Risk Claims Analyst
Location: 2 days onsite – 1 Capitol Hill Providence Rhode Island 02908 United States
Risk Management Analyst Job Description:
We are seeking a proactive and detail-oriented Risk Management Analyst to support the Head of Risk Management. The role supports the full scope of the Division of Risk Management, including claims and third-party administrator oversight, insurance requirements for vendor contracts, billing, agency engagement, and ongoing improvements to the State’s risk management program. The ideal candidate will build a working knowledge of the State’s insurance program and grow into a trusted resource for agencies and leadership.
Key Responsibilities:
- Manage claims activity with the State’s third-party administrator, including approvals, denials, releases, and related TPA duties within delegated authority.
- Prepare over-authority claim requests with supporting documentation for review and decision by the Head of Risk Management.
- Monitor TPA service against the State’s client service instructions and report claim trends and open issues on a set cadence.
- Administer insurance billing, including premium invoicing, reconciliation, payment tracking, and allocation preparation.
- Learn the State’s insurance program, including property, auto liability, railroad liability, and medical malpractice, and be able to explain coverage to agency staff.
- Review RFPs and scopes of work on an ad hoc basis and set appropriate insurance requirements, while helping improve the State’s related processes and practices.
- Serve as a point of contact for agency staff on routine claims, insurance requirement, and billing matters, and stay informed on broker communications and inquiries.
- Maintain claim, policy, and billing records and respond to inquiries received through the Risk Management inbox.
- Support the annual renewal process by gathering underwriting data and exposure information.
- Support the Head of Risk Management on strategic initiatives.
- Other duties as required.
Qualifications:
- Two or more years of experience in insurance, claims, or risk management preferred.
- Working knowledge of claims handling and common commercial insurance coverages.
- Strong written and verbal communication skills.
- Strong organizational skills and attention to detail, particularly with billing and records.
- Ability to learn complex programs and follow established processes and authority limits.
- Proficiency in Microsoft Office Suite, particularly Excel and Outlook.
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