General Claims Liability Analyst

General Liability Claims Analyst

Company Background

Flynn Restaurant Group (FRG) was started in 1999 as the owner and operator of eight Applebee’s in Washington State.

Since then the company has grown at over 30% a year, added five additional leading brands in Taco Bell, Panera, Arby’s, Pizza Hut, and Wendy’s, and has become the largest restaurant franchise and one of top 20 largest foodservice companies in the United States.

Today, through its six wholly-owned subsidiaries, Apple American Group, Bell American, Pan American, RB American, Hut American and Wend American Group, FRG owns and operates over 440 Applebee's, 280 Taco Bells, 130 Panera cafes, 360 Arby’s, 930 Pizza Huts, and 190 Wendy’s representing $3.5 Billion in Sales and directly employing almost 73,000 people in 44 states.

Going forward the company plans to continue its aggressive growth by building and acquiring additional restaurants as well as opportunistically expanding into other brands and businesses.

Flynn Restaurant Group Support Center

Our mission at the Support Center is clear - we provide ever improving support to enable our operators to focus on running premier restaurants.

We value our 200+ team members and are committed to setting clear expectations, rewarding and appreciating their contributions and helping them reach their full potential.

We look for people to join our team who think beyond themselves and consider the overall business, that want to "Own it" and take a "Whatever it Takes" attitude in all they do.

Position Description

The General Liability Analyst is responsible for assuring the quality and cost-effectiveness of the general liability claim investigation process including strategy development, analysis of risk and plans to move claims to closure.

General Liability Analyst

* Investigates and communicates w/ operators, witnesses and third parties to resolve claims.

* Works with our IT team to preserve video on incidents, get statements and all other investigation supports needed to move claim to resolve.

* Responsible for making initial contacts with guests and explaining the processes and next steps. Assists group with the day-to-day claims handling, forecasting and analysis for claims and risk administration expenses and performance.

* Position interfaces with all levels of personnel in addressing claims management questions, explaining results, variances from expectation and processes / procedures.

* Determines liability position, communicates investigation findings to guest/claimants, keep files notes and drafts denial letters as appropriates, reach resolutions, and negotiate settlements where appropriate with unrepresented.

* Draft settlement releases and issues payment where necessary.

* Keeping file tasks and meeting all file requirements & metrics for best claim handling practices.

* If lien notices are received, handle as appropriate with Medicare, Medical provider or court appointed liens and incorporate in settlements correctly.

* Use Exam Works for Medicare compliance and reporting for all settlements over threshold.

* Handle claims for minors, using appropriate minors release language for settlements and working with supervisor to ensure the appropriate minors compromise hearings are required and outside counsel can be retained as needed.

* Updating Manager timely when new information is received throughout investigation with to ensure files are reassigned Manager or Third-Party claims administrator as investigation develops and investigation handled appropriately.

* Identifying when a claim should be tendered to a separate party and requesting their information from the appropriate department in the organization to provide to the guest to pursue their claim parties such as landlords, food suppliers, vendors, snow abatement companies, equipment manufacturers.

* Responsible for investigating complex liability issues by conducting a more in-depth investigation.

* Identifying SIU needs such as ISO reports for questionable claims.

* Evaluating more complex injuries and corelating medical records, diagnostic imaging, and bills, identifying pre-existing conditions, confirming mechanism of injuries, understanding degenerative diagnosis vs. acute findings.

* Preserving evidence such as chairs, stools, rugs and other materials promptly.

* Request authority from manager by writing up special and general damages with liability explanation to support the value range placed on claim.

* Advise manager of any need for outside counsel for joint inspections, guardian ad litem to be appointed for minors claim resolutions, understanding the minor’s settlement hearing requirements for claims involving underage claimants.

* Notify manager of large loss potential exposures

* Collect lease documents, contracts, certificates of insurance and last invoices from any vendors to tender the claim.

* Draft Tender letters to appropriate party and their insurer if we have the COI on file

* Handle smaller injuries that are attorney represented within authority

* Draft acknowledgement letters to Attorneys, requesting required information such as theory of liability, injury, and treatment status.

Working knowledge to apply appropriate use of affirmative general liability defenses

* Alert supervisor when LOR received so management can determine appropriate handler and request a DRN or legal hold to be circulated to necessary parties within company.

* Draft denial letters with the appropriate language to Plaintiff attorney.

* Communicate defenses, argue liability strengths, both in writing and on the phone with Plaintiff counsel.

* Apply multiple state contributory negligence laws as appropriate.

* Handle large loss subrogation claims and more complex financial issues that arise out of subrogation claims not able to handle by initial analyst.

Essential responsibilities will include:

* Conduct day-to-day claims administration to investigate and resolve claims to include review and analysis of medical records, witness statements and video evidence.

* Develop and utilize data to analyze property and general liability claim costs, trends.

* Establish interface guidelines and communication channels between all parties, including the claims office, operations and supervisors.

* Ensure proper Medicare reporting on behalf of organization.

* Ensure policies and procedures are in compliance with changing regulations as they pertain to the business.

* Access and interpret data from multiple internal and external databases.

Desired Skills and Experience

* College degree and related state certifications strongly preferred.

* Minimum of 1 to 3 years of experience in the claims industry, including: basic general liability experience with understanding of laws, acts, regulations and systems governing general liability, Pre-litigation management, best practice file audit techniques.

* Strong computer and analytical skills, with the ability to exercise self-direction and initiative, and make decisions in a fast-paced changing work environment.

* Ability to prepare and present executive ready evaluation or demand packages

* Must possess excellent written and verbal communications skills.

* Demonstrated ability to realize company cost-containment opportunities.

* Proven ability for team participation including ability to implement efficient work processes, problem prevention identification and resolution skills.

* Flexibility for meeting multiple demands and ability to utilize and effective time management planning process.

Why Work for Flynn?

Flynn Restaurant Group offers a variety of benefits and perks to encourage and empower our employees. We are committed to helping each employee work and live to his or her fullest potential. We offer a variety of benefits and perks while working for us:

* Medical / Dental / Vision

* Retirement and Savings Plan

* Short and Long Term Disability

* Basic Life Insurance

* Voluntary Life Insurance

* Tuition Reimbursement

* Paid Time Off

* Flexible Work Schedules

* Company Outings

* Dining Discounts

* PC/Laptop Assistances

* On-Site Fitness Center

* On-Site Daycare

* On site Cafe

* FUN Work Environment!

The Flynn Restaurant Group is an Equal Opportunity Employer

The Flynn Restaurant Group is an Equal Opportunity Employer