in claim and matter management systems. • Coordinate with outside counsel and internal stakeholders regarding document collection, case updates, deadlines, and litigation support needs. • Monitor litigation deadlines, milestones, follow-up items, and matter activity to support case management and litigation strategy. • Maintain accurate matter management system updates, litigation records, claim notes, reporting fields, and supporting documentation. • Process and review outside counsel and vendor invoices for accuracy, completeness, compliance, and appropriate coding. • Support litigation reporting, claims metrics, audits, trend analysis, and other operational reporting for the Legal team. • Identify and recommend efficiencies in claims administration, litigation workflows, documentation practices, reporting processes, and matter management procedures. • Provide guidance and informal mentoring to less experienced team members as appropriate.
Qualifications
• 6+ years of experience in claims management, risk management, investigations, litigation support, insurance administration, legal operations, or a related environment. • Strong understanding of claims handling practices, liability evaluation, risk assessment principles, litigation readiness, and claim documentation standards. • Demonstrated ability to independently manage claims, competing priorities, sensitive matters, and complex workstreams with limited supervision. • Experience working with third-party administrators, outside counsel, insurance partners, claims management systems, matter management systems, and cross-functional business stakeholders. • Ability to interpret and apply policies, procedures, allocation guidelines, escalation protocols, and supporting documentation. • Strong investigative, analytical, organizational, and problem-solving skills. • Sound judgment and decision-making skills, particularly in sensitive, high-risk, or time-sensitive situations. • Strong written and verbal communication skills, with the ability to communicate clearly and professionally with internal and external stakeholders. • Ability to handle confidential and sensitive information with discretion and professionalism. • Proficiency in Microsoft Office applications, including Outlook, Word, and Excel; experience with claims or matter management systems preferred.
Compensation Range: $67,000.00 - $92,125.00
Red Robin is an Equal Opportunity & E-Verify Employer