Risk and Insurance Manager

SUMMARY

Supports nonclinical and nonclinical risk management and the coordination of the centralized insurance program.  Lines of business include professional liability, general liability, executive risk, property, cyber liability, crime, reinsurance for the captive, auto, aviation and others. The Risk  & Insurance Manager independently manages the program/facility loss prevention strategies and initiatives, established in conjunction with the System Risk Director, and serves as a subject matter resource for assigned facilities and functional areas as directed. The Risk & Insurance Manager analyzes risk issues and directs and organizes loss prevention strategies and initiatives for assigned program or facility including proactive risk activities such as risk assessments, educational programs, consultations and ensuring compliance with the multiple laws and regulations affecting patients, visitors, employees and the community we serve.  The Risk & Insurance Manager is responsible for keeping all Administrative and Clinical Leaders as well as Market/System Risk apprised of significant events and Risk Management activities within the scope of assignment.

ESSENTIAL JOB FUNCTIONS

• Supports the strategic plan to address risk assumption/risk transfer and loss prevention activities associated with both physician and non-clinical risks.

• Participates in collection of underwriting information including collecting data needed for the captive, reinsurance, physician, and multiple commercial insurance policy renewals and bonds throughout the year and also maintains this data for historical purposes.

• Assists with evaluation of risk and the physician onboarding process into the captive.

• Maintains databases of insured entities, properties, vehicles, drivers, physicians, etc. in the risk management information system.

• Maintains schedules of insurance, policies, premiums, policy summaries, etc.  

• Assists with physician credentialing and loss history requests.

• Participates in the risk analysis to determine effective loss prevention activities then implements loss prevention activities, including education, related to both clinical and non-clinical policies as directed by the System Director.

• Assists with ensuring compliance with patient compensation funds and other special state funds.

• Processes and tracks invoices, premium payments, premium returns, etc.  

• Works with facilities, practice managers, real estate, finance, human resources and other internal departments to manage all certificate requests.

• Works on special projects and assists as needed.

• Must possess effective communication skills, ability to work well with others, professionalism, and a positive attitude.

This document is not an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job. Employees may be required to perform other job related duties as required by their supervisor, subject to reasonable accommodation.

EMPLOYMENT QUALIFICATIONS

Education:

Bachelors Degree (Required)

Major- Risk Management, Healthcare, Business, or related field

Licensure/Certification:

CPHRM (within 4 years of hire) (Required)

CPCU, ARM or similar certifications (Preferred)

Minimum Years and Type of Experience:

• 3+ years in healthcare provision or administration, insurance, loss prevention or related field. Or combination of post-secondary education and experience in lieu of a degree. (Required)

• 5+ years in healthcare provision or administration, insurance, loss prevention or related field. (Preferred)

FUNCTIONAL SKILLS REQUIRED

• Analyzing data or information

• Proficient in Microsoft Office

• Planning skills

• Organizational skills

• Data entry

• Electronic file management

• Analysis of risk

• Submit payments and credits for processing

• Assist with loss prevention

• Collection of data

INTERPERSONAL SKILLS REQUIRED

• Attention to detail

• Critical thinking

• Team player attitude

• Responsible

• Dependable

• Motivation and work ethic

• Flexibility and adaptability

• Openness to feedback and ability to accept and support leadership decisions even if not in total agreement

• Positive attitude

• Excellent interpersonal skills with the ability to communicate effectively and actively listed in concerns identified.