CASY-MSCCN Jobs

JOB REQUIREMENTS: Manages medical case management and claims review process including identifying potential fraud. Communicates and negotiates with brokers, independent adjusters, attorneys, case managers, supervisors, employees, and medical treatment facilities regarding the management of both medical and non-medical claims; oversees the administration of the transitional duty and permanent work restriction elements of the medical case management Manages and maintains the Risk Information Management System (RIMS) by reviewing loss run information from insurance carrier and adjusts internal records. Manages and procures insurance programs related to general liability, workers\' compensation, automobile liability, builder\'s risk, environmental, railroad protective, owner\'s protective, property, equipment, professional liability and, specialty coverages. Works with broker to obtain best policies, evaluate and negotiate coverage and pricing to ensure appropriate and cost-effective coverage. Maintains Third Party Administrator (TPA) relationship and develops policies and procedures related to risk and insurance programs. Management of Risk Analyst. Reviews contracts and bids as they relate to insurance requirements and insurance risk exposures, and outlines insurance requirements to ensure appropriate coverage. Assists in-house counsel on claims management and investigation (including documentation of claims) Manages Enrollments of OCIP/CCIPs (Owner/Contractor Controlled Insurance Programs) Manages insurance programs for Joint Venture(s) when applicable. Assists with internal cost allocation and loss rates for risk. Identifies loss trends and provides training related to risk and insurance programs. Monitors the issuance of certificates of insurance and maintenance of insurance files. Assesses new developments in the fields of Insurance, Claims, and Risk Management that may have application to or that could potentially impact company operations and makes formal recommendations to senior management to establish strategy and tactics to accomplish short and long-term business objectives. Collaborates with Safety Team to meet company risk and safety management goals and maintain oversight of OSHA regulatory records. Assist Finance Department with invoicing, audits, and loss data. Mentors and provides training to personnel on issues related to Risk Management Assists Corporate Counsel as necessary with claims strategy, litigation issues, and the settlement of claims Provides direction and assistance to the purchasing/contract department in reviewing and processing non-routine subcontractor certificates of insurance and subcontractor pre-qualification packages Attends regular meetings with insurance carriers and brokers; assists with liability exposure and setting financial reserves Provides leadership of the Safe Production culture Collaborates with Safety Team to meet company risk and safety management goals and maintain oversight of OSHA regulatory records. Assist Finance Department with invoicing, audits, and loss data. Mentors and provides training to personnel on issues related to Risk Management Assists Corporate Counsel as necessary with claims strategy, litigation issues, and the settlement of claims Provides direction and assistance to the purchasing/contract department in reviewing and processing non-routine subcontractor certificates of insurance and subcontractor pre-qualification packages Attends regular meetings with insurance carriers and brokers; assists with liability exposure and setting financial reserves Provides leadership of the Safe Production culture ***** OTHER EXPERIENCE AND QUALIFICATIONS: Bachelor\'s degree in insurance and risk management, finance, business management and/or 10 years\' relevant experience Prior risk and insurance experience, preferrable in a safety-focused construction environment Proven ability to procure and manage a success ul risk and insurance program and build strong relationships with brokers and TPAs Knowledge of various types of insurance and claims management including but not limited to: insurance codes, general industry safety orders related to Worker\'s Compensation and industrial safety, other pertinent laws and regulations, basic legal and medical terminology Ability to provide customer service to internal and external customers and maintain confidentiality and discretion when interacting and/or communicating in verbal and written formats Strong organization, problem solving, and prioritizing skills; flexibility in performing multiple tasks in high stress situations Microsoft Office 365 experience; Viewpoint experience desired ***** APPLICATION INSTRUCTIONS: Mail a Rsum: Kraemer North America Attn: Human Resources One Plainview Road Plain, WI 53577 Apply Online: www.kraemerna.com