Position Description

Risk Management Specialist 

NATURE OF WORK: 

Risk Management Specialist position is responsible for overseeing liability claims and support prevention efforts for Verita telecommunication, will identify, assess, and make recommendations that will manage and mitigate the organization’s operational risks.. 

ESSENTIAL DUTIES/RESPONSIBILITIES:

• Prepares, reviews, and transmits billable claims by all required deadlines; research, appeals, and troubleshoots claims.
• Collaborates directly with Accounts Payable and the finance department staff to ensure accurate revenue recognition by all required reporting deadlines.
• Reviews invoices/billed claims for accuracy and completeness and obtains any missing information from the operations business unit.
• Acts as a liaison with external stakeholders; always fulfills Verita’s expectation of excellent customer service and replies to all communications in a timely manner.

• Work closely with insurance carriers to ensure all documents and payments are submitted in a timely manner. Assists with questions and issues to resolve problems concerning claims. Address questions or concerns regarding insurance policies
• Assists with questions and issues to resolve problems concerning claims. Address questions or concerns regarding insurance policies
• Reviews financial data and other information related to business operations.

• Gathers and compiles data related to risk from internal and external resources.
• Identifies potential risks by analyzing data, observing processes, and talking to staff.
• Drafts and delivers reports and presentations outlining findings, identifying and explaining potential risks, and recommending solutions.
• Selects or develops and implements appropriate risk assessment models or methodologies. 
• Develops and implements contingency plans to manage business interruptions, volatile market events, and other emergencies.
• Ensures and/or facilitates adequate communication concerning key risks.
• Drafts and/or evaluates risk disclosures and similar documentation.
• Maintains knowledge of existing and developing laws and regulations related to the organization’s industry; assesses and explains how new requirements may affect the organization in terms of risk exposure.
• Communicates to Accounts Payable and the finance department updates on billing issues, denials, and/or other important information related to claims processing.
• Assists with internal/external claims audits and payment posting.
• Develops and maintains various spreadsheets, workpapers, and tracking systems essential to claims management.
• Prepares reports that communicate data trends. 
• Handles confidential information and always abides by Verita’s policies and HIPAA regulations.
• Maintains, and managing system for damages and DOT 
• Assists with other responsibilities and special projects, as assigned by the Director of Health and Safety.

• Additional duties assigned by management.

The statements included in the description are intended to reflect the general nature and level of work assigned to this classification and should not be interpreted as all inclusive.