Risk Manager

Responsibilities:

• Identify and assess risks inherent in healthcare insurance operations, including underwriting, claims processing, provider contracting, and regulatory compliance.
• Conduct risk assessments, scenario analyses, and trend analyses to evaluate the likelihood and potential impact of identified risks on the organization.
• Develop and implement risk mitigation strategies and control measures to minimize exposure to identified risks, including insurance coverage, contractual risk transfer, and risk avoidance strategies.
• Analyze claims data and loss trends to identify patterns, root causes and provider relations teams to implement loss control measures, improve claims handling processes, and minimize claims leakage and fraud.
• Review insurance policies, contracts, and agreements to identify and evaluate potential risks, liabilities, and exposures.
• Provide risk analysis and recommendations to underwriting and contracting teams regarding risk transfer mechanisms, indemnification clauses, and insurance coverage adequacy.
• Develop and implement incident response plans and crisis management protocols to effectively respond to emergencies, disasters, or adverse events impacting the organization.
• Coordinate with internal stakeholders, external partners, and regulatory agencies to manage crises, mitigate reputational risks, and minimize business disruptions.
• Prepare risk management reports, dashboards, and presentations for executive management, board of directors, and regulatory authorities, summarizing key risks, trends, and mitigation efforts.

• Facilitate communication and collaboration between risk management, compliance, internal audit, and other relevant departments to ensure alignment of risk management initiatives with organizational goals and objectives.

Requirements:

• Minimum academic qualification of a Bachelor's degree in any discipline
• 7 years of working experience