Risk Management Claims Specialist - JR27010-3800 - The University of Chicago

This job was posted by https://illinoisjoblink.illinois.gov : For more
information, please see:
https://illinoisjoblink.illinois.gov/jobs/12230162 Department
F&A Risk Management
About the 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. Our goal is to assist University stakeholders in
achieving their own objectives, while ensuring institutional compliance
and managing a wide range of risk exposures created by the University's
programs and operations. To accomplish this, we strive to promote a safe
and healthy environment for students, staff and visitors while also
ensuring appropriate processes are in place to identify, assess, manage,
monitor and finance risk. The Office of Risk Management is a unit in the
Division of Finance and Administration, reporting to the Vice President
and CFO.
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
ne essary.
- Performs other related work as needed.
Minimum Qualifications
Education:
Minimum requirements include a college or university degree in related
field.
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Work Experience:
Minimum requirements include knowledge and skills developed through 5-7
years of work experience in a related job discipline.
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Certifications:
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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