Risk Management Representative

Employment Type

: Full-Time


: Miscellaneous

AccentCare® is a national post-acute healthcare provider with 45 years of industry experience. We thrive on providing patient-centric care and a warm and personalized experience within our local communities. Your Success is our Success. We strive to provide our new employees with a structured on-boarding process to help you become assimilated quickly, and cutting-edge tools to make your daily work easier and more efficient. We offer extensive training and a wide-array of opportunities for continued education and promotional opportunities. Position: Risk Management Representative Reports to: Risk Management Director Job Description/Requirements: As a Risk Management Representative you will: * Prepare Risk Management files and records that pertain to Safety and liability claims to include data entry, file making, and follow up to ensure all paperwork has been completed thoroughly. * Maintain Risk Management databases and create monthly reports. * Maintain contract provider information in contract database (STARS). * Monitor and investigate all claims, safety, loss and liability issues to ensure claims are addressed in a timely manner. * Monitor workers compensation claim activity and Transitional Modified Duty Program. * Review open workers' compensation claims with Risk Manager and TPA. * Review claims for OSHA recordable findings, issues annual OSHA reports and distributes them to the field. * Assist with the tracking and trending of all workers' compensation and liability claims. * Conduct monthly safety committee meetings for the Support Center and assist Care Centers. Conduct safety investigations when necessary. * Assist Risk Manager to develop, implement, deliver and maintain training programs for employees in areas of General Safety, Customer Relations relating to Risk Management. * Conduct Risk Management Audits in Care Centers at least once a year. Report findings to and prepare recommendations for Risk Manager. * Comply with applicable legal requirements, standards, policies and procedures including, but not limited to the Compliance Program: Code of Conduct, HIPAA and Documentation Standards. * Maintain a commitment to the values and mission of AccentCare. * Additional responsibilities as assigned by one's supervisor or other manager related to the position/department. Requirements of Qualified Candidates: * High school diploma or equivalent * Bachelor's degree in related field preferred * Minimum 2 years office safety or Risk Management experience * Minimum 1 year experience with employer-based workers' compensation claims handling Home Health Care or Home Care experience as plus * Interpersonal Skills: Focuses on solving conflict, maintains confidentiality, listens effectively, remains open to others' ideas and tries new things, is trustworthy and sincere, treats others in a businesslike and professional manner * Analytical: Ability to read, analyze and interpret complex/diverse information and documents, collect and evaluate data, and present complete analysis * Teamwork: Exhibits objectivity and openness to others' views, gives and welcomes feedback and contributes to building a positive and collaborative team spirit * Effective internal and external collaboration with all levels * Persuasive techniques to gain cooperation, acceptance and agreement on business matters * Customer service focused, including the ability to create an atmosphere that encourages an open dialogue about the internal and external customer's needs * Ability to maintain composure in addressing stressful and/ challenging situations * Ability to assess situations and assist in conflict resolution * Excellent telephone, verbal and written communication skills, with the ability to communicate with internal and external customers * Detail oriented, with excellent organization skills * Knowledge and skills in the use of computers and software programs * Knowledge of pertinent state , federal, and local regulatory requirements

Launch your career - Create your profile now!

Create your Profile