Project Specialist - Insurance

Department/Unit:

Risk Management

Work Shift:

Day (United States of America)

Salary Range:

$59,066.00 - $88,599.00

The Project Specialist - Insurance role sits within the Risk Management Services team at a healthcare organization, reporting directly to the Manager of Insurance & Business Operations. This position serves as a vital cross-functional bridge, coordinating insurance claims, renewals, and safety initiatives while engaging with internal medical staff, finance, and external brokers and insurance carriers.

Essential Job Functions

1. Insurance & Risk Management Support

• Claims Administration: Process and report Auto, Cyber, Employment, and Property claims to insurance carriers while tracking financial updates.
• Data Management: Compile exposure data and claims metrics needed for insurance renewals, executive board presentations, and actuarial reports.
• Malpractice & Liability Requests: Manage the internal inbox to process malpractice certificates and claims history requests, and issue various liability certificates (e.g., Worker's Compensation, General Liability).

2. Project & Committee Coordination

• Safety Events: Assist in organizing cross-functional healthcare safety events, such as Patient Safety Week.
• Initiative Support: Prepare presentations for committees focused on promoting a culture of safety and continuous improvement.

3. System Administration

• Database Management: Serve as the primary system administrator for the Safety Intelligence and Riskonnect Claims databases.
• User Support: Ensure data integrity, troubleshoot system issues, generate reports, and train staff on system utilization and upgrades.

Education & Experience:

• Bachelor's degree in healthcare administration, business, risk management, or a related field required.
• 4-5 years of experience in a healthcare, insurance, or risk management environment preferred.

Skills & Abilities:

• Must be highly organized with experience in data analysis, the ability to learn and work with multiple data systems and participate in team projects.
• Strong project coordination skills, with high attention to detail.
• Proficient in Microsoft Office Suite (Excel, PowerPoint, Word, Outlook).
• Experience working with claims management software (e.g., Riskonnect, RLDatix) and electronic reporting tools.
• Ability to analyze and present data for decision-making and process improvement.
• Excellent written and verbal communication skills; comfortable interfacing with clinical and non-clinical teams.

Work Environment

• Standard healthcare administrative office environment.
• May require occasional presence in clinical areas or attendance at organization-wide meetings.

Thank you for your interest in Albany Med Health System!

Albany Med Health System is an equal opportunity employer.

This role may require access to information considered sensitive to Albany Med Health System, its patients, affiliates, and partners, including but not limited to HIPAA Protected Health Information and other information regulated by Federal and New York State statutes. Workforce members are expected to ensure that:

Access to information is based on a "need to know" and is the minimum necessary to properly perform assigned duties. Use or disclosure shall not exceed the minimum amount of information needed to accomplish an intended purpose. Reasonable efforts, consistent with Albany Med Health System policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification.