Clinical Risk & Claims Consultant (A&H)

Skyward Specialty Insurance Group; United States; Teletrabalho; USD 80 000 - 130 000; Tempo integral

Vantagens oferecidas por esta oferta de emprego

Health benefits

401(k) savings plan

Tuition assistance

Stock Purchase Program

Resumo da oferta

Skyward Specialty Insurance Group seeks an experienced Clinical Risk Manager to lead risk assessment and management for complex claims. You will review new business, renewals, and high-cost cases, providing thorough data analysis and actionable recommendations to underwriting.

Role requires RN licensure with CCM preferred and a strong ability to communicate clinical concepts to diverse stakeholders, including clients, TPAs, and vendors. Collaboration and stakeholder management are essential.

Qualificações

• RN license required.
• CCM certification preferred.
• Bachelor's degree preferred.

Responsabilidades

• Perform reviews and assessments of new business and renewals.
• Analyze clinical and claims data to identify risk and inform underwriting decisions.
• Explain complex clinical conditions to the team clearly.

Conhecimentos

Clinical expertise

Communication

Multitasking

Relationship building

Team oriented

Formação académica

RN license

CCM certification

Bachelor's degree

Ferramentas

Excel

Word

Descrição da oferta de emprego

Skyward Specialty Insurance Group seeks an experienced Clinical Risk Manager to lead risk assessment and management for complex claims. You will review new business, renewals, and high-cost cases, providing thorough data analysis and actionable recommendations to underwriting.

Role requires RN licensure with CCM preferred and a strong ability to communicate clinical concepts to diverse stakeholders, including clients, TPAs, and vendors. Collaboration and stakeholder management are essential.