Risk Management Analyst

Talent Groups; Providence (RI); On-site; USD 60,000 - 80,000; Full time

Job summary

Talent Groups is seeking a detail-oriented risk management professional in Providence, RI, to manage claims activity with a TPA and oversee related insurance, billing, and documentation processes.

The role requires 2+ years in insurance, claims, or risk management, with strong communication and organizational skills. Proficiency in MS Office (Excel/Outlook) is essential, and experience with billing or contracts is a plus.

Qualifications

• 2+ years of experience in insurance, claims, risk management, or a related field preferred.
• Strong written and verbal communication skills.
• Excellent organizational skills and attention to detail.
• Proficiency with Microsoft Office, especially Excel and Outlook.
• Experience with billing, reconciliation, records management, or financial tracking is a plus.
• Working knowledge of claims handling and commercial insurance coverages.
• Ability to learn complex insurance programs and follow established processes.

Responsibilities

• Manage claims activity with the State's Third-Party Administrator (TPA), including approvals, denials, releases, and related claim activities.
• Prepare documentation for claims requiring review and approval by Risk Management leadership.
• Monitor TPA performance, claim activity, trends, and outstanding issues.
• Administer insurance billing, including premium invoicing, reconciliation, payment tracking, and allocation preparation.
• Develop working knowledge of the State's insurance program, including property, auto liability, railroad liability, and medical malpractice coverage.
• Review RFPs, contracts, and scopes of work and help establish appropriate insurance requirements.
• Serve as a point of contact for agency staff regarding routine claims, insurance requirements, and billing questions.
• Maintain accurate claim, policy, billing, and risk management records.
• Monitor broker communications and respond to inquiries through the Risk Management inbox.
• Support annual insurance renewals by gathering underwriting and exposure information.
• Assist the Head of Risk Management with strategic initiatives and process improvements.

Skills

Communication

Organization

Attention to detail

MS Office

Tools

Excel

Outlook

Billing software

Job description

• Manage claims activity with the State's Third-Party Administrator (TPA), including approvals, denials, releases, and related claim activities.
• Prepare documentation for claims requiring review and approval by Risk Management leadership.
• Monitor TPA performance, claim activity, trends, and outstanding issues.
• Administer insurance billing, including premium invoicing, reconciliation, payment tracking, and allocation preparation.
• Develop working knowledge of the State's insurance program, including property, auto liability, railroad liability, and medical malpractice coverage.
• Review RFPs, contracts, and scopes of work and help establish appropriate insurance requirements.
• Serve as a point of contact for agency staff regarding routine claims, insurance requirements, and billing questions.
• Maintain accurate claim, policy, billing, and risk management records.
• Monitor broker communications and respond to inquiries through the Risk Management inbox.
• Support annual insurance renewals by gathering underwriting and exposure information.
• Assist the Head of Risk Management with strategic initiatives and process improvements.
• 2+ years of experience in insurance, claims, risk management, or a related field preferred.
• Working knowledge of claims handling and commercial insurance coverages.
• Strong written and verbal communication skills.
• Excellent organizational skills and attention to detail.
• Experience with billing, reconciliation, records management, or financial tracking is a plus.
• Ability to learn complex insurance programs and follow established processes and authority limits.
• Proficiency with Microsoft Office, especially Excel and Outlook.
• Experience working with TPAs, insurance brokers, vendors, or government agencies is a plus.