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Insurance Manager - Clinical Risk Management

At the direction of the Assistant Vice President, Risk Management, the Insurance Manager will provide general support to the Clinical Risk Management Department. Provide administrative direction and support to the professional liability insurance program for facility and affiliated organizations. This support includes:

  • Identification of both insurable and non-insurable risk
  • Advising department leadership and other internal clients of potential exposures Proposing risk reduction strategies
  • Proposing risk financing mechanisms, including potential insurance coverage or financial transfer of risk
  • Maintain familiarity with insurance markets and stability

Duties and Responsibilities of this Level

  • Research, evaluate, and make recommendations regarding current and state of the art trends in risk financing, loss control and claims management strategies.
  • Assist with professional liability insurance coverage program development, including working with brokers at all levels to obtain coverage, renew coverage, and revise coverage as needed.
  • Provide consultation and technical advice on professional liability insurance issues relating to new programs, contracts, and affiliation agreements.
  • Working with Corporate Finance, maintain and continually revise as needed the financial and operational records that support the insurance, risk management, and legal operations affecting professional liability exposures.
  • Responsible for data management including statistical trending of losses, analysis of patterns, and analysis of incurred costs.
  • Responsible for data collection, verification, and transmission of exposure data to actuary, auditors and brokers, and others as required.
  • Review and maintain insurance policies, analyzes existing policies for coverage, endorsements and exclusions, anticipates and deals with policy expirations and renewals.
  • Coordinate coverage with Corporate Risk Management in areas where exposures and responsibilities overlap. Develop and prepare insurance program presentations as needed.
  • Participate in setting, documentation and ongoing evaluation of reserves.
  • Develop ongoing analysis of current losses as they might or will impact breach of reinsurance. Assures appropriate notifications are transmitted.
  • Possible state and national regulatory reporting.
  • Supervise insurance support staff and oversee the documentation of provider claims histories, insurance verifications, and maintaining records of off-site and expert witness activities.

Education:

Work normally requires a Bachelor's degree in Insurance, Risk Management, Business Administration, Hospital Administration, Law or a closely related field.

Experience:

Work requires a minimum of five years progressively responsible experience in third party insurance, risk financing or captive insurance management. Prior experience must include contract and insurance policy review and projection/management of financial reserves.

 

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