Insurance Risk Manager

Millennium Physician Group • Fort Myers, FL

1d • $93,675 - $140,513

About The Position

The Insurance Risk Manager will have responsibilities relating to all aspects of the insurance and risk management programs. This will include a wide range of aspects from understanding and evaluating insurance programs and coverage enhancements, assisting in the assessment of risks that can be covered by insurance, compiling underwriting information and coverage placement, as well as assisting in the structuring, negotiating, purchasing and day-to-day management of our insurance programs. This position will report to the Director, Insurance and Risk Management, but will include close working relationships with the Treasurer of Mosaic Health as well as occasional interactions with the Chief Compliance Officer, Chief Financial Officer, Business Development and Credentialing teams of the Business Units.

Requirements

• Bachelor’s degree in Business, Legal, Finance, Accounting, or Risk Management required.
• 10+ years of insurance and risk management experience required.
• Ability to read, analyze, and interpret contracts, general business periodicals, professional journals, technical procedures, or governmental regulations.
• Ability to write reports, business correspondence, procedure manuals, and prepare metrics.
• Ability to effectively present information and respond to questions from groups of managers, clients, customers, and the general public.
• Basic level of mathematical skills required.
• Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists.
• Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.
• To perform this job successfully, an individual should have advanced knowledge of MS Office applications (Outlook, Word, Excel, PowerPoint, etc.)

Nice To Haves

• Professional certifications, such as a Certified Professional in Healthcare Risk Management (CPHRM), would significantly enhance qualifications
• Moderate accounting, financial analysis and reporting background preferred.
• Ability to work on a broad range of insurance risk management projects simultaneously.
• Professional risk management designations or licenses not required but would enhance qualifications.

Responsibilities

• Manages the Medical Malpractice claims process directly after claim submission through litigation, settlement, and/or trial, and consults and/or may participate in negotiations, conferences and mediations with adjusting companies, outside legal counsel, staff, claimants, and other involved parties.
• Assists with the gathering of insurance policy renewal data for all insurance policies.
• Assists in insurance procurement for newly acquired and existing business units, assists in the development and implementation of risk management and compliance policies/procedures, and assists with claims and litigation.
• Acquisition support and onboarding.
• Reporting of insurance claims for all lines except for Medical Malpractice, General Liability and Workers’ Compensation.
• Manage Medical Malpractice tail tracking and payment collection for departed providers.
• Works with the company’s insurance brokers to respond to requests for certificates of insurance and claims history document.
• Identifies potential risk exposures, recommends solutions, implements approved programs, policies and procedures, promotes loss prevention, and updates and monitors compliance as it relates to Medical Malpractice.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level