Risk Management Claims Specialist
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Locations: Chicago, IL
Time Type: Full time
Posted On: Posted 17 Days Ago
Job Requisition ID: JR27010
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.
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 necessary.
- 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.
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 and casualty insurance products.
- Understand and interpret contracts and insurance policies.
- Working knowledge of property and liability loss prevention.
- General understanding of safety practices.
- Project management skills.
- Mathematical and analytical ability.
- General understanding of higher education and healthcare compliance and regulatory environment.
- General knowledge of OSHA regulations.
Preferred Competencies
- Work successfully with the University community of faculty, students and staff, and external organizations such as the University's insurance brokers, outside legal counsel, claims administrators and actuaries.
- Effective written and oral communication skills.
- Organizational and interpersonal skills supported by a strong attention to detail.
- Strong negotiating skills.
- Demonstrated enthusiasm and motivation, with the capacity to learn to build on skills.
- Maintain objectivity and confidentiality.
- Work well under pressure.
- Adapt to changes in the work environment; manage competing demands.
Working Conditions
- Sit at a workstation including desktop computer.
- Walk across campus and through large building corridors.
- Traverse through buildings damaged by fire, windstorm, etc. and access non-public building spaces including attics, basements, mechanical rooms, steam tunnels.
- Flexibility to be on-call 24-7 to respond to campus emergencies.
- Stand for extended periods of time as needed.
- Some domestic travel.
Application Documents
- Resume/CV (required)
- Cover Letter (required)
- References Contact Information (3)(required)
When applying, the document(s) MUST be uploaded via the My Experience page, in the section titled Application Documents of the application.
Job Family
Financial Management
Role Impact
Individual Contributor
FLSA Status
Exempt
Pay Frequency
Monthly
Scheduled Weekly Hours
37.5
Benefits Eligible
Yes
Drug Test Required
No
Health Screen Required
No
Motor Vehicle Record Inquiry Required
No
Posting Statement
The University of Chicago is an Affirmative Action/Equal Opportunity/Disabled/Veterans and does not discriminate on the basis of race, color, religion, sex, sexual orientation, gender, gender identity, national or ethnic origin, age, status as an individual with a disability, military or veteran status, genetic information, or other protected classes under the law.