Demo

Insurance Claims & Financial Analyst - Hybrid

Children's National Medical Center
Silver Spring, MD Other
POSTED ON 12/1/2024
AVAILABLE BEFORE 1/30/2025

The Risk Insurance, Claims, and Financial Analyst is responsible for supporting the Senior Manager Office of General Counsel by coordinating and performing various activities related to litigation, finance, claims, and insurance management. This involves managing insurance renewals, all lines of insurance claims management, financial reconciliation, maintaining claims data and analytics. The Analyst also supports litigation processes, coordinates insurance applications, and ensures compliance with insurance requirements.

Minimum Education
Bachelor's Degree (Required)

Minimum Work Experience
2 years experience with claims and insurance (Required)

Required Skills/Knowledge
Expertise in the area of specialty.
Knowledge in Business Administration, Health Care, Finance, Information Systems, or other related field.
Excellent written and verbal communication and analytical skills.
Conducts business with a professional, collaborative approach that is solution oriented and forward thinking.
Good judgment on all matters including the ability to escalate concerns.
Experience with claims and insurance.

Functional Accountabilities
Insurance Management

  • Manage insurance renewals and applications for all lines of coverage. This involves assessing required information, determining where to obtain it, assessing reported information for accuracy and completeness, and maintaining updated statement of values for the enterprise.
  • Coordinate with internal stakeholders to obtain accurate updated data for insurance applications including annual review of all CN approved drivers to include performing a risk assessment on each driver per fleet safety policy.
  • Coordinate meetings for internal approval of renewal proposals.
  • Review and prepare all insurance invoices for payment.
  • Maintain insurance binders and policies, and coordinate with Senior Manager OGC to prepare notification list for each new policy year.
  • Review vendor Certificates of Insurance for compliance with contracts. Includes need to review contracts and assess for insurance requirements.
  • Coordinate with Broker to assess insurance questions regarding contracts in negotiation. Includes need to review contracts and understand insurance language therein.
  • Respond to COI requests related to CN contracting. Includes need to review contracts and understand insurance language
  • Other insurance related projects as assigned.

Claims Management

  • Investigate and manage all claims to include crime, cyber, property, E&O, professional and general liability claims
  • Enter claims information into electronic claims systems and maintain litigation and claims files.
  • Provide claims data analysis and prepare reports as requested.
  • Coordinate with internal stakeholders and external vendors for claims processing.
  • Assist worker's comp coordinator as needed.

Litigation Support

  • Coordinate litigation hold process to include analysis and recommendation to CRO as to which documents are subject to the hold and where they may reside in the organization.
  • Staff and support Provider Review Committee (PRC) and Decision Analysis, Reserving, and Trial Strategy (DART) meetings.

Financial Reconciliation

  • Reconcile monthly transaction reports and loss runs.
  • Set up new matters in Tracker and review firms invoices to ensure compliance with CNH OCS guidelines.
  • Ensure accurate financial reporting and analysis for claims and insurance activities.
  • Maintain insurance binders for each policy year.

Support Senior Manager OGC with Budget Process including but not limited to:

  • Contribute to development and monitoring of operating and capital budgets.
  • Work with GC and CRO to prepare yearly budget for Legal Risk and Compliance in line with organizational mandates.
  • Prepare monthly financial reports and meet with GC/CRO to review.
  • Maintain record of all budget exceptions granted for the fiscal year (FY).
  • Prepare quarterly financial reports and conduct prep meeting for GC/CRO for organizational financial review meeting.
  • Troubleshoot any budget issues arising during the FY.
  • Implement actions to facilitate meeting budget requirements.
  • Ensure all invoices are entered in PeopleSoft with correct budget allocation.
  • Ensure all law firm invoices are entered in Tracker with appropriate matter allocation.
  • Review and approve all attorney engagement letters.
  • Review all law firm invoices for compliance with billing guidelines.


Organizational Accountabilities
Organizational Accountabilities (Staff)
Organizational Commitment/Identification

  • Anticipate and responds to customer needs; follows up until needs are met


Teamwork/Communication

  • Demonstrate collaborative and respectful behavior
  • Partner with all team members to achieve goals
  • Receptive to others' ideas and opinions


Performance Improvement/Problem-solving

  • Contribute to a positive work environment
  • Demonstrate flexibility and willingness to change
  • Identify opportunities to improve clinical and administrative processes
  • Make appropriate decisions, using sound judgment


Cost Management/Financial Responsibility

  • Use resources efficiently
  • Search for less costly ways of doing things


Safety

  • Speak up when team members appear to exhibit unsafe behavior or performance
  • Continuously validate and verify information needed for decision making or documentation
  • Stop in the face of uncertainty and takes time to resolve the situation
  • Demonstrate accurate, clear and timely verbal and written communication
  • Actively promote safety for patients, families, visitors and co-workers
  • Attend carefully to important details - practicing Stop, Think, Act and Review in order to self-check behavior and performance

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