RN Clinical Risk Manager — Health Insurance Analytics

Swiss Re; Schaumburg (IL); Hybrid; USD 84,000 - 140,000; Full time

Job summary

Swiss Re is seeking an experienced Clinical Risk Manager for their Accident & Health division in Schaumburg, IL. This hybrid role focuses on managing clinical risks, requiring candidates to have a strong nursing background and at least one year of Stop Loss experience. Responsibilities include reviewing medical conditions, conducting cost analyses, and working closely with Underwriters. The estimated base salary ranges from $84,000 to $140,000, depending on qualifications and experience.

Qualifications

• Minimum of 1 year of Stop Loss nursing experience.
• Must have an up-to-date registered nurse (RN) license.
• Ability to handle multiple projects with deadlines.

Responsibilities

• Review medical conditions and conduct cost analysis.
• Identify high risk associated with individuals.
• Supply and manage documentation with clinical summaries.

Skills

Analytical skills

Problem-solving skills

Interpersonal skills

Attention to detail

Communication skills

Education

Associate or Bachelor’s degree in nursing

Tools

Microsoft Word

Microsoft Office

Microsoft Excel

Job description

Swiss Re is seeking an experienced Clinical Risk Manager for their Accident & Health division in Schaumburg, IL. This hybrid role focuses on managing clinical risks, requiring candidates to have a strong nursing background and at least one year of Stop Loss experience. Responsibilities include reviewing medical conditions, conducting cost analyses, and working closely with Underwriters. The estimated base salary ranges from $84,000 to $140,000, depending on qualifications and experience.