Hybrid Risk Management Analyst | Claims & Insurance

Apex Systems; Providence (RI); Híbrido; USD 70 000 - 95 000; Tempo integral

Vantagens oferecidas por esta oferta de emprego

Medical coverage

401K with match

HSA

Employee discounts

Training & certification

Resumo da oferta

Apex Systems is seeking a proactive Risk Management Analyst to support the Head of Risk Management within the State's Risk Management Division. The role covers claims, third-party administrator oversight, vendor contract insurance requirements, and billing, contributing to ongoing improvements of the program.

The ideal candidate will learn the State's insurance program, build trusted relationships with agencies and leadership, and handle routine claims, insurance requirements, and billing with

Qualificações

• Strong organizational skills and attention to detail, particularly with billing and records.
• Ability to learn complex programs and follow established processes and authority limits.
• Proficiency in Microsoft Office Suite, particularly Excel and Outlook.
• Two or more years of experience in insurance, claims, or risk management preferred.
• Working knowledge of claims handling and common commercial insurance coverages.
• Strong written and verbal communication skills.

Responsabilidades

• Manage claims activity with the State's third-party administrator, including approvals, denials, releases, and related TPA duties within delegated authority.
• Prepare over-authority claim requests with supporting documentation for review and decision by the Head of Risk Management.
• Monitor TPA service against the State's client service instructions and report claim trends and open issues on a set cadence.
• Administer insurance billing, including premium invoicing, reconciliation, payment tracking, and allocation preparation.
• Learn the State's insurance program, including property, auto liability, railroad liability, and medical malpractice, and be able to explain coverage to agency staff.
• Review RFPs and scopes of work on an ad hoc basis and set appropriate insurance requirements, while helping improve the State's related processes and practices.
• Serve as a point of contact for agency staff on routine claims, insurance requirement, and billing matters, and stay informed on broker communications and inquiries.
• Maintain claim, policy, and billing records and respond to inquiries received through the Risk Management inbox.
• Support the annual renewal process by gathering underwriting data and exposure information.
• Support the Head of Risk Management on strategic initiatives.
• Other duties as required.

Conhecimentos

Organizational skills

Billing accuracy

MS Office (Excel, Outlook)

Insurance/claims/risk mgmt exp

Claims handling knowledge

Communication skills

Ferramentas

Microsoft Excel

Outlook

Descrição da oferta de emprego

Apex Systems is seeking a proactive Risk Management Analyst to support the Head of Risk Management within the State's Risk Management Division. The role covers claims, third-party administrator oversight, vendor contract insurance requirements, and billing, contributing to ongoing improvements of the program.

The ideal candidate will learn the State's insurance program, build trusted relationships with agencies and leadership, and handle routine claims, insurance requirements, and billing with