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System Risk and Claims Coordinator

Risk Management Compliance

Full-time

Day shift

FT/40 hrs. per week

Job Summary:  The System Risk and Claims Coordinator is responsible for the entry, collection, review, and analysis  of risk event data, patient grievance data, professional and malpractice liability insurance products and various patient safety and claims projects at Central Maine Healthcare with the objective of promoting and enhancing safe, high quality patient care while identifying, proactively mitigating and minimizing the risk and losses inherent to the health care system. The Coordinator is responsible for maintaining the integrity of the Midas+ internal event reporting system; and, daily risk event data entry, review, investigation, analysis, tracking, trending and dissemination of lessons learned and contributing factors.  

     The Coordinator identifies, analyzes and acts upon actual and potential exposures to the organization with a goal of improved patient safety and protection of the organization's assets. This is also accomplished through education and collaboration with all levels of the organization.  The Coordinator is also responsible for the oversight, completion and tracking of claims and insurance data including provider claims histories; commercial insurance applications and policy renewals; provider certificates of insurance; and, State licensing renewals and annual reports for the Central Maine Healthcare self-insured Workers Compensation Trust.

    The Coordinator also has the overall responsibility for coordinating, compiling and maintaining data repositories including policies and procedures, claims loss run(s), and quality of care grievances. The Coordinator assists the Director and the Risk department with the Captive claims management program including the coordination of litigation discovery and other duties as assigned. The Risk Coordinator is also responsible for reviewing incident reports and conducting investigations of complaints or reports related to the treatment of or alleged injuries to patients or visitors and/or other incidents. The Coordinator also assists the Risk Management, Claims and IRB divisions in meeting its goals and responsibilities.  The Coordinator may also participate in System-wide Committees and Projects as assigned.

 

Regulatory/Education/Skills Requirements:

·                 Bachelor's degree in healthcare, clinical, legal, or paralegal studies preferred.

·                 1-3 years of clinical practice, risk management, claims,  legal, paralegal experience required

·                 Proficiency in legal and/or medical terminology preferred.

 ·                 Excellent computer skills, with experience in Microsoft Office products including Excel

 

Employee Referral Bonus Eligible!
Sign-On Bonus Available!

*JIUS