Compensation: $150,000 - $200,000 per year
Job Type: Full-Time, in-person position
Are you passionate about making a difference in others' lives? Do you pride yourself on your positive attitude and dedication to providing top-notch care? Are you looking to join a compassionate and supportive team? If so, we'd love to have you on board!
Job Description: We have an extraordinary opportunity for a Director of Loss Control / Risk Management Department. We are offering a healthy work-life balance with flexibility, great benefits AND MORE!!
The director of the Loss Control/Risk Management Department will be responsible for establishing and overseeing the department's operations. The primary objective will be to guide clients in effectively managing and mitigating risks, optimizing claims processes, and ensuring compliance with safety protocols. Additionally, you will supervise existing claims departments and ensure e??icient and professional handling of claims.
Job Qualifications:
- Strong leadership skills
- Excellent communication and advisory skills
- Analytical thinking and problem-solving abilities
- In-depth knowledge of the claims process, with a focus on healthcare claims, including strategies for minimizing risks and enhancing process e??iciency.
- Strong understanding of compliance requirements and safety protocols relevant to the insurance sector
Responsibilities include but are not limited to:
- Establishment of Loss Control/Risk Management Department:
- Develop strategies and protocols for the newly established loss control/risk management department.
- Implement procedures for advising clients on reporting claims and determining when a claim is unnecessary.
2. Client Advisory Services:
- Provide guidance to clients on when and how to report claims, ensuring transparency and understanding throughout the process.
- Conduct quarterly/semiannual claim reviews with insured clients to keep them informed of claim status and progress.
3. Claims Analysis and Minimization:
- Analyze claims data to identify trends, recurring claims, or problematic claimants.
- Develop strategies to minimize future claims and mitigate risks e??ectively.
4. Claims Oversight:
- Oversee claims to prevent unnecessary payouts and ensure compliance with policy terms.
- Monitor reserve amounts to ensure they are reasonable and adequate for each claim.
5. Claims Closure and E??iciency:
- Expedite the claims closure process by liaising with carriers and advocating for prompt resolution.
- Ensure that claims are reported e??iciently and professionally by our existing claims departments and properly communicated to the insured.
- Conduct regular audits and reviews of the claims reporting process to identify any inefficiencies or areas for improvement.
- Provide training and guidance to claims department staff to enhance their understanding of proper claims reporting protocols.
6. Utilization of Loss Control Services:
- Encourage clients to utilize loss control/risk management services provided by insurance carriers.
- Assess clients not enrolled in loss control and explain the benefits of enrollment, emphasizing the importance of risk management.
7. Back to Work Program Management:
- Develop and oversee back-to-work programs for client companies to facilitate smooth transitions for injured employees returning to work.
8. Quality Assurance:
- Ensure that nursing home charts are accurately filled out and maintained to meet regulatory standards.
- Communicate and implement safety plans to prevent accidents and injuries in the workplace.
If you're a skilled and compassionate Director of Loss Control / Risk Management Department looking for a challenging and rewarding opportunity, we encourage you to apply!
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