Risk Manager - HUMAN RESOURCES (RISK MANAGEMENT OPERATIONS DIVISION)

City of Detroit•Michigan, MI

1d•Hybrid

About The Position

Under general supervision, plans, develops, manages and implements a centralized, comprehensive and coordinated risk management program for the City of Detroit. This role involves negotiating contracts and coverages with medical facilities and Third-Party Administrator providers, co-administering the City of Detroit self-insurance fund, and identifying, evaluating, selecting, and implementing risk transfer mechanisms to protect the City of Detroit Human Resources and reduce the potential for financial loss. The Risk Manager advises agencies on methods for risk reduction, directs and coordinates actuarial reviews, manages budget development, and reviews the adjustment of insured and non-insured losses. Additionally, the role administers Central Safety in accordance with OSHA and MIOSHA rules and regulations, interprets and administers leave programs and policies in accordance with applicable federal and state employment laws (FMLA, ADA, USERRA, PDA, etc.), and ensures the workers’ compensation program is managed in accordance with applicable laws. The position administers all aspects of leave and workers’ compensation programs, including Alternate benefit program and Contract benefits, provides extensive case management, coordinates administrative aspects of cases and claims, and conducts/coordinates investigations into all reported workers’ compensation claims. The Risk Manager also manages Long Term Disability (LTD) programs and vendor relationships, ensures coordination of Workers Compensation claims and LTD with FMLA or general medical cases, and manages alleged fraudulent activity of all leave cases and workers’ compensation claims. This role works closely with employee services and relations teams to identify, research, and resolve matters, meets regularly to review case/claim status and develop legally sound strategies, and produces and manages reporting metrics and analytics for all leave cases and workers’ compensation claims, presenting reports as requested. The position also assists in the creation and facilitation of leave administration and workers’ compensation training programs. May perform additional duties as assigned.

Requirements

Bachelor's degree in business administration, public administration, finance, accounting or related field.
Seven (7) to ten (10) years of experience in risk management including supervision of component activities such as worker’s compensation and occupational safety.
Valid State of Michigan Driver License.
Knowledge of principles, practices, regulations and legislation related to risk management and insurance.
Knowledge of contract language and procedures for evaluating liability provisions.
Knowledge of financial applications and budgeting principles.
Knowledge of public sector concerns related to public sector risk management and self-insurance.
Skill in identifying and resolving procedural and operational problems.
Skill in negotiating agreements with insurance carriers and other contractors.
Skill in managing interactions with superiors, peers, subordinates, and the public.
Skill in supervising the work of others.
Ability to analyze and measure potential losses.
Ability to make specific recommendations on corrective and preventive measures.

Nice To Haves

Completion of advanced coursework related to insurance administration, underwriting, or risk management.

Responsibilities

Negotiate contracts and coverages with medical facilities and Third-Party Administrator providers.
Co-administer the City of Detroit self-insurance fund.
Identify, evaluate, select and implement risk transfer mechanisms to protect the City of Detroit Human Resources and reduce the potential for financial loss.
Advise agencies on methods for risk reduction.
Direct and coordinate actuarial reviews.
Budget development.
Review the adjustment of insured and non-insured losses.
Administer Central Safety in accordance with Occupational Safety and Health Administration (OSHA)and Michigan Occupational Safety and Health Administration (MIOSHA) Rules and regulations.
Interpret and administer leave programs and policies in accordance with the applicable federal and state employment laws (Family Medical Leave Act (FMLA), Americans with Disabilities Act, Uniformed Services Employment and Reemployment Rights Act, Pregnancy Discrimination Act, etc.).
Ensure that the workers’ compensation program is managed in accordance with applicable OSHA and workers’ compensation laws.
Administer all aspects of leave and workers’ compensation programs including Alternate benefit program and Contract benefits.
Provides extensive case management and coordinates administrative aspects of the cases and claims.
Conducts/coordinates investigations into all reported workers’ compensation claims.
Manage Long Term Disability (LTD)programs and vendor relationships.
Ensure that Workers Compensation claims and LTD are coordinated with FMLA or general medical cases.
Manage the alleged fraudulent activity of all leave cases and workers’ compensation claims.
Work closely with the employee services and relations teams to identify research and resolve matters.
Meet regularly to review the status of cases/claims and develop legally sound strategies for a mutually beneficial resolution.
Produce and manage reporting metrics and analytics for all leave cases and workers’ compensation claims.
Presents reports as requested.
Assist in the creation and facilitation of leave administration and workers’ compensation training programs.
May perform additional duties as assigned.