We Are Your “Outsourced” Risk Management/Loss Control Department.
Primary Responsibilities and Functions
1. Risk Management
2. Administrative Coordinator for Risk Management process
3. Loss Control Coordinator
4. Claims Coordinator
Major Accountabilities
Risk Manager Accountabilities
Discovery of loss exposures and the selection of the best treatment options
Evaluation and implementation of Loss Prevention Procedures
Design of the insurance program and effecting coverage at an acceptable price
Monitoring the effectiveness of treatment options selected
Quality control of needed products and services
Effectiveness of all employees who deal with Risk Management issues
Administrative Coordinator Accountabilities.
All administrative functions needed to accomplish the risk management process
Communication with client and carriers regarding plan changes, corrections and modifications
Insurance accounting issues
Marketing of the requested insurance program.
Loss Control Coordinator
Evaluation of facilities, equipment, procedures and processes that have the potential to cause loss.
Recommend appropriate precautions to prevent losses, and to minimize the impact of those that occur
Work with Insurance Carrier Loss Control personnel to ensure the client has the best possible loss prevention program, without incurring unnecessary expense.
Claims Coordinator
Loss minimization – preserving property and minimizing liability damages
Claims reporting
Assistance with claims adjusting
Advocacy with Insurance Carriers when necessary
Authority
1. Negotiate and purchase insurance on the client’s behalf.
2. Bind coverage on client’s behalf upon carrier’s acceptance of the specified terms.
3. Approach insurance carriers on client’s behalf.
Qualifications
1. Licensed as required by the State Departments/Bureaus of Insurance in relevant states
2. Agency manages at least $2 billion annual premium volume
3. Access to at least 50 markets/carriers
4. Has dedicated specific departments within agency to offer:
a. Loss control
b. Benefits
c. Surety/Bond
d. Compliance
e. HR Management.
f. Captive carrier (when required)
g. Claims Management.
In addition, we hired a VP of Claims from a large carrier to work for us on the agency side. As such, our clients have an advocate to work on their behalf. As a result, 73% of denied claims last year were reversed and paid.
Recently we added 2 new members to our service team. One has over 20 years experience in the home health care industry; and the other has over 20 years experience providing risk assessment and insurance management to the social services industry, specifically counseling services.
