Risk Claims Analyst

The University of Kansas Health System; United States; On-site; USD 70,000 - 95,000; Full time

Job summary

The University of Kansas Health System is seeking a Risk Claims Analyst for the Days shift at Olathe Medical Pavilion B. The role provides support to the Risk, Claims, and Insurance Department, handling research, reporting, underwriting requests, and claims processing with a focus on timely and accurate reporting.

You will collaborate with hospital leadership, physicians, and staff, participate in committees, and help implement risk management programs to reduce liability and improve patient

Qualifications

• Associates Degree and 5+ years in healthcare risk/claims/insurance management.
• Strong administrative and project coordination experience.
• Experience handling renewal/underwriting requests and claims processing.

Responsibilities

• Support risk, claims and insurance department with data research and reporting.
• Coordinate renewal and underwriting requests and manage provider coverage data.
• Communicate with executive team, vendors, physicians, and staff.
• Prepare reports and maintain databases for claims tracking.

Skills

Administrative experience

Risk management

Claims knowledge

Healthcare environment

Education

Associates Degree

Tools

Microsoft Word

Microsoft Excel

PowerPoint

Outlook

Job description

Position Title

Risk Claims Analyst Days - Full Time Olathe Medical Pavilion B

Position Summary / Career Interest

The Risk and Claims Analyst provides support to the Risk, Claims, and Insurance Department, in all areas of physician risk, claims administration, and the insurance program. Responsibilities include conducting research, preparing statistical reports, handling underwriting requests, and assisting with obtaining insurance renewal data, processing new claims assuring timely and accurate reporting, and undertaking projects as directed. Must project a professional company image through in-person, virtual, and phone interaction.

Responsibilities and Essential Job Functions

As delegated by the Directors - represents department management for communicating information to hospital executive team, vendors, physicians, staff, and community agencies. Provides support to all aspects of insurance program, i.e., renewal/underwriting requests, certificate of insurance coordination, adding and terming provider coverage and tracking refunds. Provides support in handling general liability, property and auto claims; including coordination of claims. Coordinates responses to litigation discovery. Utilizes database to document matter activities and correspondence. Escalates claim concerns to the team. Composes correspondence, memos, newsletter pieces, website content, policies, reports: types and proofs materials; edits, collates, assembles, and distributes documentation as needed. Prepares reports, activities calendars, mass mailings (i.e., letters and memos for staff). Assists with creation of database structure, gathers and analyzes data, and distributes reports as needed to support department operations. Demonstrates competencies in computer programs such as: Microsoft Office Word, Excel, PowerPoint, and Outlook, as well as other intra/internet programs. Prioritizes correspondence, memos, reports, and internal signature files and appointments; Reviews, classifies, and files correspondence, documents, and materials in main filing system; secures confidential file system dealing with sensitive documentation. Assists with the development, implementation and monitoring of the claims management program for the organization. Participates on various Patient Relations committees such as a Grievance and Appeal committee as a member and consultant. Serves as a proactive resource to departments and committees to promote safe and quality patient care and reduce liability exposure. Exercises professional judgment and critical thinking in facilitating prompt and compassionate claims management. Coordinates with the Directors the development and presentation of educational programs on risk management issues and claims trends. Promotes the containment of claims and losses, through early identification, assessment and resolution. Acts as liaison between the Board of Healing Arts and UKP physicians by serving as point of contact and negotiating submission terms for complaints. Assists and participates with the Directors of Claims, Insurance and Risk Management, in early communication and resolution protocol in response to unanticipated negative outcomes of care. Works effectively with TUKHS Compliance, Risk Management, and other departments to provide information related to claims and insurance. Participates in education and orientation of new physicians as requested. Must be able to perform the professional, clinical and or technical competencies of the assigned unit or department. These statements are intended to describe the essential functions of the job and are not intended to be an exhaustive list of all responsibilities. Skills and duties may vary dependent upon your department or unit. Other duties may be assigned as required.

Required Education and Experience

Associates Degree from an accredited College or University.

5 or more years broad administrative/project coordination/or risk, insurance, and claims management in a healthcare environment.

Preferred Education and Experience

Bachelors Degree from an accredited College or University.

OR Technical/Professional designations and training in Risk, Claims or Insurance/Degree in Business School Training.

Contract and Location

Time Type: Full time

Job Requisition ID: R-58242

Location: Olathe Medical Pavilion B

Important information for you to know as you apply

The health system is an equal employment opportunity employer. Qualified applicants are considered for employment without regard to race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), national origin, ancestry, age, disability, veteran status, genetic information, or any other legally-protected status.

See also Diversity, Equity & Inclusion.

The health system provides reasonable accommodations to qualified individuals with disabilities. If you need to request reasonable accommodations for your disability as you navigate the recruitment process, please let our recruiters know by requesting an Accommodation Request form using this link [e-mail].

Employment with the health system is contingent upon, among other things, agreeing to the health-system-dispute-resolution-program.pdf and signing the agreement to the DRP.

About The University of Kansas Health System

As part of the region's premier academic medical center, The University of Kansas Health System in Kansas City is a world-class healthcare provider and destination for complex care and diagnosis. We are driven by our commitment to service, continuous improvement and to the highest degree of excellence. Collaboration between physicians, nurses, researchers, educators and other professionals who share their expertise leads to exciting discoveries and life-changing treatments for the people we serve.