Claims Professional

Wawa, Inc.; United States; On-site; USD 70,000 - 95,000; Full time

Job summary

Wawa, Inc. is seeking a Claims Professional in Corporate Risk Management to manage a claims book, act as MPOC for TPA adjusters, and ensure timely, compliant claim handling. The role emphasizes collaboration with risk leadership, external counsel, and store management to optimize outcomes.

The ideal candidate will oversee settlements and reserves, escalate complex matters, and participate in safety initiatives while maintaining confidential and accurate communications within the Wawa framework.

Qualifications

• Bachelor’s Degree in a related field preferred (Risk Management, Finance, Criminal Justice)
• 2-4 years working in worker’s compensation or liability insurance claims environment
• Ability to use multiple systems to review adjuster notes and run loss reports
• Expert usage of Microsoft Office (M365)

Responsibilities

• Act as MPOC for TPA Adjusters and oversee TPA service quality
• Review materials from claims investigations to determine risk exposure
• Elevate complex claims to Senior Management as needed
• Set/approve settlements and reserves within authority and escalate
• Coordinate with external Legal Counsel Panel and defense counsel as needed
• Meet with TPA adjusters regularly to review claims
• Ensure liaison with store management and call center for accurate reporting
• Lead projects and participate in Safety Committee meetings

Skills

Oral & written communication

Customer service

Attention to detail

Analytical thinking

Self-starter / decisive

Time management

Education

Bachelor’s Degree in Risk Management/Finance/Criminal Justice

Tools

Microsoft Office 365

Job description

Soar with us at Wawa.

We believe we can make life a little better every day – one smile, hoagie, or experience at a time. And there’s one secret ingredient that truly sets Wawa apart: Our Associates. At Wawa, you’ll be part of a caring team that’s dedicated to helping all of us fly high – together. We’re team players, day-brighteners, and go-getters: and we know that Wawa is a place where we can build skills to thrive and open doors to new career opportunities. We’re proud to be a part of a winning team of Associate owners who shape our success. We’re committed to helping our communities and one another at every turn, because we know that when we fly together, there’s no limit to how far we can go. Ready to be part of a team that helps you reach new heights? Join our flock and get ready to soar.

Job Description

Job Title: Claims Professional

Location: Corporate

Department: Risk Management

Job Summary : The Claims Professional will handle claims in their book of business to ensure claims are closed in the most efficient manner and time while being handled within Wawa’s established SOPs. Claims Analyst III will be the main point of contact for TPA adjusters under their book of business and oversee all communications within Wawa to ensure proper claim handling and follow-up. In this position approximately 80% of claims assigned should be autonomously managed.

Principal Duties:

• Act as the Main Point of Contact (MPOC) for TPA Adjusters. Oversee the quality of service provided by the TPA vendor for your claims to ensure SPOs are being followed, the “Wawa Way” is being implemented, and claims are handled following the Special Service Instructions (SSI) by the TPA.
• Review materials gathered during the claims investigation to determine Wawa’s level of Risk Exposure and proper course of action to close claim in a timely manner.
• Early detection and elevation of potentially complex claims when needed to Senior Management.
• Set/Approve settlement and/or reserves within your authority for each claim and elevate to more senior Claims Analyst or Risk Management leadership as needed to secure proper reserves.
• Participate in the committee to evaluate and manage external Legal Counsel Panel.
• Assign Defense Counsel from the established legal counsel panel as per SOPs when needed.
• Meet with TPA adjusters regularly to review claims within your book of business.
• Document and take/request corrective action with TPA Claims managers, TPA Account Manager, when needed to correct inappropriate or lack of action of any TPA Adjuster.
• Oversee the completion of interrogatories in conjunction with External Counsel. Act as Signatory for the submitted interrogatories on behalf of Wawa.
• Act as the MPOC for store management or associate’s questions
• Serve as primary contact with Call Center to provide input to ensure quality claim reporting and customer service.
• Strategize for and attend arbitration, mediation, settlement conferences, or trials as needed.
• Review and approve request from TPA to assign investigative and expert services within SOP guidance.
• Identify trends that are causing claims to occur and elevate them to Risk Management Leadership.
• Participate in Safety Committee meetings.
• Undertake and lead projects when required.
• Perform other tasks and duties as assigned.

Essential Functions:

• Ability to work well individually as well as in a team environment
• Excellent oral and written communication skills
• Excellent customer service skills
• Ability to work with little or no supervision
• Detail oriented and strong organizational skills
• Strong analytical and problem-solving skills
• Ability to handle multiple projects
• Excellent interpersonal skills
• Proven self-starter with demonstrated ability to make decisions
• Ability to accept tasks and direction and to bring tasks to a timely conclusion
• Desire to gain valuable claim experience in multi-lines of coverage
• Ability to handle incident and injury descriptions, photos, and videos that may be graphic in nature
• Ability to keep confidentiality

Basic Qualifications:

• Bachelor’s Degree in a related field preferred (Risk Management, Finance, Criminal Justice)
• 2-4 years working in worker’s compensation or liability insurance claims environment required
• Ability to use multiple systems to review adjuster notes and run loss reports
• Expert usage of Microsoft Office (M365)

Wawa will provide reasonable accommodation to complete an application upon request, consistent with applicable law. If you require an accommodation, please contact our Associate Service Center at [e-mail] .

Wawa, Inc. is an equal opportunity employer. Wawa maintains a work environment in which Associates are treated fairly and with respect and in which discrimination of any kind will not be tolerated. In accordance with federal, state and local laws, we recruit, hire, promote and evaluate all applicants and Associates without regard to race, color, religion, sex, age, national origin, ancestry, familial status, marital status, sexual orientation or preference, gender identity or expression, citizenship status, disability, veteran or military status, genetic information, domestic or sexual violence victim status or any other characteristic protected by applicable law. Unlawful discrimination will not be a factor in any employment decision.