Risk Solutions Claims Specialist - Injury & Litigation

H-E-B; Houston (TX); On-site; USD 65,000 - 90,000; Full time

Job summary

H-E-B is seeking a Risk Solutions Representative to manage Risk Solutions Programs under Risk Leadership. You will handle claims, litigation management, and safety initiatives across assigned stores, ensuring compliance with OSHA regulations.

Responsibilities include investigations, regulatory reviews, and coordination of Return-to-Work programs, subrogation efforts, and expense controls. Travel to stores may be required; a strong customer-service orientation is essential.

Qualifications

• 2+ years related experience.
• 2-5 years claims handling experience (case management involving medical, vocational, subrogation / recovery, return to work program, etc.)

Responsibilities

• Investigates and documents hazard reviews; analyzes, evaluates and presents recommendations.
• Coordinates litigation case management to ensure cost containment; attend trials when needed, reports on trial to management.
• Manages incident reports and determine appropriate action plan.
• Communicates with all partners, customers and other third parties who have filed an incident report to determine an appropriate action plan and to provide the best possible customer service.
• Reviews reports, makes initial contact with partner, determines eligibility for benefits on work injuries, and administers all benefits due in accordance with the Work Injury Benefit Plan, including coordination of the Return to Work (RTW) Program.
• Facilitates subrogation / recovery efforts from third parties responsible.
• Continuously reviews, sets and monitors reserves to reflect appropriate levels of exposure.
• Reviews and approves payments on all cases within assigned authority.
• Ensure adequate communication and resolution on attorney represented or litigated cases.
• Negotiates and diffuses claims with third parties and plaintiff Attorneys.
• Serves as corporate representative, witness, etc. as necessary.
• Facilitates property claims, work injury and general liability.
• Instills a safety culture and supports all safety initiatives.
• Demonstrates proficiency in training of Risk Solutions initiatives.
• Performs other functions pertinent to this job as assigned.
• Creates, runs, analyzes, and communicates incident trends reports for Operations Leadership

Skills

Customer service

Communication

Bilingual

PC skills

Regulatory interface

Education

Bachelor’s Degree or comparable training

All-Lines Claims Adjuster license (Texas)

Valid Texas driver license

Tools

Microsoft Office

Claims Management System

Job description

H-E-B is seeking a Risk Solutions Representative to manage Risk Solutions Programs under Risk Leadership. You will handle claims, litigation management, and safety initiatives across assigned stores, ensuring compliance with OSHA regulations.

Responsibilities include investigations, regulatory reviews, and coordination of Return-to-Work programs, subrogation efforts, and expense controls. Travel to stores may be required; a strong customer-service orientation is essential.