Job Title: Clinical Risk Assessment Registered Nurse (RN)
Location: Roslyn, NY
Schedule: Monday–Friday | On-Site
Are you a clinical professional looking to transition from direct patient care into a strategic corporate environment? We are seeking a highly analytical and detail-oriented Clinical Risk Assessment RN to serve as the medical expert within our Underwriting Department.
In this unique role, you will act as the medical “translator” for underwriting and claims teams—reviewing medical records, legal documents, and claims data to assess risk for insured healthcare providers. This is an excellent opportunity for an experienced RN who enjoys investigative chart review, clinical analysis, and big-picture decision-making in a professional office setting.
No prior insurance experience is required—we provide full training and mentorship to help you successfully transition into the insurance and risk management field.
Key Responsibilities
Clinical Risk Evaluation
- Review medical records, legal expert opinions, and claims documentation to evaluate the risk profile of current and prospective insured physicians
Underwriting Partnership
- Collaborate closely with the Underwriting team and staff physician to determine policy terms, pricing adequacy, and renewal eligibility based on clinical history and practice patterns
Trend Analysis
- Identify trends and patterns in claims data to help predict future risks and support the development of data-driven underwriting guidelines
Claims Deep-Dives
- Partner with the Claims team to analyze new professional liability filings and provide detailed summaries of medical liability and financial exposure
Strategic Reporting
- Prepare comprehensive reports and present findings to senior leadership regarding portfolio performance and overall professional liability risk
Innovation & Process Improvement
- Utilize risk-monitoring tools, reporting systems, and data automation strategies to improve how insured practices and risk trends are tracked and analyzed
Required Qualifications
- Active degree and clinical background as a Registered Nurse (RN) required
- Minimum of 3 years of direct healthcare/patient care experience
- Strong ability to interpret and analyze complex medical terminology, clinical documentation, and healthcare systems
- Excellent written and verbal communication skills with the ability to translate clinical findings into clear business language for non-clinical stakeholders
- Demonstrated professionalism and discretion when handling highly sensitive and confidential information
- Strong Microsoft Excel skills and comfort learning new data analysis tools and systems
Preferred Qualifications
- Experience reviewing medical records, quality assurance, case management, utilization review, or risk management strongly preferred
- Interest in transitioning from bedside care into a corporate healthcare or insurance setting
- Strong critical thinking and investigative skills with a “detective mindset”
Why Join Us?
This is a rare opportunity to step away from direct patient care and into a high-impact strategic role where your clinical expertise drives business decisions. You will work directly under the mentorship of a seasoned physician executive and industry leader while gaining valuable exposure to underwriting, medical liability, and healthcare risk management.
We also offer full support through our Educational Assistance Program as you grow your career in insurance and professional liability.
If you're ready to leverage your clinical knowledge in a new and rewarding way, we’d love to hear from you.
