Risk Management Claims Specialist

This job was posted by : For more information, please see: F&A Risk Management About the Department The Office of Risk Management is committed to supporting a safe educational, work and research environment, by providing the Board of Trustees, Officers, and leaders of academic and administrative units with a framework and set of expert services that ensure the University has the resources to pursue its mission in a sound, compliant and effective way. Our goal is to assist University stakeholders in achieving their own objectives, while ensuring institutional compliance and managing a wide range of risk exposures created by the University/'s programs and operations. To accomplish this, we strive to promote a safe and healthy environment for students, staff and visitors while also ensuring appropriate processes are in place to identify, assess, manage, monitor and finance risk. The Office of Risk Management is a unit in the Division of Finance and Administration, reporting to the Vice President and CFO. Job Summary The Risk Management Claims Specialist, under the supervision and guidance of the Executive Director of Risk Management, assists in the management of the University and affiliates property, liability and workers/' compensation claims and other related risk management claims and processes. Responsibilities Solicits and collects any incident information upon reporting of a claim. Manages self-insured workers/' state compensation program application process. Investigates claims upon receipt of a report and coordinate remediation and mitigation. Coordinates claim review meetings. Oversees maintenance of sufficient reserves with the respective TPA/'s to pay known and incurred claims. Directs the claims management and ensures compliance with federal and state requirements. Ensures and manages processes for proper reporting of claims to insurance companies including reporting requirements related to excess insurance carriers. Engages TPA, In House Counsel and outside legal counsel to address claim matters. Communicates claim status with all relevant parties. Partners with departments and employees to help employees achieve a durable return to work. Researches, reviews and evaluates the program operations and activities of the third party administrators, with regard to claims, loss runs, and reserves for compliance. Uses loss analysis, risk management information systems, and UCAIR to inform safety program. Works with TPA to capture new fields for claims report to help create new data points for measurement. Identifies and implements pre- and post-loss training solutions. Coordinates safety and loss prevention and response services. Builds strong relationships and works collaboratively with campus stakeholders on identifying and managing areas of risk. Communicates findings to the Executive Director of Risk Management and advises on the appropriate remediation and management of significant risks. Provides management dashboards on claims activity and maintain reports. Participates on or provides support for University committees as needed. Supports Executive Director of Risk Management and other departments on projects as needed. Provides basic safety and loss prevention services complementing the services provided by staff of the Office of Environmental Health and Safety: conducts or assists in investigations, receives and analyzes recommendations, prepares responses and follows-up for completion of agreed upon action plans. Ensures University contracts contain appropriate insurance requirements. Negotiates contract insurance requirements as ne essary. Performs other related work as needed. Minimum Qualifications Education: Minimum requirements include a college or university degree in related field. --- Work Experience: Minimum requirements include knowledge and skills developed through 5-7 years of work experience in a related job discipline. --- Certifications: --- Preferred Qualifications Education: Bachelor/'s degree. Experience: 5 years of industry and claims management experience. Extensive knowledge of laws and claim issues related to property, general liability, automobile liability, and workers/' compensation. Strong fundamentals in finance and a technical ability to understand complex, non-traditional insurance policies. Healthcare or higher education insurance experience. General understanding of contract and corporate law and loss prevention and claims management philosophies. Technical Skills or Knowledge: Personal computer skills with knowledge or Word, Excel and PowerPoint. Understanding of insurance markets and knowledge of property

Created: 2024-11-05