Claims & Risk Analyst - RMIS & BI Lead

Advocate Health Care; Oak Brook (IL); On-site; USD 90,000 - 130,000; Full time

Job summary

Advocate Health Care seeks a seasoned risk and claims professional to lead RMIS database oversight, data analysis, and reporting across multiple sites. You will coordinate with site risk managers, administrators, and the Director of Claims to identify risk reduction opportunities and ensure compliant claims handling.

The role requires 5+ years in health care risk management or claims and strong proficiency in BI/reporting tools, with the ability to manage complex liability matters and work with

Qualifications

• Bachelor degree or equivalent experience.
• 3–5 years experience in insurance claims, third party claims administration, or litigation support.
• 5 years in a health care environment, insurance, legal, risk management; paralegal coursework desirable.

Responsibilities

• Oversight, development and maintenance of RMIS database and BI reporting.
• Analyze loss data and prepare quarterly/annual statistical analyses across Advocate sites.
• Coordinate risk reduction and patient safety improvements with site Risk Management and Director of Claims.
• Work with RMIS vendor to develop BI reports and customize system functionality.
• Manage general and professional liability claims up to specified exposure thresholds.
• Provide daily direction to site risk/claims management personnel within authority levels.
• Review and approve defense bills and litigation vendor invoices.
• Represent AISPC at site meetings, mediations, and trials with authority to negotiate settlements.

Skills

Computer skills

MS Office

Communications

Organizational skills

Telephone etiquette

Education

Bachelor degree or equivalent experience

Tools

Word

PowerPoint

MS Outlook

Excel

Job description

Advocate Health Care seeks a seasoned risk and claims professional to lead RMIS database oversight, data analysis, and reporting across multiple sites. You will coordinate with site risk managers, administrators, and the Director of Claims to identify risk reduction opportunities and ensure compliant claims handling.

The role requires 5+ years in health care risk management or claims and strong proficiency in BI/reporting tools, with the ability to manage complex liability matters and work with