Zijada Muratovic
Director, Claims & Insurance Operations (Risk Management)
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About
Dynamic healthcare operations and risk management professional with extensive experience overseeing claims operations, insurance administration, compliance coordination, legal support, stakeholder management, and executive-level communications within large healthcare systems. Proven ability to manage complex operational workflows, collaborate with senior leadership, support employee and client-facing operations, and drive organizational objectives through strategic problem-solving and process improvement. Strong background in human resources support, recruitment, onboarding, legal operations, and administrative leadership.
Experience
Director, Claims & Insurance Operations (Risk Management) - Westchester Medical Center - Valhalla, NY
(2017-04)
- Manage operational processes for professional and general liability insurance claims programs across affiliated healthcare entities.
- Coordinate intake, internal routing, and external notifications to defense counsel and insurance carriers.
- Collaborate with senior leadership, insurance brokers, outside counsel, and cross-functional departments to support organizational risk and compliance objectives.
- Oversee claims administration, reserve tracking, settlements, and billing coordination while ensuring regulatory and legal compliance.
- Serve as liaison between internal departments, external vendors, healthcare facilities, and insurance partners.
- Assist with insurance verification and credentialing coordination for healthcare professionals.
- Support investigations, client concerns, and claims resolution while maintaining strong communication and customer service standards.
- Contribute to operational improvements, reporting processes, and organizational risk mitigation strategies.
Assistant Manager / Finance - Stephen Einstein & Associates, P.C. - New York, NY
(2012-03 - 2017-04)
- Managed client documentation, legal support processes, payment reconciliations, and account tracking.
- Coordinated with attorneys, clients, and process servers to ensure timely case management and compliance.
- Reviewed legal documentation and conducted research to support case preparation.
- Maintained strong client communication and administrative organization in a fast-paced legal environment.
Human Resources Assistant Manager - Appco Group US - New York, NY
(2010-08 - 2012-03)
- Recruited, screened, interviewed, and onboarded prospective employees.
- Scheduled and coordinated employee training and orientation sessions.
- Supported workforce management, employee relations, and administrative operations.
- Maintained company records, budgets, and reporting documentation.
- Provided professional front-facing client and employee support.
Education
Bachelor's Degree - Legal Studies - Kaplan University School of Professional Studies
Associate's Degree - Paralegal Studies - New York Career Institute
