Risk Analyst
Risk AnalystKey Responsibilities
Claims Administration & Risk Management
Manage guest incident claims from intake through resolution, escalation, or litigation referral, ensuring timely investigation, documentation, evaluation, and follow-up.
Conduct claim review, investigation, and risk assessment to identify exposure, escalation triggers, documentation gaps, and appropriate next steps.
Collect, review, and analyze claim-related documentation, including incident reports, photographs, witness statements, receipts, communications, and other supporting materials.
Evaluate guest incident claims for completeness, liability indicators, potential litigation concerns, policy application, and allocation applicability.
Exercise sound judgment in determining when claims require escalation, additional investigation, management review, or litigation referral.
Serve as a primary operational liaison between Legal, Risk, Operations, Guest Relations, third-party administrators, insurance partners, and outside counsel.
Coordinate with third-party administrators on claim status, documentation needs, investigation follow-up, escalation, reserve or exposure concerns, and resolution strategy.
Review TPA claim updates, assessments, and recommendations, and identify issues requiring additional action, escalation, or Sr. Manager review.
Attend claim reviews with third-party administrators and support follow-up on action items, trends, and open issues.
Monitor claim activity and proactively identify inconsistencies, missing information, recurring issues, or operational gaps that may impact claim handling.
Review allocation disputes and provide recommendations based on Company policy, available documentation, supporting evidence, and established guidelines.
Support oversight of claim handling expectations, escalation protocols, reporting requirements, and TPA performance.
Maintain and update guest incident handling procedures, allocation guidelines, chargeback processes, claims administration materials, and related policies in partnership with the Sr. Manager.
Identify trends in guest incidents, claim activity, recurring issues, or policy gaps and recommend operational or process improvements to reduce exposure and support risk mitigation.
Assist in developing and implementing best practices related to claims handling, investigation standards, documentation requirements, escalation protocols, allocation management, and claim file maintenance.
Support training, guidance, and communication efforts related to guest incident documentation, claim handling procedures, and claims administration processes.
Other tasks as assigned by manager.
Litigation & Legal Operations Support
Provide litigation support for escalated guest incident claims and related matters, including document preservation, file organization, case tracking, and coordination with internal partners and outside counsel.
Ensure claim and litigation files are complete, accurate, organized, and maintained in claim and matter management systems.
Coordinate with outside counsel and internal stakeholders regarding document collection, case updates, deadlines, and litigation support needs.
Monitor litigation deadlines, milestones, follow-up items, and matter activity to support case management and litigation strategy.
Maintain accurate matter management system updates, litigation records, claim notes, reporting fields, and supporting documentation.
Process and review outside counsel and vendor invoices for accuracy, completeness, compliance, and appropriate coding.
Support litigation reporting, claims metrics, audits, trend analysis, and other operational reporting for the Legal team.
Identify and recommend efficiencies in claims administration, litigation workflows, documentation practices, reporting processes, and matter management procedures.
Provide guidance and informal mentoring to less experienced team members as appropriate.
Qualifications
6+ years of experience in claims management, risk management, investigations, litigation support, insurance administration, legal operations, or a related environment.
Strong understanding of claims handling practices, liability evaluation, risk assessment principles, litigation readiness, and claim documentation standards.
Demonstrated ability to independently manage claims, competing priorities, sensitive matters, and complex workstreams with limited supervision.
Experience working with third-party administrators, outside counsel, insurance partners, claims management systems, matter management systems, and cross-functional business stakeholders.
Ability to interpret and apply policies, procedures, allocation guidelines, escalation protocols, and supporting documentation.
Strong investigative, analytical, organizational, and problem-solving skills.
Sound judgment and decision-making skills, particularly in sensitive, high-risk, or time-sensitive situations.
Strong written and verbal communication skills, with the ability to communicate clearly and professionally with internal and external stakeholders.
Ability to handle confidential and sensitive information with discretion and professionalism.
Proficiency in Microsoft Office applications, including Outlook, Word, and Excel; experience with claims or matter management systems preferred.
Compensation Range: $67,000.00 - $92,125.00
Red Robin is an Equal Opportunity & E-Verify Employer
Claims Administration & Risk Management
Manage guest incident claims from intake through resolution, escalation, or litigation referral, ensuring timely investigation, documentation, evaluation, and follow-up.
Conduct claim review, investigation, and risk assessment to identify exposure, escalation triggers, documentation gaps, and appropriate next steps.
Collect, review, and analyze claim-related documentation, including incident reports, photographs, witness statements, receipts, communications, and other supporting materials.
Evaluate guest incident claims for completeness, liability indicators, potential litigation concerns, policy application, and allocation applicability.
Exercise sound judgment in determining when claims require escalation, additional investigation, management review, or litigation referral.
Serve as a primary operational liaison between Legal, Risk, Operations, Guest Relations, third-party administrators, insurance partners, and outside counsel.
Coordinate with third-party administrators on claim status, documentation needs, investigation follow-up, escalation, reserve or exposure concerns, and resolution strategy.
Review TPA claim updates, assessments, and recommendations, and identify issues requiring additional action, escalation, or Sr. Manager review.
Attend claim reviews with third-party administrators and support follow-up on action items, trends, and open issues.
Monitor claim activity and proactively identify inconsistencies, missing information, recurring issues, or operational gaps that may impact claim handling.
Review allocation disputes and provide recommendations based on Company policy, available documentation, supporting evidence, and established guidelines.
Support oversight of claim handling expectations, escalation protocols, reporting requirements, and TPA performance.
Maintain and update guest incident handling procedures, allocation guidelines, chargeback processes, claims administration materials, and related policies in partnership with the Sr. Manager.
Identify trends in guest incidents, claim activity, recurring issues, or policy gaps and recommend operational or process improvements to reduce exposure and support risk mitigation.
Assist in developing and implementing best practices related to claims handling, investigation standards, documentation requirements, escalation protocols, allocation management, and claim file maintenance.
Support training, guidance, and communication efforts related to guest incident documentation, claim handling procedures, and claims administration processes.
Other tasks as assigned by manager.
Litigation & Legal Operations Support
Provide litigation support for escalated guest incident claims and related matters, including document preservation, file organization, case tracking, and coordination with internal partners and outside counsel.
Ensure claim and litigation files are complete, accurate, organized, and maintained in claim and matter management systems.
Coordinate with outside counsel and internal stakeholders regarding document collection, case updates, deadlines, and litigation support needs.
Monitor litigation deadlines, milestones, follow-up items, and matter activity to support case management and litigation strategy.
Maintain accurate matter management system updates, litigation records, claim notes, reporting fields, and supporting documentation.
Process and review outside counsel and vendor invoices for accuracy, completeness, compliance, and appropriate coding.
Support litigation reporting, claims metrics, audits, trend analysis, and other operational reporting for the Legal team.
Identify and recommend efficiencies in claims administration, litigation workflows, documentation practices, reporting processes, and matter management procedures.
Provide guidance and informal mentoring to less experienced team members as appropriate.
Qualifications
6+ years of experience in claims management, risk management, investigations, litigation support, insurance administration, legal operations, or a related environment.
Strong understanding of claims handling practices, liability evaluation, risk assessment principles, litigation readiness, and claim documentation standards.
Demonstrated ability to independently manage claims, competing priorities, sensitive matters, and complex workstreams with limited supervision.
Experience working with third-party administrators, outside counsel, insurance partners, claims management systems, matter management systems, and cross-functional business stakeholders.
Ability to interpret and apply policies, procedures, allocation guidelines, escalation protocols, and supporting documentation.
Strong investigative, analytical, organizational, and problem-solving skills.
Sound judgment and decision-making skills, particularly in sensitive, high-risk, or time-sensitive situations.
Strong written and verbal communication skills, with the ability to communicate clearly and professionally with internal and external stakeholders.
Ability to handle confidential and sensitive information with discretion and professionalism.
Proficiency in Microsoft Office applications, including Outlook, Word, and Excel; experience with claims or matter management systems preferred.
Compensation Range: $67,000.00 - $92,125.00
Red Robin is an Equal Opportunity & E-Verify Employer