Critical Risk and Claims Manager
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Job Description
Critical Risk and Claims Manager managing a team conducting high-hazard assessments for Pinnacle Group. Overseeing claims management, compliance, and strategic guidance within risk management.
Responsibilities:
- Lead and manage a team of risk and claims specialists conducting onsite assessments in high-hazard environments such as construction, manufacturing, and logistics
- Oversee worksite evaluations, job hazard analyses (JHAs), and safety audits to ensure consistency, quality, and actionable insights
- Provide strategic guidance on workers’ compensation classifications (NCCI codes) based on observed job duties and exposure risks
- Review and validate findings related to discrepancies between reported and actual job duties, ensuring proper escalation and resolution
- Partner with internal teams, carriers, and third-party administrators (TPAs) to optimize claims management and reduce loss exposure
- Analyze claims trends and loss data to identify root causes and implement targeted risk mitigation and return-to-work strategies
- Drive OSHA compliance initiatives, including program development, training oversight, and audit readiness
- Collaborate with clients to implement corrective actions, improve PPE adherence, and strengthen safety culture
- Support insurance renewal processes by providing exposure analysis, field insights, and risk recommendations
- Mentor and develop team members, fostering technical expertise, leadership capability, and continuous improvement
Requirements:
- 7+ years of experience in loss control, risk management, EHS, or safety consulting within high-hazard industries
- Prior experience in a leadership or managerial role overseeing field-based risk or safety professionals
- Strong knowledge of workers’ compensation classifications (NCCI/class codes) and their financial and operational impact
- Proven ability to conduct and oversee onsite worksite assessments and safety evaluations
- Deep understanding of OSHA regulations and workplace safety compliance requirements
- Experience working with claims processes, insurance carriers, and TPAs
- Strong analytical skills with the ability to interpret claims data and translate insights into action
- Excellent communication and leadership skills, with the ability to influence stakeholders at all levels
- Willingness to travel approximately 10–20%
Benefits:
- Health insurance
- Flexible work arrangements
- Professional development
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