Risk Claims Analyst
- Pavilion 1, BC, Canada
Full-time
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Job details
- Job type
- Full-time
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- Posting language
- English
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Original job description
Position Title
Risk Claims Analyst
Days - Full Time
Olathe Medical Pavilion B
Position Summary / Career Interest
The Risk and Claims Analyst provides support to the Risk, Claims, and Insurance Department, in all areas of physician risk, claims administration, and the insurance program. Responsibilities include conducting research, preparing statistical reports, handling underwriting requests, and assisting with obtaining insurance renewal data, processing new claims assuring timely and accurate reporting, and undertaking projects as directed. Must project a professional company image through in-person, virtual, and phone interaction.
Responsibilities And Essential Job Functions
Full time
Job Requisition ID
R-58242
Important Information For You To Know As You Apply
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Risk Claims Analyst
Days - Full Time
Olathe Medical Pavilion B
Position Summary / Career Interest
The Risk and Claims Analyst provides support to the Risk, Claims, and Insurance Department, in all areas of physician risk, claims administration, and the insurance program. Responsibilities include conducting research, preparing statistical reports, handling underwriting requests, and assisting with obtaining insurance renewal data, processing new claims assuring timely and accurate reporting, and undertaking projects as directed. Must project a professional company image through in-person, virtual, and phone interaction.
Responsibilities And Essential Job Functions
- As delegated by the Directors - represents department management for communicating information to hospital executive team, vendors, physicians, staff, and community agencies.
- Provides support to all aspects of insurance program, i.e., renewal/underwriting requests, certificate of insurance coordination, adding and terming provider coverage and tracking refunds.
- Provides support in handling general liability, property and auto claims; including coordination of claims.
- Coordinates responses to litigation discovery Utilizes database to document matter activities and correspondence.
- Escalates claim concerns to the team.
- Composes correspondence, memos, newsletter pieces, website content, policies, reports: types and proofs materials; edits, collates, assembles, and distributes documentation as needed.
- Prepares reports, activities calendars, mass mailings (i.e., letters and memos for staff).
- Assists with creation of database structure, gathers and analyzes data, and distributes reports as needed to support department operations.
- Demonstrates competencies in computer programs such as: Microsoft Office Word, Excel, PowerPoint, and Outlook, as well as other intra/internet programs.
- Prioritizes correspondence, memos, reports, and internal signature files and appointments; Reviews, classifies, and files correspondence, documents, and materials in main filing system; secures confidential file system dealing with sensitive documentation.
- Assists with the development, implementation and monitoring of the claims management program for the organization
- Participates on various Patient Relations committees such as a Grievance and Appeal committee as a member and consultant
- Serves as a proactive resource to departments and committees to promote safe and quality patient care and reduce liability exposure.
- Exercises professional judgment and critical thinking in facilitating prompt and compassionate claims management.
- Coordinates with the Directors the development and presentation of educational programs on risk management issues and claims trends.
- Promotes the containment of claims and losses, through early identification, assessment and resolution.
- Acts as liaison between the Board of Healing Arts and UKP physicians by serving as point of contact and negotiating submission terms for complaints.
- Assists and participates with the Directors of Claims, Insurance and Risk Management, in early communication and resolution protocol in response to unanticipated negative outcomes of care
- Works effectively with TUKHS Compliance, Risk Management, and other departments to provide information related to claims and insurance.
- Participates in education and orientation of new physicians as requested.
- Must be able to perform the professional, clinical and or technical competencies of the assigned unit or department.
- These statements are intended to describe the essential functions of the job and are not intended to be an exhaustive list of all responsibilities. Skills and duties may vary dependent upon your department or unit. Other duties may be assigned as required.
- Associates Degree from an accredited College or University.
- 5 or more years broad administrative/project coordination/ or risk, insurance, and claims management in a healthcare environment
- Bachelors Degree from an accredited College or University. OR
- Technical/Professional designations and training in Risk, Claims or Insurance/Degree in Business School Training.
Full time
Job Requisition ID
R-58242
Important Information For You To Know As You Apply
- The health system is an equal employment opportunity employer. Qualified applicants are considered for employment without regard to race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), national origin, ancestry, age, disability, veteran status, genetic information, or any other legally-protected status. See also Diversity, Equity & Inclusion.
- The health system provides reasonable accommodations to qualified individuals with disabilities. If you need to request reasonable accommodations for your disability as you navigate the recruitment process, please let our recruiters know by requesting an Accommodation Request form using this link asktalentacquisition@kumc.edu.
- Employment with the health system is contingent upon, among other things, agreeing to the health-system-dispute-resolution-program.pdf and signing the agreement to the DRP.
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More about this job
Responsibilities
Supports the healthcare organization's risk, claims, and insurance programs by coordinating claims, insurance renewals, underwriting requests, litigation discovery, and related records and reports. Helps manage claims and reduce liability through early identification and resolution, supports patient relations and physician education, and serves as a liaison with internal teams and external agencies.
Requirements
Requires an associate degree and at least five years of broad administrative or project coordination experience, or risk, insurance, or claims management experience in a healthcare environment. A bachelor's degree or relevant technical or professional training in risk, claims, insurance, or business is preferred.
Skills
- Claims Administration
- Risk Management
- Insurance Program Support
- Claims Coordination
- Underwriting Requests
- Statistical Reporting
- Data Analysis
- Database Management
- Litigation Discovery Coordination
- Microsoft Office
- Professional Communication
- Project Coordination
- Critical Thinking
- Patient Relations
- Loss Prevention
Visa sponsorship
Not detected in the job text
Categories
- Healthcare
- Administrative
- Finance & Accounting
- Legal
- Data & Analytics
Keywords
- Risk Management
- Claims Administration
- Insurance Program
- Physician Risk
- General Liability Claims
- Property Claims
- Auto Claims
- Underwriting
- Insurance Renewals
- Certificates Of Insurance
- Provider Coverage
- Litigation Discovery
- Claims Management
- Patient Relations
- Grievance And Appeal Committee
- Liability Exposure
- Claims Resolution
- Loss Containment
- Board Of Healing Arts
- Healthcare Compliance
- Microsoft Word
- Microsoft Excel
- Microsoft PowerPoint
- Microsoft Outlook
- Database Management
- Statistical Reports
- Data Analysis
- Project Coordination