SUMMARY: Reporting directly to the Regional Manager, Risk Management, the Risk Management Specialist will provide recommendations and consultation to policyholders regarding risk management issues. Conducts onsite reviews and assessments to determine risk factors. Develops, presents and implements risk management services and products, including but not limited to, educational programs focused on lowering and preventing policyholder loss exposures. Acts as technical adviser as needed to the team. Serves as resource to Risk Management, Claims, Sales, and Underwriting Departments for complex clinical and administrative risk management issues.
PLEASE NOTE: There are two RM Specialist opportunities available. This position is remote and the ideal candidate should reside in any of the following states: EASTERN REGION - PA, VA, MD, NC and Washington, D.C. WESTERN REGION: San Francisco, Sacramento, or Bay Area in Northern CA; Southern CA, Denver, CO, Las Vegas, NV, Portland, OR, Phoenix, AZ, or Seattle, WA.
Essential Functions: Individual must be able to perform each essential duty satisfactorily. The essential functions listed below are representative of the knowledge, skill, and/or ability required with or without reasonable accommodation.
Participate as a strong, collaborative team member.
Communicate effectively with management.
Engage in planning and developing short-term and long-term departmental and interdepartmental projects as assigned.
Supports the Risk Management Department through ongoing contributions to enduring risk management materials, products, services, group practice and/or hospital programs in conjunction with management.
Supports and participates on special project teams, including preparation of reports and implementation plans, as requested by departmental management. As management requests leads special projects teams.
Collaborate with other Risk Management Specialists, as needed, for policyholder inquiries, site reviews, reports and presentations.
At the request of management, participate in the development of other specialists' knowledge base, since medical liability, clinical and administrative healthcare backgrounds are diverse.
Independently conduct policyholder site reviews and prepares comprehensive reports and recommendations.
Respond to individual policyholder risk management inquiries by phone, letter and intra-departmental referrals Researches and provides in-depth analyses of emerging risk management issues in healthcare, medicine, law, government regulatory standards and professional liability.
Consults with and acts as an informational resource providing risk management information to Norcal staff, medical societies, and policyholders. Develop and present programs to groups of physicians, office staff and hospital staff.
Other duties as assigned.
Fiscal Responsibilities: None
Supervisory Responsibilities: None
Expenses: Employees must be able to pay for certain business expenses in advance. Examples include such items as airline tickets, rental cars, hotel deposits, seminar registrations, etc. Employees are eligible for reimbursement for such expenses through NORCAL’s Expense Reimbursement Policy.
Required Driving: Proof of valid Driver’s license and registration. Meet NORCAL’s minimum auto insurance requirement. Must own or be able to lease an automobile. Able to operate motor vehicle continuously for up to eight hours in any one day.
Position requires extensive travel throughout company territories. Travel will include evening, weekend, and/or overnight stays.
Physical/Environmental Working Conditions:
General office environment is primarily sedentary work which requires the following physical activities: standing, sitting, walking, reaching, lifting, finger dexterity, grasping, repetitive motions, talking, hearing and visual acuity.
Ability to work independently from a remote or home office environment.
Available for travel, including interstate travel, which could include air travel and extended overnight stays.
The employee must occasionally lift and/or move up to 10 pounds.
Exposure to LCD on a daily basis.
A moderate noise level is usual.
Bachelor's degree with major in healthcare related field or RN. Current state licensure as an RN, NP, or PA or Master's degree preferred. Additional insurance courses, risk management courses, or risk management designation such as CPHRM or ARM desirable.
Minimum of three years' experience in healthcare or medical liability field required. This includes direct experience working with healthcare organizations, knowledge of credentialing, quality assurance, medical records management, medical group management, hospital administration, regulatory issues, and current health care issues.
Minimum of three years’ experience in a medical malpractice/risk management environment; prior experience in project management is preferred.
Ability to work independently with minimal direction and supervision. Exercise independent judgment in solving complex problems.
Ability to research topics, makes recommendations, and communicates to individuals and groups through both oral and written means.
Effective presentation skills, including public speaking.
Excellent interpersonal skills.
Required to work remotely from home office or telecommuting environment.
NORCAL rewards eligible employees with competitive salaries and excellent employee benefits including the following:
Comprehensive health benefits including medical, dental, vision, & life effective date of hire
Health Care & Dependent Care Flexible Spending Accounts
7.5 hour work days – 37.5 hour work week
4 weeks of PTO plus paid holidays
Employee Bonus Program
401(k) with generous dollar for dollar match up to 5% of eligible compensation with additional 3% non-elective employer contribution
Community Involvement Fund – Volunteer and/or company matching contributions
Employee Recognition Program
NORCAL University Employee Training & Development Programs
NORCAL is an Equal Employment Opportunity Employer
This description portrays in general terms the type and levels of work performed and is not intended to be all-inclusive or represent specific duties of any one individual. Nothing in this job description restricts management’s right to assign or reassign duties and responsibilities to this job at any time.
2 openings. Telecommuting is allowed.
Internal Number: RM - NORCAL
About NORCAL Mutual Insurance Company
Medical Professional Liability Insurance
More than 40 years ago, a group of physicians in Northern California — faced with a crisis in the liability insurance industry that threatened their practices — banded together to start a new policyholder-owned and physician-directed insurance company for the betterment of their fellow physicians. That company was NORCAL Mutual. Forty-plus years later, we’ve grown and evolved to meet the changing needs of the industry, becoming a national company serving multiple generations of physicians, while still holding true to our roots.
Financial Strength and Stability
All NORCAL Group companies hold an A.M. Best “A-” (Excellent) rating for their financial strength and stability. Our national growth from our Northern California roots in 1975 has secured our position as the eighth largest MPLI carrier in the nation, based on direct written premium.*
Local Service. National Resources
We protect more than 32,000 insureds from diverse locations and specialties, including multiple generations of physicians. NORCAL actively writes in 39 states, including the District of Columbia, with plans to expand into additional markets. Our national resourc...es enable us to deliver innovative products to the market, while our network of local agents provide the local expertise and service our policyholders expect.
Risk Management and Educational Resources
NORCAL’s industry-leading risk management CME program awarded more than 30,000 CME certificates to participants and earned ACCME Accreditation with Commendation — the highest level of designation — for the third consecutive six-year cycle in 2015. Our award-winning resources include our monthly CME publication, Claims Rx, and our Medical Liability Risk Management Content Series which include topics such as patient termination, preventing HIPAA data breaches, responding to online physician ratings, EHR best practices, and more.