Remote Claims & Risk Analyst — Data-Driven Risk Management

Hugh Chatham Memorial Hospital

Oak Brook (IL)

Hybrid

USD 45,000 - 69,000

Full time

3 days ago

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Job summary

Advocate Health is seeking a Claims & Insurance Risk Analyst to lead the oversight, development and maintenance of the RMIS database, ensuring data collection and input align with guidelines. You will drive business intelligence reporting, CMS reporting to TPA compliance, and quarterly/annual loss trend analyses, coordinating with site risk management and leadership to implement improvements.

The role requires 3-5 years in insurance claims or litigation support, a Bachelor degree, and

Qualifications

Bachelor Degree or equivalent experience.
3-5 years experience in insurance claims or litigation support, with handling litigated general and professional liability claims.
5 years in health care environment, insurance, legal, risk management.
Enrollment in Paralegal Certificate Program or related coursework.

Responsibilities

Provide a lead role in oversight, development and maintenance of RMIS database, adhering to department claims management guidelines.
Conduct analysis of tracking and trending loss information, and preparing statistical analyses and graphs.
Coordinate with site Risk Management personnel and Directors to identify opportunities for risk reduction and process improvements.
Work with RMIS vendor on BI reports, report customization and system functionality.