Claims Manager - Modesto, CA

We are California’s largest regional, full-service grocery chain, founded over 70 years ago in Modesto, California, where our headquarters are still located today. With 194 stores across Central and Northern California and Western Nevada, our banners—Save Mart, Lucky, and Food Maxx—are cherished regional brands, serving the unique needs of their communities.

It’s our 12,000 passionate associates who make our company a great place to work and shop. We prioritize investing in our people, stores, and neighborhoods, and work closely with local suppliers to bring fresh, quality products at affordable prices to our customers. Shoppers can access our offerings in-store, online, or through convenient home delivery and curbside pick-up.

The Save Mart Companies is part of The Jim Pattison Group, a family-owned, diversified holding company operating primarily in the U.S. and Canada and headquartered in Vancouver, BC. The Jim Pattison Group has a long-term strategic focus to see their companies succeed and grow. Together, our dedication to our associates and customers, commitment to growth and innovation, and our family traditions continue to thrive.

The Claims Manager investigates, evaluates, and manages all workers' compensation, general liability, and insurance claims for the company. This position is responsible for documentation of claims and circumstances, investigation of claims, assessment of liability and compensability, establishment of reserves and settlement values, and processing of claims through to closure. The Claims Manager works closely with the Director of Risk Management to prepare and present claims for settlement or closure.

The Claims Manager possesses advanced analytical skills to identify and assess risks that have an impact on the company's financial health, legal compliance, or reputation.

The incumbent collaborates with Company Leadership, Department Managers, Legal staff, and third-party administrators (TPAs) to report, administer, and resolve claims effectively. Additionally, the Claims Manager works closely with insurance brokers and vendors on company projects and initiatives. This position requires analytical skills and knowledge to review operational procedures, business data, loss trends, and present findings to internal and external stakeholders. The incumbent must possess strong knowledge of Workers' Compensation, General Liability and insurance regulations in California and Nevada, along with demonstrated experience in claims management and reserve setting.

• Investigates claims through evidence gathering, witness interviews, incident report review, and documentation of claim circumstances.
• Evaluates claim validity and compensability by analyzing whether injuries arose out of and in the course of employment for workers' compensation claims and assessing company legal liability for general liability claims.
• Establishes and adjusts claim reserves based on severity, exposure, and historical loss data as claims develop.
• Ensures timely reporting of claims to insurance carriers, third-party administrators, and regulatory agencies within statutorily required time frames.
• Maintains compliance with state-specific workers' compensation laws across California and Nevada jurisdictions, including meeting all filing deadlines, attending required conferences and hearings, and responding to regulatory inquiries.
• Represents the company at legal proceedings, program audits, vendor meetings, along with regulatory and court hearings.
• Analyzes claim trends and root causes to identify patterns in incidents across the store portfolio, such as slip-and-falls in particular locations, repetitive motion injuries in specific departments, or customer incidents related to product handling. Based on analysis, develops and implements corrective action plans and preventive measures. Coordinates with store operations, facilities, and safety teams to address hazardous conditions, implements training programs, and modifies procedures to reduce future claim frequency and severity.
• Works with retail, logistic, back-office support and…