Risk Management Claims Specialist - JR27010-3800

at University of Chicago in Chicago, Illinois, United States

Job Description

• 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.

• Bachelor's degree.

• 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.

• 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.

• 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.

• 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.

• Resume/CV (required)
• Cover Letter (required)
• References Contact Information (3)(required)