Position is responsible for the management of daily operations of the system's insurance property and casualty programs within authority levels. Evaluates financial and legal risk issues, risk mitigation options and ensures risk financing compliance. Participates in risk identification and works both collaboratively and independently in making legal and financial risk decisions and recommendations within authority levels. Position is also responsible for adjusting and managing claims within authority levels for property, auto and general liability insurance in conjunction with system claims attorneys. Also accountable for the management and administration of the system's Risk Management Information System (RMIS) and serves as the primary liaison with the RMIS vendor, assuring contract compliance, maximizing functionality of the system, and responsible for standard/custom risk management reporting as required by management, attorneys, actuaries, insurance carriers/brokers, auditors, and others. Reports directly to System Director, Insurance Services & Enterprise Risk Mgmt for insurance services and risk transfer accountabilities and to System Director, Risk Loss Prevention for RMIS management and administration. Has a dotted line reporting relationship to Sr. Risk Management Counsel for claims adjusting accountabilities.
Education: Bachelors degree in business, insurance or relevant field required;
Certifications as Associate in Risk Management (ARM) and/or Associate in Underwriting (AU) preferred;
At least fifteen (15) years work experience with corporate insurance issues required;
Knowledge of self-insured and commercial corporate insurance programs for health care institutions preferred;
Excellent interpersonal skills; ability to work effectively with persons at all levels with highest degree of professionalism; ability to work both independently and in a team environment; a self-starter requiring minimal direction or supervision with the ability to assess any given situation, recognize issues, and take reasoned, responsible actions;
Demonstrated organizational and execution skills; ability to organize and execute projects from conception to completion;
Advanced computer knowledge and skills needed for financial project management, data analysis and database software understanding.
Demonstrates commitment to the Partners-in-Caring process by integrating our culture in all internal and external customer interactions; delivers on our brand promise of “we advance health” through innovation, accountability, empowerment, collaboration, compassion and results while ensuring one Memorial Hermann.
Implements within authority the work of insurance consultants and brokers including, but not limited to, preparation of insurance submissions for all the various insurance policies and risk programs. Reviews coverage requirements, terms and conditions and assure complete applications are filed timely with appropriate markets; assists in overall policy evaluation and renewal process.
Reviews proposed contracts to determine compliance with insurance department’s contractual insurance requirements. Evaluates direct risk, insurance and indemnity provisions of contracts and recommends risk transfer or coverages appropriate to protect system’s business interests. Such activities include providing/requiring certificates of insurance, self-insured evidence and verifying terms of all Certificates of Insurance obtained and provided by the system as required by internal and external clients.
Works with system’s external insurance consultants, brokers, and/or internal customers and department personnel within authority. Requires extensive contact with all system entities to collect, interpret and submit data. Evaluation of submission for accuracy and completeness.
Coordinates loss control services and appraisal work for system. Maintains database of loss control/exposure control activities including issues, facts and results from risk identification exercises for risk analysis and/or transfer. Represents department at all loss control meetings as needed. Manages carriers’ loss control inspections, recommendations and responses to carriers.
Manages the day to day functionality of the RMIS, including interfacing with system’s RMIS vendor, ISD technical support staff, and internal users in order to maximize software functionality, including demonstrating RMIS super user level skills for the benefit of the department.
Extracts data from the RMIS and develops standard reports for both corporate and facility based staff as well as actuaries, auditors, and others.
Responsible for assisting in processing with risk management related invoices and interfacing with finance on outstanding issues.
Responsible for property, auto, and general liability claims adjusting and file management throughout the claims management cycle for assigned claims, and within designated authority levels, including claims file set up, investigation, timely updating, document management, and file closing processes. This requires coordination with internal legal counsel.
Other duties as assigned.
Internal Number: 100071509
About Memorial Hermann Health System
Memorial Hermann Health System is the largest not-for-profit health system in southeast Texas and consists of 16 hospitals, 8 Cancer Centers, 3 Heart & Vascular Institutes, and 27 sports medicine and rehabilitation centers, in addition to other outpatient and rehabilitation centers. It was formed in the late 1990s when the Memorial and Hermann systems joined. Both the Memorial and Hermann health care systems started in the early 1900s.