PetSmart · 1 month ago
Workers Comp Claims Specialist
PetSmart is a company that focuses on safeguarding its reputation and ensuring legal compliance. The Workers’ Compensation Claims Specialist role involves supporting the Risk Management department by overseeing workers’ compensation claims programs, analyzing claim trends, and collaborating with various teams to ensure effective claims resolution.
E-CommercePetRetailRetail TechnologyTraining
Responsibilities
Assist in directing the workers’ compensation claims management program, including TPAs and vendors, to ensure timely, quality claimant care and appropriate financial reserve practices
Monitor TPA and ancillary service provider performance to ensure contractual compliance and achievement of established service level agreements (SLAs), metrics, and performance expectations
Oversee the TPA Associate Claim Advocate to support an advocacy-based workers’ compensation program, including regular touch-base meetings, strategy discussions, and input into performance evaluations
Identify, evaluate, and assess the probability and severity of losses on claims at risk of adverse development
Analyze claim trends and provide findings and recommendations to Risk Leadership
Utilize TPA claims systems and RMIS platforms to develop dashboards, review and validate claim data, and maintain accurate claim reporting
Manage the full Transitional Duty program and provide strategic recommendations for the Return-to-Work program
Support Stores and Distribution Centers with workers’ compensation-related questions and activities
Collaborate with field leadership to ensure consistent application of Transitional Duty guidelines and monitor associate progress and compliance
Authorize claim settlements and reserve increases within assigned authority levels
Support the development, implementation, and monitoring of cost-containment strategies to prevent and minimize losses
Travel required for approximately five business trips annually for claim reviews and conferences
Partner with Risk Management, Human Resources, and Safety/Loss Prevention teams to ensure alignment on workers’ compensation activities
Collaborate with the Senior Claims Manager and TPA to provide internal training and guidance on best practices, state law compliance, and program updates
Confirm and communicate approved medical provider networks and provide associate training as needed
Qualification
Required
Minimum of three (3) years of experience working with a Third-Party workers' compensation Claims Administrator
Excellent written and verbal communication skills
High level of discretion and ability to maintain confidentiality
Thorough working knowledge of workers' compensation claims management and procedures
General understanding of workers' compensation laws and regulations
Strong analytical skills with the ability to compile, organize, and present data
Ability to work effectively in a team-oriented, cross-functional environment
Proven ability to manage multiple priorities and coordinate information efficiently
Proficiency with software applications and the ability to troubleshoot system issues
Proficient in Microsoft Office applications
Ability to quickly learn and effectively use TPA claims systems and RMIS platforms
Preferred
Bachelor's degree preferred, or Associate's degree with insurance-related coursework
Claims Adjuster designation preferred
Experience with other claims lines (e.g., property, cargo, general liability) is a plus but not required
Benefits
Pet-friendly environment, bring your pets to work and enjoy the on-site dog park!
On-Site Events & Adoptions, enjoy community-building opportunities, including pet adoption days, seasonal celebrations, family events, art events, & holiday festivals
"Top Dog" gym with equipment, fitness classes, massage therapists, personal trainers, and wellness spaces
"Sit & Stay" Café serving fresh breakfast and lunch options, snacks, & more
"Lil Paws" NAEYC-accredited onsite childcare facility providing high-quality early education
Paid Volunteer Opportunities to spend time doing good for causes close to heart
Print Center and Business Services, Dry Cleaning, Mother's Rooms, Sustainable Infrastructure & more
Company
PetSmart
PetSmart is an e-commerce business that offers pet supplies, medications, grooming solutions, and adoption services.
H1B Sponsorship
PetSmart has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (36)
2024 (19)
2023 (33)
2022 (5)
2021 (3)
2020 (27)
Funding
Current Stage
Public CompanyTotal Funding
$2.71BKey Investors
Apollo
2025-08-08Debt Financing· $2.7B
2023-07-24Secondary Market
2014-11-18Acquired
Recent News
Canada NewsWire
2025-11-14
Company data provided by crunchbase