Senior Claims Investigator & Risk Analyst

Department: Risk, Safety, and Resilience (RSR)

Classification: Program Admin Specialist 1

Job Category: Classified Staff

Job Type: Full-Time

Work Schedule: Full-time (1.0 FTE, 40 hrs/wk)

Location: Fairfax, VA

Workplace Type: On Site Required

Salary: Salary commensurate with education and experience

Criminal Background Check: Yes

Financial Background Check: Yes

Motor Vehicle Records Check: Yes

About the Department:

Risk, Safety, & Resilience (RSR) provides leadership and education to promote and sustain a safe and healthful environment for our community to learn, work, live, and thrive. The unit serves the university by managing health, safety, environmental, emergency and risk management programs in collaboration with our partners and stakeholders.

About the Position:

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 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.