Service Experts · 16 hours ago
Senior Claims Specialist
Richardson, TX
Full-time
Hybrid
Mid, Senior Level
2+ years expService Experts is a multi-state operation that focuses on reducing costs and improving outcomes in claims management. The Senior Claims Specialist is responsible for managing workers’ compensation, auto liability, and general liability claims, ensuring compliance and effective communication with various stakeholders to drive performance and mitigate risks.
ConstructionConsumer Goods"Heating Ventilation and Air Conditioning (HVAC)"ResidentialSolar
Responsibilities
Own claims from first notice of loss through closure for:
Workers’ compensation
Auto liability / fleet accidents
General liability incident
Ensure same-day reporting, accurate documentation, and regulatory compliance across all operating states
Serve as the primary liaison with TPAs, carriers, defense counsel, medical networks, and brokers
Proactively manage and challenge reserves, treatment paths, litigation strategy, and settlement recommendations
Drive closure velocity and reduce inactive or stale claims
Partner with Fleet, Safety, and Operations on driver-related claims and accident trends
Leverage telematics, video, and driver data to:
Determine liability
Challenge fault
Support defense strategies
Support driver coaching, corrective action, and claim-driven risk mitigation strategies
Coordinate medical care, Transitional Duty, and Return-to-Work programs to:
Reduce lost time
Improve employee experience
Minimize indemnity exposure
Actively monitor treatment plans and escalate concerns involving:
Extended care
Questionable diagnoses
Attorney involvement
Missed work restrictions
Partner with HR to ensure compliant and compassionate employee communication
Track and trend key performance indicators including:
Claim frequency and severity
Average cost per claim
Litigation rate
Claim aging
Reserve accuracy
Produce executive-level reporting and dashboards to support leadership decision-making
Work directly with the Safety team to:
Identify claim-driven risk trends
Support root cause analysis for serious incidents
Validate corrective actions
Provide feedback to Operations that connect claims outcomes to field behavior, training gaps, and policy effectiveness
Coach General Managers, Service Leaders, and Supervisors on:
Proper injury reporting
Employee communication after incidents
Claim expectations and timelines
Act as a calm, credible resource during high-stress or high-severity events
Qualification
Required
2+ years of hands-on claims management experience (workers' compensation strongly required)
Experience as a safety professional in warehousing, construction, or construction support environments
Strong understanding of OSHA reporting requirements, including OSHA 300 and 300A logs
Proven success managing claims in a multi-state, high-volume environment
Experience managing fleet-related and auto liability claims
Strong working knowledge of claims systems, TPAs, and carrier workflows
Ability to interpret and challenge medical, legal, and reserve decisions
Exceptional communication and relationship-management skills
Preferred
Experience in HVAC, plumbing, electrical, construction, restoration, logistics, or home services
Familiarity with Safety Management Systems, telematics, and incident reporting platforms
Bachelor's degree preferred
Professional designations such as AIC, ARM, CPCU, or similar
Data-driven mindset with strong Excel and reporting capabilities
Company
Service Experts
Service Experts is a plumbing company that sells, services, and repairs heating and air conditioning systems.
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
N
Nick Ridgway
VP of Franchise Developement
Recent News
2026-01-16
Service Experts
2025-09-16
Company data provided by crunchbase