Clinical Risk Analyst

Job not on LinkedIn

🕒 May 26

🇺🇸 United States – Remote

💵 $70.7k - $106.1k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🎲 Risk

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Tokio Marine HCC

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

🤝 B2B

💸 Finance

B2B • Finance

Tokio Marine HCC is a global specialty insurance and reinsurance group that underwrites more than 100 classes of specialty insurance across 180+ countries. The company offers a wide range of commercial products—including accident & health, aviation, casualty, cyber & tech, energy, marine, travel, crop, and transactional risk—serving brokers, enterprises, and program partners. With strong financial ratings (AM Best A++ / Fitch AA- / S&P A+) and a multi-billion dollar premium base, Tokio Marine HCC combines underwriting expertise, program management, and claims services as part of the Tokio Marine Group.

📋 Description

• Under limited supervision, reviews transplant and neonate cases and implements cost containment measures • Participates in medical underwriting, vendor monitoring and education • Gather in-depth information from sources about an individual's physical, medical, and psychosocial status • Determine specific objectives and time-specific actions designed to meet the claimant's needs identified in the assessment phase • Organize, secure, and integrate the available resources in order to accomplish the objectives of the case plan • Gather relevant information on an ongoing basis to determine the plan's effectiveness, measure cost benefits, and set accurate reserves • Act as support for renewal underwriting • Educate internal staff and third-party administrators about Stop Loss Group's Specialty Claims Unit services • Serve as a clinical resource for other Medical Underwriting staff based on clinical specialty in transplants

🎯 Requirements

• Registered Nurse, Associates degree in Nursing(ADN), or Bachelor's degree in Nursing (BSN) • Strong medical knowledge, including International Classification of Diseases (ICD), Current Procedural Terminology (CPT), medical terminology, COBRA, and HIPPA • Possess and have the ability to apply knowledge of principles, practices, and procedures • Solid written and verbal communication skills with an emphasis on confidentiality, tact, and diplomacy • Advanced organizational and analytical skills; demonstrated ability to manage multiple tasks simultaneously • Knowledgeable of industry changes, legal updates, and technical developments related to the applicable area of the Company’s business to proactively respond to changing business conditions

🏖️ Benefits

• Comprehensive medical, vision, and dental coverage, with eligibility beginning on your first day of employment • Basic life and disability insurance • 401(k) plan with 6% company match • 20 days of PTO, two floating holidays, approximately 11 paid holidays, and volunteer time off • Paid parental leave • Access to our award-winning wellness program, including mental health services, fitness network membership, and a complimentary Headspace subscription • Student loan matching program • Employee discount program • An opportunity to do meaningful work and love what you do