Commercial Claims Risk and Insurance Analyst

Senior Risk & Insurance Analyst

Banner Health is seeking a Senior Risk & Insurance Analyst to join the department and assist with risk identification, mitigation, transfer, and claims management to protect one of the nation's largest non-profit healthcare systems.

In this role you will be reviewing new claims, such as property or auto, that may require investigation or referral to our third party administrator, as well as handling ongoing claims management to include investigating, documenting, and paying invoices in Origami Risk. You will also manage collecting information for upcoming insurance renewals or self-insurance filings and scheduling and / or participating in risk engineering visits with current property insurance carrier with follow to internal stakeholders. This role is based from home for Arizona residents, with the possibility of in person meetings. The schedule is Monday - Friday, 8 am - 5 pm.

Within Banner Health Corporate, you will have the opportunity to apply your unique experience and expertise in support of a nationally-recognized healthcare leader. We offer stimulating and rewarding careers in a wide array of disciplines. Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations, you'll find many options for contributing to our award-winning patient care.

This position provides assistance, implements and analyses insurance coverages either through self-insurance or commercial insurance. Responsible for assisting with completion of applications for various lines of insurance coverage. Assures all new and renewal insurance policies are maintained in a manner that they can be audited and researched regarding terms and coverages. Assists with contract reviews pertaining to insurance, indemnification, and limitation of liability language to ensure it aligns with the organization's risk appetite. Verifies, monitors and issues all certificates and verification of coverage for commercial and self-insurance policies. Provides analytical support for department metrics and claims reporting. Handles, negotiates and settles moderately complex property claims, and auto physical damage claims in a timely and efficient manner. Assists with ensuring all auto liability claims are being referred and handled appropriately by third party administer. Gathers data and files necessary reports for monopolistic and self-insurance workers compensation states. Assists in the preparation of Banner Indemnity, Ltd. (BIL) and Business Health Executive Steering Team board material and other information as needed.

Performs standard assignments within own job functions. Expanding knowledge of fundamental theories, practices, procedures, and concepts within the job's function. Identifies and solves a range of problems in straightforward situations; analyzes possible solutions and assesses each using established procedures. Responds to non-standard requests from internal and / or external customers; investigates with assistance from others, as needed. Interacts primarily with department peers, supervisor, internal customers, patients and physicians. Makes decisions within guidelines and policies that impact own priorities and allocation of time to meet deadlines.

Minimum qualifications include a Bachelor's Degree required either in management or business and moderate experience, typically gained through 2-4 years relevant experience. Experience negotiating with claimants, attorneys, insurance brokers and underwriters through written and verbal communications. Familiar with reviewing and editing contract language as well as working closely with Legal departments. Works under the direction of more experienced staff. Familiar with RMIS databases, generating reports and analyzing claims data.

Preferred qualifications include ARM (Associate of Risk Management) or CPCU (Chartered Property Casualty Underwriter) preferred. Broker and / or insurance company experience preferred. Additional related education and / or experience preferred.