Stamford Health
Risk Insurance & Financing Analyst
Stamford Health, Stamford, Connecticut, United States, 06925
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Risk Insurance & Financing Analyst
role at
Stamford Health .
Job Description
Responsible for day‑to‑day functions of the department’s self‑insured, property and casualty insurance programs, and all other applicable claims functions.
Collaborate with internal and external stakeholders including employees, defense counsel, consultants, brokers, insureds, underwriters, and underwriting staff.
Ensure accurate and timely claim filing and maintenance of insurance, claims, and legal files.
Manage commercial insurance claims reporting, working with brokers, claims counsel, and insurers to ensure timely filing of claims, development of insurance claim documents and follow‑up.
Communicate with brokers, underwriters, captive management, actuarial and insurance consultants on all claims and insurance matters; oversee claim submission and coordinate with brokers, consultants, and operations staff; provide reports on claim matters to the board.
Oversee claim reporting, claim adjusting, insurance renewal, and related policy maintenance functions.
Review insurance application processes, initiate meetings between brokers and staff to provide education; participate in broker renewal meetings, develop underwriter presentations, and ensure timely insurance renewal bindings.
Prepare insurance exposure data and applications for submission to brokers; gather required data, verify accuracy, and research deviations.
Manage and monitor an $18M+ insurance and related expense budget, ensuring adequate coverage while remaining fiscally responsible.
Monitor compliance with State Insurance Department, Vermont Department of Financial Regulation, and MMSEA filings.
Prepare and submit mandated regulatory reports of closed claims activity; coordinate with IT for processing.
Maintain loss runs in the electronic system based on Claims Committee activity and relevant legal activity.
Manage legal files and prepare accurate records, including invoices and documentation.
Draft responses to interrogatories and discovery requests for the Executive Director and Chief Risk Officer.
Report new claims to all relevant commercial insurance policies; maintain loss records and coordinate with hospital staff, underwriters and brokers.
Ensure receipt and filing of all relevant insurance policies and review for completeness.
Prepare incident reporting summary reports and ad‑hoc reports.
Maintain coverage files for Healthstar insureds and evidence of coverage.
Maintain property and casualty insurance policy files for Stamford Hospital and Stamford Health System.
Attend Enterprise Risk Management Committee meetings; facilitate minutes and support actions.
Prepare meeting minutes, files and telephone work for department staff.
Participate in relevant committees as directed by the Executive Director.
Assist in reviewing and revising departmental and hospital policies.
Interface with medical records department to process inquiries from regulatory agencies and patient legal representatives.
Schedule depositions and meetings with witnesses for pending litigation.
Investigate and evaluate claims involving Stamford’s all‑risk property program; assess claim sites and manage information flow among insurers/adjusters, brokers, and Stamford Health.
Develop and maintain computerized programs for claims and insurance data; produce risk‑management reports for underwriters, board, and committees.
Develop regular and ad‑hoc reports; analyze reportable events and claim triggers; manage follow‑up with significant adverse events; evaluate aggregate adverse data to identify high‑risk activities, procedures and departments.
Recommend corrective and preventive actions to reduce risk; collaborate with improvement teams on interventions.
Continuously evaluate claims management reporting system for potential improvement.
Present reports on Stamford’s insurance program, external market trends, and claims trends to committees, medical staff leadership, board committees, and underwriting/insurance representatives.
Keep abreast of changing legislation, standards and policies affecting insurance and risk management.
Assist in communicating insurance budgetary needs during the financial planning cycle.
Maintain expense levels in line with the financial plan.
Communicate and explain significant variances as they occur.
Other Competencies
Perform other related duties as assigned or requested to maintain a high level of service.
Complete required continuous training and education, including department‑specific requirements.
Demonstrate professional work behavior by following Service Standards and Success factors.
Comply with departmental organizational policies, procedures, and external agency requirements.
Qualifications / Requirements
Bachelor’s degree in business or related field required; Master’s degree preferred.
Experience within the insurance industry, claims management field, and loss control.
Minimum of 3–5 years of commercial insurance, underwriting, actuarial, insurance placement, or other relevant experience.
Experience with professional/general liability, commercial, healthcare insurance preferred, including self‑insured captives.
Ability to work with brokers, underwriters, counsel, and hospital staff in a positive, professional manner.
Ability to accurately complete and analyze exposure data, identifying aberrancies and trends before insurance application submission.
Experience working with teams in a complex organization.
Previous experience within healthcare risk management a plus.
Claims adjuster/broker’s license or equivalent, or willingness to obtain within 1 year of employment.
Skills / Abilities / Competencies
Excellent written, verbal and presentation skills.
Strong command of data management, risk insurance report development and analysis.
Strong knowledge of healthcare and insurance terminology.
Computer literacy; file management; strong skills in Microsoft Suite (Excel, PowerPoint, Word).
Confidentiality and use of discretion paramount to this role.
Seniority level
Mid‑Senior level
Employment Type
Full‑time
Job Function
Sales and Business Development
Hospitals and Health Care
Referrals increase your chances of interviewing at Stamford Health by 2x.
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Risk Insurance & Financing Analyst
role at
Stamford Health .
Job Description
Responsible for day‑to‑day functions of the department’s self‑insured, property and casualty insurance programs, and all other applicable claims functions.
Collaborate with internal and external stakeholders including employees, defense counsel, consultants, brokers, insureds, underwriters, and underwriting staff.
Ensure accurate and timely claim filing and maintenance of insurance, claims, and legal files.
Manage commercial insurance claims reporting, working with brokers, claims counsel, and insurers to ensure timely filing of claims, development of insurance claim documents and follow‑up.
Communicate with brokers, underwriters, captive management, actuarial and insurance consultants on all claims and insurance matters; oversee claim submission and coordinate with brokers, consultants, and operations staff; provide reports on claim matters to the board.
Oversee claim reporting, claim adjusting, insurance renewal, and related policy maintenance functions.
Review insurance application processes, initiate meetings between brokers and staff to provide education; participate in broker renewal meetings, develop underwriter presentations, and ensure timely insurance renewal bindings.
Prepare insurance exposure data and applications for submission to brokers; gather required data, verify accuracy, and research deviations.
Manage and monitor an $18M+ insurance and related expense budget, ensuring adequate coverage while remaining fiscally responsible.
Monitor compliance with State Insurance Department, Vermont Department of Financial Regulation, and MMSEA filings.
Prepare and submit mandated regulatory reports of closed claims activity; coordinate with IT for processing.
Maintain loss runs in the electronic system based on Claims Committee activity and relevant legal activity.
Manage legal files and prepare accurate records, including invoices and documentation.
Draft responses to interrogatories and discovery requests for the Executive Director and Chief Risk Officer.
Report new claims to all relevant commercial insurance policies; maintain loss records and coordinate with hospital staff, underwriters and brokers.
Ensure receipt and filing of all relevant insurance policies and review for completeness.
Prepare incident reporting summary reports and ad‑hoc reports.
Maintain coverage files for Healthstar insureds and evidence of coverage.
Maintain property and casualty insurance policy files for Stamford Hospital and Stamford Health System.
Attend Enterprise Risk Management Committee meetings; facilitate minutes and support actions.
Prepare meeting minutes, files and telephone work for department staff.
Participate in relevant committees as directed by the Executive Director.
Assist in reviewing and revising departmental and hospital policies.
Interface with medical records department to process inquiries from regulatory agencies and patient legal representatives.
Schedule depositions and meetings with witnesses for pending litigation.
Investigate and evaluate claims involving Stamford’s all‑risk property program; assess claim sites and manage information flow among insurers/adjusters, brokers, and Stamford Health.
Develop and maintain computerized programs for claims and insurance data; produce risk‑management reports for underwriters, board, and committees.
Develop regular and ad‑hoc reports; analyze reportable events and claim triggers; manage follow‑up with significant adverse events; evaluate aggregate adverse data to identify high‑risk activities, procedures and departments.
Recommend corrective and preventive actions to reduce risk; collaborate with improvement teams on interventions.
Continuously evaluate claims management reporting system for potential improvement.
Present reports on Stamford’s insurance program, external market trends, and claims trends to committees, medical staff leadership, board committees, and underwriting/insurance representatives.
Keep abreast of changing legislation, standards and policies affecting insurance and risk management.
Assist in communicating insurance budgetary needs during the financial planning cycle.
Maintain expense levels in line with the financial plan.
Communicate and explain significant variances as they occur.
Other Competencies
Perform other related duties as assigned or requested to maintain a high level of service.
Complete required continuous training and education, including department‑specific requirements.
Demonstrate professional work behavior by following Service Standards and Success factors.
Comply with departmental organizational policies, procedures, and external agency requirements.
Qualifications / Requirements
Bachelor’s degree in business or related field required; Master’s degree preferred.
Experience within the insurance industry, claims management field, and loss control.
Minimum of 3–5 years of commercial insurance, underwriting, actuarial, insurance placement, or other relevant experience.
Experience with professional/general liability, commercial, healthcare insurance preferred, including self‑insured captives.
Ability to work with brokers, underwriters, counsel, and hospital staff in a positive, professional manner.
Ability to accurately complete and analyze exposure data, identifying aberrancies and trends before insurance application submission.
Experience working with teams in a complex organization.
Previous experience within healthcare risk management a plus.
Claims adjuster/broker’s license or equivalent, or willingness to obtain within 1 year of employment.
Skills / Abilities / Competencies
Excellent written, verbal and presentation skills.
Strong command of data management, risk insurance report development and analysis.
Strong knowledge of healthcare and insurance terminology.
Computer literacy; file management; strong skills in Microsoft Suite (Excel, PowerPoint, Word).
Confidentiality and use of discretion paramount to this role.
Seniority level
Mid‑Senior level
Employment Type
Full‑time
Job Function
Sales and Business Development
Hospitals and Health Care
Referrals increase your chances of interviewing at Stamford Health by 2x.
#J-18808-Ljbffr