Risk Claims Analyst- UC San Diego Health

Posted February 23, 2023

Position Title:

Risk Claims Analyst


San Diego, CA (remote/hybrid)

Job Description:

Involves the development and administration of a systematic program designed to reduce risk and injury. Manages the identification, analysis, and assessment of loss potential throughout the facility, and identifies legal risks related to professional, employment, and comprehensive general liability. Evaluates and advise on trends of professional, employment and comprehensive general liability claims experience to the administrative and medical staff. Makes recommendations concerning professional conduct, standards of care, and facility operation to reduce exposure to liability and insurance claims. May represent the organization in litigation and non-litigated matters and coordinates with attorneys, third-party administrators, and UC Office of the President.

Seven (7) years of related experience, education/training, OR a Bachelor’s degree in a related area plus three years of related experience/training. Related experience: Experience working at an academic medical institute handling claims and investigation, or investigation into patient complaints. Investigative work with Human Resources. Reporting and analysis of claims data to leadership or for Boards.

Experience with and thorough knowledge of healthcare risk management practices, claims administration, and data analysis skills. Demonstrated ability to assess, monitor, investigate, and report.

Claims management experience.

HR experience.

Writing case summaries, presentation skills,   and analysis skills experience.

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