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Senior Claims Investigator & Risk Analyst

Senior Claims Investigator & Risk Analyst

Virginia Department of Human Resource ManagementFairfax, VA, US
24 days ago
Job type
  • Full-time
Job description

Senior Claims Investigator & Risk Analyst

The Senior Claims Investigator & Risk Analyst is a vital contributor to the Office of Risk Management, providing essential support through the oversight of claims management and risk mitigation efforts. This role involves analyzing data and performing statistical research, assisting in the administration and renewal of insurance policies, and ensuring adherence to established risk management protocols. Additionally, the Senior Analyst oversees the Driver Safety Program, which includes conducting risk assessments, delivering driver safety training and presentations, and managing all related documentation for insurance and risk claims.

Responsibilities :

Assists in supporting the Commonwealth Risk Management Plan

  • Oversees the preparation and timely submission of annual reports and required updates to the Commonwealth;
  • Conducts trend analysis and data reporting using the Origami Risk Management Information System (RMIS);
  • Manages all reporting requirements to the Virginia State Police, including coordination and communications related to the University's state owned vehicles; and
  • Oversees data management for various departmental assets, including building valuations, university owned vehicles, fine arts collections, drones, watercraft, solar panels, and medical malpractice records.

Claims Management and Risk Analysis

  • Responsible for the identification, investigation, management and resolution of claims;
  • Reviews, analyzes, and processes claims submissions for accuracy and policy coverage;
  • Serves as the senior claims' investigator for property and liability claims;
  • Performs site visits on George Mason campuses and conducts investigative interviews;
  • Prepares detailed investigative reports with findings and recommendations;
  • Manages and processes claims over institutional deductible;
  • Provides direct support and guidance to the Claims Examiner;
  • Testifies in legal proceedings or depositions as needed;
  • Prepares claims data for annual report;
  • Assists in identifying trends or recurring issues for process improvement;
  • Ensures timely resolution of claims in accordance with DRM and university guidelines;
  • Collaborates with University Counsel, DRM, insurance brokers, internal and external parties to settle claims; and
  • Assists the Director as the University's central point of contact for the loss of state-owned property, vehicles, cyber intrusion, and liability claims.
  • Safe Driver's Program Management

  • Manages the Driver Awareness Program which includes policy and procedures, Motor Vehicle Reports (MVR) review, driver compliance, and Accident Review Committee administration;
  • Applies federal and state laws, policies and regulations that involve the use of state vehicles to the advancement of the program;
  • Applies best practices that would enable the university to minimize vehicle and golf cart liability exposure (i.e. training, mitigation strategies);
  • Coordinates with University Human Resources and department heads on how to best manage non-compliant drivers per university policy;
  • Serves as the Accident Review Committee (ARC) Program Administrator and Committee Chair;
  • Provides driver database management to include driver notifications;
  • Serves as the primary contact for the DMV Alert System, driver enrollment and removal; and
  • Manages out of state drivers via George Mason's vendor for background checks.
  • Emergency Operations Response

  • Assists Risk Management Director in providing timely notification to unit leadership of the following situations :
  • Emergency and urgent issues;
  • High risk and high-profile threat assessment information;
  • Notifications to regulatory agencies and announced / unannounced inspections; and
  • Egregious or unusual safety issues, including situations involving Principal Investigators, contractors, students, employees, visitors, or emerging safety threats that occur off campus.
  • Required Qualifications :

  • Associate's degree in related field or the equivalent combination of education and experience;
  • Demonstrated experience with claims investigations, processing and program management, including risk assessment experience;
  • Diverse experience in verbal and written communications;
  • Demonstrated experience in computer, database and website management;
  • Knowledge of budget processes as related to managing office accounts;
  • Excellent administrative and office management skills;
  • Excellent computer skills, including all Microsoft products and advanced Access knowledge;
  • Excellent oral and written communication skills, including interpersonal skills in stressful situations;
  • Ability to develop and maintain a website;
  • Ability to work with people in other state agencies and the private sector;
  • Ability to understand commercial insurance policies and assess how coverage applies;
  • Ability to work independently, multitask and work under tight deadlines;
  • Ability to research, understand and interpret state directives and related risk management references; and
  • Valid driver's license : must currently possess an appropriate, active, valid motor vehicle operator's license that meets all of GMU's requirements for operating state vehicles and equipment under Mason's Vehicle Use Policy 1411.
  • Due to the unique role that RSR plays in emergency situations, each employee is designated to respond as requested during emergencies. Expectations for availability require that home and cell phone numbers be provided. In emergency situations, these numbers may be called and it is expected that the employee will respond when they are able. Repeated instances of unavailability will be addressed by the supervisor; however, the employee is not expected to be "on call".

    Preferred Qualifications :

  • Bachelor's degree in related field;
  • Claims Investigation Certification;
  • Risk Management Certification;
  • Experience working in an institution of higher education;
  • Experience in claims investigation;
  • Experience in claims processing;
  • Experience in Safe Driver Management for employees;
  • Some college-level course work in business administration or insurance; and
  • Some higher education, or equivalent experience in a complex office environment;
  • Instructions to Applicants :

    For full consideration, applicants must apply for Senior Claims Investigator & Risk Analyst at

    Complete and submit the online application to include three professional references with contact information, and provide a Cover Letter with Resume for review.

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    Senior Risk Analyst • Fairfax, VA, US

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