Risk and Insurance Consultant

Banner Health; Little Rock (AR); Remote; USD 80,000 - 100,000; Full time

Job summary

An established industry player is seeking a Risk & Insurance Consultant to join their remote team. This role involves managing complex claims and providing expert guidance on risk evaluation and insurance policies. With a focus on collaboration and problem-solving, you'll work closely with various stakeholders to enhance the organization's risk management strategies. If you have a strong background in claims handling and a passion for making a difference in the healthcare sector, this opportunity could be the perfect fit for you.

Qualifications

• 7+ years of experience in claims, risk finance, and commercial insurance.
• Strong problem-solving and communication skills required.

Responsibilities

• Oversee complex claims handling and collaborate with insurance carriers.
• Provide guidance on risk evaluation and insurance policies.

Skills

Claims Handling

Risk Management

Communication Skills

Problem Solving

Data Analysis

Education

Bachelor's Degree in Management or Business

Master's Degree in Business or Insurance

Tools

Riskonnect

Origami

Job description

Department Name:

Risk Financing & Ins Programs

Work Shift:

Day

Job Category:

Risk, Quality and Safety

Estimated Pay Range:

$39.00 - $65.00 / hour, based on location, education, & experience.

In accordance with State Pay Transparency Rules.

About Banner Health:

Great careers are built at Banner Health. We support all staff members as they find the path that's right for them. Apply today, this could be the perfect opportunity for you.

Banner was recently honored by Becker's Healthcare as one of the 150 top places to work in health care for 2024. We offer many career and lifestyle options across our network of facilities. At Banner Health, we're committed to transforming health care to enhance the patient experience. If you're ready to make a difference, we want to hear from you.

Position Details:

This role is remote with a flexible schedule, typically 8 hours per day starting at 8 am. As a Risk & Insurance Consultant, you will handle complex claims across various coverage lines, including investigations, carrier reporting, and collaboration to resolve claims. You will also oversee claims functions such as payment audits, claim reviews, and manage relationships with third-party administrators. Experience with Risk Management Information Systems like Riskonnect or Origami is highly desirable.

This position is fully remote and available in the following states only: AK, AR, AZ, CA, CO, FL, GA, IA, ID, IN, KS, KY, MI, MN, MO, MS, NC, ND, NE, NM, NV, NY, OH, OK, OR, PA, SC, TN, TX, UT, VA, WV, WA, WI & WY.

Role Summary:

Provide guidance on risk evaluation, transfer, and financing to protect organizational assets. Act as an adviser on decision-making, risk mitigation, insurance policies, and claim investigations. Oversee complex claim handling, including investigations and collaboration with insurance carriers. Conduct claims oversight functions such as audits and payment verification. Assist in designing insurance programs to minimize financial impact, covering property, auto, liability, workers' compensation, and more. Collaborate with brokers and risk management consultants as needed.

Core Functions:

1. Interpret business challenges and recommend best practices to improve services, processes, or products.
2. Solve complex problems with a broad perspective, coordinating with others to find innovative solutions.
3. Anticipate customer needs, assess requirements, and identify solutions, interacting with various stakeholders.
4. Make decisions guided by policies in non-standard situations, impacting operational objectives and managing budgets for projects or programs.

Minimum Qualifications:

- Bachelor's Degree in management or business.

- At least 7 years of relevant experience, especially with claims, risk finance, and commercial insurance.

- Strong problem-solving, communication, and claims handling skills. Self-directed with excellent interpersonal and organizational skills. Experience in patient and customer communication, investigation, and data analysis. Ability to lead and manage change.

Preferred Qualifications:

- Master's Degree in Business or Insurance preferred.

- ARM or CPCU certifications preferred.

- Broker or insurance company experience preferred.

- Additional related education or experience is a plus.

Application Timeline:

Anticipated closing date: 2025-08-29

EEO Statement:

We are an equal opportunity employer supporting a drug-free work environment. EEO/Female/Minority/Disability/Veterans.

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