What are the responsibilities and job description for the 1368, Insurance & Claims Analyst position at Memorial Health?
Overview
Manages, designs, modifies, operates, and maintains tracking systems including liability loss runs, claim reports,
self-insured trust reserves, and other required financial reports. Manages and adjusts premises, general, property,
and other liability claims directly with claimants .
Embodies the Memorial Health System Performance Excellence
Standards of Safety, Courtesy, Quality, and Efficiency that support our mission, vision and values.
Qualifications
Education:
· Bachelor’s degree in business, finance, or risk management field required.
· Master’s Degree in Business Administration preferred.
Licensure/Certification/Registry:
Experience:
· Minimum 10 years of experience supporting insurance and claims adjusting programs required, healthcare
experience preferred.
Other Knowledge/Skills/Abilities:
· Documented evidence of ability to successfully adjust liability claims.
· Documented evidence of ability to support commercial insurance administration support.
· Effective communication and fair judgment while dealing with claimants.
Responsibilities
Review and evaluate in the insurance program to assure we have all appropriate risks covered for financial stability.
2. Work directly with the insurance brokers and carriers to provide detailed information about Memorial Health risk to allow them to provide comprehensive policies, contracts, and programs.
3. Directly adjust liability claims for all MHS affiliates
4. Recommend appropriate levels of compensation to claimants.
5. Embody the Memorial Health System Performance Excellence Standards of Safety, Courtesy, Quality, and Efficiency that support our mission, vision and values:
· SAFETY: Prevent Harm - I put safety first in everything I do. I take action to ensure the safety of others.
· COURTESY: Serve Others - I treat others with dignity and respect. I project a professional image and positive attitude.
· QUALITY: Improve Outcomes - I continually advance my knowledge, skills and performance. I work with others to achieve superior results.
· EFFICIENCY: Reduce Waste - I use time and resources wisely. I prevent defects and delays.
6. Establish appropriate financial reserves to pay claimants for medical care, legal fees, and related costs.
7. Work directly with Memorial Health inside and outside legal counsel and insurance carriers in resolving liability claims.
8. Act as the Memorial Health liaison to all affiliates in reference to insurance questions, coverages, policy contracts, and limits.
9. Work directly with all affiliates to correct hazards found during general liability claims to assure the claim is not paid and that it is corrected.
10. Performs other duties as assigned.
The intent of this job description is to provide a representative summary of the major duties and responsibilities performed by incumbents of this job. Incumbents may be requested to perform tasks other than those specifically presented in this description.
