Claims/Risk Management Manager

2 months ago


Garden Grove, United States Roman Catholic Diocese of Orange Full time

Diocese of Orange, Pastoral Center


POSITION TITLE:       Claims Risk Management Manager 


FLSA STATUS:           Exempt (Salary Range:  $90k - $140k, depending on education, experience and qualifications)


DEPARTMENT:          Risk Management 


REPORTS TO:            Director of Human Resources


SUPERVISORY RESPONSIBILITY:

Risk Management/HR Coordinator.  Also works in close coordination with CMG management, service assistant, and RCBO HR team.


INTERNAL/EXTERNAL CONTACTS:

Internal:

Diocesan staff at the Pastoral Center; all diocesan sites including parishes, schools, Catholic centers, Catholic cemeteries, and the Catholic Charities organization; Orange Catholic Foundation and other diocesan-related foundations and non-profits; diocesan insurance committee members (volunteers).

External:

Insurance brokers, insurance providers, third-party claims administrator service providers, third party claimants, outside legal counsel, vendors, parishioners and volunteers. 


SUMMARY OVERVIEW:

The Claims Risk Management Manager will be responsible for reporting, assessing and assisting with property and casualty claims handling. This person may also adjust property and casualty claims. This person will be responsible for developing, implementing and ensuring compliance with required Risk Management programs throughout the Diocese of Orange.  The Claims Risk Management Manager will be responsible for monitoring and managing both insurance and risk management duties and responsibilities. The successful candidate will provide high-level support and service to employees across the organization related to insurance needs, workers’ compensation and initiative-taking risk management measures. The candidate will primarily communicate with parish and school office business managers, pastors, cemetery managers, human resources staff, and school principals while providing excellent customer service and developing strong collaborative working relationships. 



ESSENTIAL FUNCTIONS: Primary Duties & Responsibilities

1.     Insurance Program: Oversee the placement of various lines of insurance, taking an active role in reducing cost and risk exposure. Closely collaborate with insurance providers and administrators to manage the reporting process of injury incidents, property damages, and property acquisitions/disposals. Responsible for handling proof of insurance requests (certificates of insurance) and additional insurance needs. Manage compliance requirements to maintain insurance policies in force. Provide guidance on diocesan insurance requirements and guidelines. Work with the Director of Human Resources on the development of the Insurance Program budget. 


2.     Incident Reporting: Primary responsibility for effectively managing all property, liability, student accident and workers compensation claims, and incident reports received from all diocesan locations.


3.     Claims Risk Management: In close partnership with Catholic Mutual Groupreceive, assist, and adjust property/casualty claims by performing investigations/site inspections, evaluating liability, verifying coverages, and negotiating fair and equitable settlements. Conduct annual safety inspections, and establish and monitor risk management policies, protocols and procedures to enhance awareness across the organization. Actively seek areas of improvement and implement best practices. Function as the diocesan administrator for safety and security online training platform. 


4.     Workers’ Compensation (WC): Manage the vendor relationship and ensure effective and timely resolution of claims.  Partner with the Human Resources department on the following responsibilities: management of the reporting process of employee on-the- job injuries for all diocesan sites; management of the relationship with the MPN clinics; ensure effective monitoring and updating of open WC claims log and files; collaborate with claims adjusters and staff to gather necessary claim related information and communicate claim updates; collaborate with legal counsel on the interactive process; prepare monthly loss reports and advise management of the status of claims, including coordination of quarterly claims review meetings; and manage the annual insurance renewal process, annual WC audit and any OSHA reporting.


5.     Vendor Compliance: Provide guidance and instructions on vendor compliance guidelines and requirements. Respond to internal and external questions and requests. Function as the liaison between the organization and the third-party vendor management entity. Collect, review and file certificates of insurance. 


6.     Risk Management Committee: Serve as the main point of contact for committee members.  Responsible for scheduling and coordinating committee meetings and taking minutes.


7.     Provide additional support on other duties as assigned.  Examples include: responding to routine questions and information requests related to all aspects of incident reporting, insurance coverage, risk evaluation, safety concerns, event planning and vendor compliance. Review invoices for accuracy and ensure timely payment. Manage DMV registration renewals/insurance ID cards for diocesan owned vehicles. Assist with development of the department’s budget, policies and protocols.


QUALIFICATIONS & EXPERIENCE REQUIRED:

·       Bachelor’s degree in related field (preferred) or equivalent work experience. 

·       Solid understanding of insurance with at least five years of experience in property and casualty claims adjusting is required.

·       Excellent communication, collaboration, organizational and critical thinking skills

·       Service focused, ability to work under limited supervision and must take initiative. 

·       Proficient with Microsoft office suite 

·       Must be willing to work irregular hours and be on call for emergencies and must have a valid driver’s license. 


DESIRED:

·       Bi-lingual in Spanish and/or Vietnamese

·       Prior risk management or safety experience is helpful.

·       Driven professional with ability to take initiative, successfully prioritize competing deadlines, and commitment to excellent level of service and support. 


WORK ENVIRONMENT:


Typical Working Conditions:

Office environment with regular location site visits

Equipment Used:

Basic computer equipment, keyboard, mouse, telephone, copier, facsimile, calculator and paper shredder.

Essential Physical Tasks:

Verbal communication, movement around office (and between locations within Orange County), remain stationary, reach, and occasionally carry materials as needed weighing up to 30 lbs. 

Frequent regional travel by automobile and an occasional overnight stay is required.




  • Downers Grove, United States CorVel Corporation Full time

    The Medical Only Claims Specialist manages non-complex and non-problematic, medical only claims and minor lost-time workers’ compensation claims under close supervision, supporting the goals of claims department and of CorVel. The positions is remote. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Receives claims, confirms policy coverage and...


  • Downers Grove, United States CorVel Corporation Full time

    The Medical Only Claims Specialist manages non-complex and non-problematic, medical only claims and minor lost-time workers’ compensation claims under close supervision, supporting the goals of claims department and of CorVel. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Receives claims, confirms policy coverage and acknowledgement of the claim ...

  • Account Manager

    5 days ago


    Garden Grove, California, United States HUB International Full time

    About the RoleThis is an exciting opportunity to join HUB International as an Account Manager, where you will play a vital role in supporting our clients with day-to-day account management, claims management, and underwriting services that ensure they have what they need to protect what matters most.Responsibilities* Manage the entire account service...

  • Regional Manager

    4 weeks ago


    Garden Grove, United States Bridge Property Management Full time

    Make an impact Are you ready to lead and make a big impact? As a Regional Manager, you'll help make sure everything runs smoothly and profitably for several apartment communities. You'll work closely with the VP and make sure policies and activities are carried out successfully. Build and lead a strong property management team Keep good relationships with...

  • Regional Manager

    3 weeks ago


    Garden Grove, United States Bridge Property Management Full time

    Make an impact Are you ready to lead and make a big impact? As a Regional Manager, you'll help make sure everything runs smoothly and profitably for several apartment communities. You'll work closely with the VP and make sure policies and activities are carried out successfully. Build and lead a strong property management team Keep good relationships with...

  • Credit Risk Analytics

    2 months ago


    Winter Garden, United States Seacoast Bank Full time

    LOCATION: This position can be located at any Seacoast location within the company's footprint in FL SUMMARY: The Credit Data Strategy & Reporting Manager (CDSRM) is responsible for developing and managing credit risk reporting for executive management, Board of Directors, Regulators, and public disclosures. In addition, the role will serve as...

  • Credit Risk Analytics

    4 weeks ago


    Winter Garden, United States Seacoast Bank Full time

    Description LOCATION: This position can be located at any Seacoast location within the company's footprint in FL SUMMARY: The Credit Data Strategy & Reporting Manager (CDSRM) is responsible for developing and managing credit risk reporting for executive management, Board of Directors, Regulators, and public disclosures. In addition, the role will serve as...

  • Claims Examiner

    2 weeks ago


    Garden City, United States Synectics Inc Full time

    Job DescriptionJob DescriptionResponsibilities:Investigate, evaluate and settle claims, applying technical knowledge and human relations skills to effect fair and prompt disposal of cases and to contribute to a reduced loss ratio.Adjust reserves or provide reserve recommendations to ensure that reserve activities are consistent with corporate...


  • Winter Garden, United States Robert Half Full time

    Job DescriptionJob DescriptionWe are in search of a Medical Claims Analyst to join our client's team located in Orlando, Florida. As a Medical Claims Analyst, your primary role will be to handle claims adjudication and oversee the payment and processing of medical claims. The role also involves maintaining positive relationships with key stakeholders,...

  • Finance Manager

    3 weeks ago


    Garden Grove, United States Roman Catholic Diocese of Orange Full time

    Job Classification: Exempt, Full-TimeLocation: Finance DepartmentReports To: Director of Finance, Elementary Schools & ParishesPay Range: $120K - $140K Based on experience, education and qualifications.Job Summary:The Finance Manager will oversee and manage the financial activities of a group of Catholic schools, ensuring the prudent stewardship of financial...

  • Finance Manager

    4 weeks ago


    Garden Grove, United States Roman Catholic Diocese of Orange Full time

    Job Classification: Exempt, Full-TimeLocation: Finance DepartmentReports To: Director of Finance, Elementary Schools & ParishesPay Range: $120K - $140K Based on experience, education and qualifications.Job Summary:The Finance Manager will oversee and manage the financial activities of a group of Catholic schools, ensuring the prudent stewardship of financial...

  • Solar Onsite Manager

    2 months ago


    Union Grove, United States Kelly Professional & Industrial Full time

    Kelly is seeking a field service Site Manager that would service a solar site in Paris, WI for GE. Position is 6-8 month contract role with the chance extending at other locations. The position comes with full benefits options including Medical/Dental/Vision/Life Insurance, 8 Paid Holidays, 3 weeks of PTO, 401K, and weekly pay! The Site Manager will lead...

  • Solar Onsite Manager

    2 months ago


    Union Grove, United States Kelly Professional & Industrial Full time

    Kelly is seeking a field service Site Manager that would service a solar site in Paris, WI for GE.Position is 6-8 month contract role with the chance extending at other locations. The position comes with full benefits options including Medical/Dental/Vision/Life Insurance, 8 Paid Holidays, 3 weeks of PTO, 401K, and weekly pay!The Site Manager will lead site...

  • Solar Onsite Manager

    1 month ago


    Union Grove, United States Kelly Professional & Industrial Full time

    Kelly is seeking a field service Site Manager that would service a solar site in Paris, WI for GE.Position is 6-8 month contract role with the chance extending at other locations. The position comes with full benefits options including Medical/Dental/Vision/Life Insurance, 8 Paid Holidays, 3 weeks of PTO, 401K, and weekly pay!The Site Manager will lead site...


  • Downers Grove, United States CNA Insurance Full time $49,000 - $98,000

    You have a clear vision of where your career can go. And we have the leadership to help you get there. At CNA, we strive to create a culture in which people know they matter and are part of something important, ensuring the abilities of all employees are used to their fullest potential.Check below to see if you have what is needed for this opportunity, and...


  • Garden Grove, United States Winchester Interconnect Full time

    At Winchester Interconnect, we dream big, have fun, and get stuff done! Our mission is to inspire the most innovative team, designing and delivering interconnect solutions that empower customers to shape the future. How do we do that? We focus on our people. We‘re committed to engaging talent of all experiences, skill sets, backgrounds, and walks of life....

  • Accounting Expert

    4 weeks ago


    Garden Grove, California, United States AppleOne Full time

    Job DescriptionAppleOne is seeking an experienced Staff Accountant to join our team. As a Staff Accountant, you will play a critical role in maintaining the financial health of our e-commerce business. Your primary responsibilities will include processing customer invoices accurately and efficiently, managing customer accounts and tracking outstanding...


  • Downers Grove, United States CNA Full time

    JOB DESCRIPTION : Essential Duties & Responsibilities: Performs a combination of duties in accordance with departmental guidelines: Manages an inventory of moderate to high complexity and exposure Healthcare claims by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize...


  • Downers Grove, United States Travelers Full time

    Who Are We? Taking care of our customers, our communities and each other. That’s the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 160 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine...

  • IT Manager

    2 months ago


    Garden Grove, United States Great Wolf Lodge Full time

    Job DescriptionPay: $85000 per year - $91000 per year At Great Wolf, the IT Manager is responsible for providing technical support and managing the systems at the lodge. Reporting directly to the Corporate IT Support Manager at this time, they will also have a dotted line to the General Manager of the property at which they are located. Technical support...