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Direct Claims Jobs in Minnesota (NOW HIRING)

Represent the Claims Delivery Director in overseeing and coordinating the efforts of primary Claims Product Family delivery teams. * Technical Expertise: Using strong technical background (understand ...

Represent the Claims Delivery Director in overseeing and coordinating the efforts of primary Claims Product Family delivery teams. * Technical Expertise: Using strong technical background (understand ...

Tech Delivery Manager - Claims

Minnetonka, MN · On-site

$113.40 - $170.10/hr

Represent the Claims Delivery Director in overseeing and coordinating the efforts of primary Claims Product Family delivery teams. * Technical Expertise: Using strong technical background (understand ...

Description: POSITION SUMMARY Subrogation Investigator will play a key role in managing claims ... directed by supervisor. *J&R Schugel is an equal opportunity employer. All applicants will be ...

... claims involving damage or loss caused by third parties. Their primary responsibility is to ... directed by supervisor. *J&R Schugel is an equal opportunity employer. All applicants will be ...

Advance Your Career in Insurance Claims with Allied Universal Compliance and Investigation Services ... as directed * Produce professional and expert reports, memos, and letters that are clear, concise ...

Showing results 41-60

Direct Claims information

What is a direct claim?

Direct claims refer to insurance claims that are filed directly by the policyholder with their own insurance company, rather than going through a third party or the at-fault party's insurer. This process is common in situations like auto accidents, where the policyholder seeks compensation for damages or losses under their own policy. Direct claims help streamline the process, reduce delays, and ensure the policyholder receives prompt assistance and settlements. They are often associated with 'first-party' insurance coverage, such as collision, comprehensive, or health insurance claims.

What are the key skills and qualifications needed to thrive as a direct claims specialist?

To thrive as a Direct Claims Specialist, you need a solid understanding of insurance policies, claims processes, and relevant legal regulations, often supported by a degree in business, finance, or a related field. Familiarity with claims management software, customer relationship management (CRM) systems, and sometimes industry certifications like AIC or CPCU is typical. Exceptional attention to detail, problem-solving abilities, and strong communication skills set top performers apart in this role. These skills and qualifications ensure claims are processed accurately and efficiently, leading to customer satisfaction and minimized risk for the insurer.

What are some common challenges faced by professionals in direct claims roles, and how can they effectively manage these challenges?

Professionals in Direct Claims often face the challenge of balancing a high volume of claims with the need for thorough investigation and timely resolution. Managing customer expectations and handling sensitive situations, such as denied claims or complex cases, can also be demanding. Effective communication, strong organizational skills, and staying updated on policy guidelines are crucial for success. Building collaborative relationships with adjusters, underwriters, and other departments helps ensure accurate and efficient claims processing.

What is the difference between Direct Claims vs Claims Adjuster?

AspectDirect ClaimsClaims Adjuster
CredentialsInsurance license, knowledge of policiesInsurance license, sometimes certifications like AIC or CPCU
Work EnvironmentCustomer service, office or remoteFieldwork, office, or remote
Employer & IndustryInsurance companies, agenciesInsurance companies, third-party administrators
Search & Comparison IntentUnderstanding direct claims handlingEvaluating claims adjustment roles

Direct Claims professionals primarily handle claims directly from policyholders, focusing on processing and resolving claims within the insurance company. Claims Adjusters evaluate, investigate, and settle claims, often working in the field or remotely. Both roles require insurance licensing, but Claims Adjusters may have additional certifications. While their work overlaps in claims processing, Direct Claims roles are more customer-facing, whereas Claims Adjusters focus on assessment and negotiation.

What cities in Minnesota are hiring for Direct Claims jobs?

Cities in Minnesota with the most Direct Claims job openings:

Infographic showing various Direct Claims job openings in Minnesota as of July 2026, with employment types broken down into 88% Full Time, 10% Part Time, and 2% Contract. Highlights an 88% Physical, 4% Hybrid, and 8% Remote job distribution.

Senior Risk & Claims Manager

Border Foods

Minneapolis, MN

Other

Re-posted 19 days ago


Border Foods rating

4.7

Company rating: 4.7 out of 10

Based on 20 frontline employees who took The Breakroom Quiz


Job description

What began as an idea between two brothers to open a Mexican restaurant has since grown into one of the largest, privately held Taco Bell franchisees in America. At Border Foods, we work with a people-first mantra. From cooks to cashiers to restaurant managers and beyond, we work together to bring to life the Core Values of Border Foods. Welcome to our family where you will continue to learn, evolve, and shape what comes next on our mission of making lives better. 

As an employee your mission is to reinforce the Border Foods CORE values, to include Accountability, Integrity, Family, Excellence, Teamwork, and Empowerment. 

At Border Foods, we will unlock the full potential of our employees and guest’s restaurant experience by creating safe welcoming and supportive environments where everyone can thrive.

The Senior Risk & Claims Manager is responsible for leading Border Foods’ enterprise risk management and claims strategy across all company operations. This role focuses on minimizing organizational risk, reducing loss exposure, improving claim outcomes, and managing insurance-related costs through proactive oversight of claims, litigation, insurance administration, and risk analytics.

This leader oversees the full lifecycle of workers’ compensation, general liability, property, crime, and fleet claims while serving as the primary liaison with insurance carriers, brokers, third-party administrators, and legal counsel.

The Senior Risk & Claims Manager also drives technology, systems, and reporting improvements to provide greater visibility into enterprise risk trends, improve operational decision-making, and support proactive mitigation strategies across the organization.

Core Responsibilities:

Enterprise Risk Management

  • Lead and continuously evolve Border Foods’ enterprise risk management strategy across a multi-state restaurant footprint.
  • Identify operational, financial, legal, and insurance-related risk exposures.
  • Analyze claim trends, loss drivers, and recurring patterns to proactively reduce organizational risk.
  • Develop risk mitigation strategies and recommendations for senior leadership.
  • Establish and maintain key risk performance metrics and reporting.

Claims Management

  • Oversee administration and resolution of all company claims, including:
  • Workers’ Compensation
  • General Liability
  • Property Damage
  • Crime
  • Fleet / Vehicle Claims
  • Manage claim lifecycle from incident reporting through closure.
  • Review claim severity, reserve adequacy, settlement recommendations, and escalation needs.
  • Partner with adjusters and claim administrators to ensure timely and effective claim resolution.
  • Drive cost containment through strong claims oversight and proactive intervention.

Insurance Administration

  • Serve as primary point of contact for insurance carriers, brokers, and captive insurance partners.
  • Support annual policy renewals, coverage review, and insurance program administration.
  • Monitor loss history and claim trends to support renewal strategy and premium management.
  • Evaluate policy effectiveness and recommend adjustments to improve protection and reduce exposure.
  • Ensure accurate documentation and reporting related to insurance programs.

Litigation Management

  • Oversee litigation related to claims, liability, and risk matters.
  • Partner with internal stakeholders, adjusters, attorneys, and outside legal counsel on active cases.
  • Coordinate evidence gathering, documentation, and case preparation.
  • Monitor litigation timelines, legal spend, settlement strategy, and case outcomes.
  • Escalate high-risk legal matters to executive leadership when appropriate.

Technology, Systems & Analytics

  • Optimize systems supporting claims management, incident reporting, and risk analytics.
  • Improve reporting capabilities and enterprise visibility into risk trends.
  • Partner with internal technology and analytics teams to identify automation and process improvement opportunities.
  • Develop dashboards and reporting tools that support data-driven decision-making.
  • Leverage analytics to identify root causes and opportunities for operational improvement.

Leadership & Cross-Functional Partnership

  • Lead, coach, and develop direct report to ensure strong departmental performance and continuity.
  • Partner closely with Operations, Human Resources, Facilities, Finance, and executive leadership.
  • Provide consultation and guidance regarding claims, risk exposure, and mitigation strategies.
  • Build strong cross-functional relationships and influence risk-aware decision-making across the organization.
  • Foster accountability, operational discipline, and proactive problem solving.

Success Measures

Success in this role will be demonstrated through:

  • Reduction in claim frequency and severity
  • Improved claim resolution timelines and outcomes
  • Reduced insurance-related costs and loss exposure
  • Improved litigation outcomes and cost management
  • Increased visibility into enterprise risk through reporting and analytics
  • Strong internal and external business partnerships

Qualifications

  • Bachelor’s degree in Risk Management, Business Administration, Finance, Insurance, Legal Studies, Human Resources, or related field; or equivalent combination of education and experience
  • 5+ years of progressive experience in:
  • Risk management
  • Claims administration
  • Insurance operations
  • Litigation support
  • Loss prevention or related field
  • Experience managing workers’ compensation, general liability, and insurance claims required
  • Multi-site and multi-state experience strongly preferred
  • Restaurant, retail, franchise, or other high-volume operational experience preferred
  • Experience working with insurance carriers, brokers, TPAs, and legal counsel strongly preferred
  • Experience using analytics, systems, and reporting tools to drive business decisions
  • Leadership experience preferred
  • Valid driver’s license required
  • Ability to travel as needed

Knowledge, Skills & Abilities

  • Strong knowledge of claims management, insurance programs, and litigation processes
  • Ability to interpret policies, contracts, legal documentation, and claim-related information
  • Strong financial and business acumen with cost-management mindset
  • Exceptional analytical and problem-solving skills
  • Strong systems and technology orientation
  • Ability to identify patterns and translate data into actionable recommendations
  • Excellent communication, negotiation, and conflict resolution skills
  • Strong executive presence and ability to influence across all levels
  • High level of professionalism, judgment, and confidentiality

Physical Demands

This position requires sitting, standing, walking, bending, lifting, and intermittent travel during working hours. These physical requirements may be accomplished with or without reasonable accommodation.

Additional Information

The duties of this position may change from time to time. Border Foods reserves the right to modify or assign additional responsibilities at the discretion of the company or its leaders. This job description is intended to describe the general level of work being performed and is not intended to be all-inclusive.

Border Foods is proud to be an Equal Opportunity Employer of Minorities, Women, Protected Veterans, and Individuals with Disabilities and does not discriminate based on gender identity or sexual orientation.


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