Risk Managment Specialist

Full Time
Pearland, TX 77584
Posted
Job description
Overview:

About Us


Start your career journey and become a part of a community of renowned Healthcare professionals.


Kelsey-Seybold Clinic is Houston’s fastest growing, multispecialty organization with more than 40 premier locations and over 65 specialties. Our clinics are comprised of more than 600 physicians and as we continue to grow, our focus is providing quality patient care by adding to our team of clinical and non-clinical professionals that work together in a convenient, coordinated, and collaborative manner. Enjoy the rewards of a successful career while maintaining a work/life balance by joining our team today and changing the way health cares.

Why Kelsey-Seybold Clinic?
  • Medical, Vision, and Dental
  • Tuition Reimbursement
  • Company Matching 401K
  • Employee Reward and Recognition Program
  • Paid time off for vacation, sick, and holidays
  • Employee Assistance Program
  • Continuing Medical Education allowance

Responsibilities:
Assist the Manager of Risk Management in the reporting and management of first and third-party claims, particularly medical malpractice and general liability claims made against Kelsey-Seybold and the providers and/or other employees including interaction with adjusters, plaintiff and defense attorneys. Responsible for investigation of incident reports, ensuring that discovery requests are timely completed, attending depositions, mediations and trials, ensuring that credentialing information and certificates of insurance are provided, and for making claims as a third-party claimant against those responsible for damage to KSC. This position has shared responsibility for daily risk management counseling of providers and other clinic personnel, and for orientation of new providers/employees and educational programs, and works with the Quality Improvement Staff in identifying, analyzing and making recommendations on risk management issues.
Qualifications:
Risk Management Specialist
Location: Pearland Administrative Office
Department: Risk Management
Job Type: Full Time

Salary Range: $68,827.20 to $85,030.40 (Salary determined by applicable experience)


Qualifications


Education
Required: Comparable experience in casualty/property insurance claims adjusting, adjusting company or corporate risk management department.
Willingness to obtain ARM and/or CPCU

Preferred
: College degree, ARM, CPCU

Experience
Required: 5-10 years liability claims adjusting with property/casualty insurance company, TPA or in-house corporate risk management depts. in the investigation & management of auto, general, w.c., property claims and must have 5 years’ experience in medical malpractice claims.

Preferred
: Medical malpractice risk management claims experience in a healthcare setting
Employment practices experience helpful

License(s)
Required: Willingness to obtain TX Property/Casualty Adjuster’s License or TX Multi-Line License/
Willingness to obtain TX Risk Manager’s License

Preferred
: Texas Property/Casualty Adjuster’s License, TX Multi-Line License and TX Risk Manager’s License

Special Skills
Required: Excellent oral and written communication skills, basic computer skills

Other
Required: Extensive knowledge of insurance policies and insurance company claims operations

Preferred
: Experience in presenting medical malpractice educational seminars

Working Environment:

office setting

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