Position Summary:

Contributes to the Risk Management (RM) plan by identifying, analyzing, reducing risk for LAMMICO and its insureds. Participates in the development and implementation of the RM program in assigned territory to individual and large group and healthcare facility insureds. Conducts risk assessments for individual, group and facilities in assigned territory.

Reporting Relationship:

Reports directly to the VP of Risk Management & Patient Safety

Essential Functions/Responsibilities:

• Works in a cooperative manner with management, coworkers, customers, and vendors; seeks to support LAMMICO’s mission and vision in daily operations
• Contributes to the development of the department’s strategic and operating planning and meets assigned target dates and objectives; helps ensure that department quality, service and productivity standards are met
• Conducts review and analysis of medical malpractice claims for insureds in assigned territory
• Conducts assessment for assigned individual, group medical practices and healthcare facilities; provides insureds with loss prevention and loss control interventions that are consistent with RM principles
• Provide RM consultation to assigned physician practices including large physician groups and healthcare facilities
• Conducts telephone consultation with individual, group medical practices, and healthcare facilities
• Develops and presents live and online RM education seminars for physician practices including physicians, nurse practitioners, physician assistants, nursing staff, and other medical office staff
• Conducts loss analysis for assigned territory based on internal and external data/information
• Evaluates territory loss and make comparisons to the book of business and draw conclusions for developing and implementing loss prevention and loss control interventions
• Reports to the assigned Committees regarding insureds risk profile
• Serves as RM expert to LAMMICO insureds

Secondary Functions/Responsibilities:

• Other responsibilities and special projects as assigned
• Attends LAMMICO seminars presented by physician specialists
• Attends seminars/conferences for LAMMICO’s marketing department as assigned

Education, Experience and Skills

Required:

• Bachelor’s or Associate’s degree in nursing
• Current license in nursing
• 3-5 years of experience in the Risk Management, quality improvement or other healthcare related field
• 4-6 years of experience in nursing
• Formal presentation skills to small and large audiences
• Experience dealing with physicians and/or other healthcare professionals
• Experience with data analysis
• Strong customer focus and team orientation

• Ability to appropriately handle confidential and sensitive company information
• Commitment to continuing industry and individual functional education
• Strong decision making skills
• Excellent communication skills with the ability to interact and work effectively with employees at all levels within the organization
• Ability to manage time, set priorities and work independently; ability to organize, analyze, and interpret information
• Proficiency in the use of Microsoft Office Programs
• Must have continuous and uninterrupted access to reliable transportation; must maintain driver’s license and insurance as required by state
• Available for overnight travel; frequent travel up to 50% of the time with some overnight stay

Desired:

• ARM and/or CPHRM certifications
• Insurance industry experience
• Experience in medical malpractice arena
• Master’s degree in healthcare or insurance