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Claims Risk Management Jobs in Florida (NOW HIRING)

VITAS Healthcare

Risk Management Analyst

Miramar, FL · On-site

* Manage the global risk financing and risk transfer program for all lines of corporate insurance ... Manage global claims management programs for all lines of insurance, including supporting processes ...

VITAS Healthcare

Risk Management Analyst

Miramar, FL

* Manage the global risk financing and risk transfer program for all lines of corporate insurance ... Manage global claims management programs for all lines of insurance, including supporting processes ...

AEG

Manager, Risk Management

Daytona Beach, FL · On-site

The role also supports the broader risk management program through claims investigation, insurance administration, and procedural department development. Duties include but are not limited to:

NASCAR

Manager, Risk Management

Daytona Beach, FL

The role also supports the broader risk management program through claims investigation, insurance administration, and procedural department development. Duties include but are not limited to:

Nascar

Manager, Risk Management

Daytona Beach, FL · On-site

The role also supports the broader risk management program through claims investigation, insurance administration, and procedural department development. Duties include but are not limited to:

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Claims Risk Management information

What are the key skills and qualifications needed to thrive in Claims Risk Management, and why are they important?

To thrive in Claims Risk Management, you need a solid understanding of insurance policies, risk assessment, and claims processing, often supported by a degree in business, finance, or insurance-related fields. Familiarity with claims management systems, data analytics tools, and relevant certifications such as AIC or CPCU is highly valuable. Strong analytical thinking, attention to detail, and effective communication are essential soft skills for evaluating claims and collaborating with stakeholders. These competencies ensure accurate risk evaluation, minimize financial loss, and maintain compliance within an organization.

What is Claims Risk Management?

Claims Risk Management refers to the process of identifying, evaluating, and mitigating risks related to insurance claims. Professionals in this field analyze claim trends, investigate potential fraud, and implement strategies to reduce the frequency and severity of claims. Their goal is to protect the financial interests of the insurer while ensuring fair treatment of policyholders. Effective claims risk management helps companies minimize losses and improve operational efficiency.

What are some common challenges faced in a Claims Risk Management role, and how can they be addressed?

Professionals in Claims Risk Management often face challenges such as balancing the need for thorough claim investigations with the pressure to resolve cases quickly, staying updated on changing regulations, and detecting potential fraud. To address these challenges, it's important to develop strong analytical skills, maintain open communication with legal and underwriting teams, and participate in ongoing industry training. Building collaborative relationships within the organization also helps streamline processes and foster a proactive approach to risk mitigation.

What is the difference between Claims Risk Management vs Claims Adjuster?

AspectClaims Risk ManagementClaims Adjuster
Primary FocusIdentifying and mitigating risks to prevent claimsInvestigating and settling individual insurance claims
CertificationsRisk management certifications (e.g., CRM, ARM)Adjuster licenses and certifications
Work EnvironmentOffice-based, strategic planningFieldwork, claims sites, or office
Industry UsageInsurance companies, risk management firmsInsurance carriers, third-party claims companies

Claims Risk Management professionals focus on reducing overall claim risks through analysis and strategy, while Claims Adjusters handle individual claims, investigating and settling them. Both roles are essential in the insurance industry but serve different functions.

What are popular job titles related to Claims Risk Management jobs in Florida? For Claims Risk Management jobs in Florida, the most frequently searched job titles are:
What job categories do people searching Claims Risk Management jobs in Florida look for? The top searched job categories for Claims Risk Management jobs in Florida are:
What cities in Florida are hiring for Claims Risk Management jobs? Cities in Florida with the most Claims Risk Management job openings:
Claims Risk Management jobs near you
Entry Level Risk Management Consultant

Entry Level Risk Management Consultant

Foundation Risk Partners

Clermont, FL

Other

Posted 5 days ago

Job description

Foundation Risk Partners, one of the fastest growing insurance brokerage and consulting firms in the US, is adding to their team a Risk Management Consultant to their Insurance Consulting & Risk Advisory team.  This role requires a highimpact, clientfacing professional capable of leading complex assignments, synthesizing technical detail into strategic insight, and advising senior stakeholders on enterprise and transactional risk issues.

Key Responsibilities

  • Identify, evaluate, and analyze operational, contractual, and thirdparty risk exposures arising from client business activities, vendors, service providers, and customers.
  • Strategically manage enterprisewide insurance and risk program renewals, including broker oversight, coverage optimization, cost reduction initiatives, and market negotiations.
  • Collaborate with and direct external advisors including brokers, underwriters, claims professionals, TPAs, legal counsel, and specialty consultants.
  • Review contracts, leases, vendor agreements, and licensing arrangements to ensure compliance with established insurance and risk management requirements.
  • Evaluate and negotiate insurance pricing, program structures, deductibles, limits, policy wording, and service agreements; prepare costbenefit analyses of program alternatives.
  • Analyze loss data and prepare monthly reserve accruals and reporting for finance, risk, and safety teams.
  • Partner with legal, HR, audit, and claims teams to establish settlement strategies and support complex claims decisionmaking.
  • Research emerging and bestinclass risk management trends, providing strategic recommendations related to insurance purchasing, program design, loss control, safety, and claims management.

Qualifications & Experience

  • Bachelor's degree in Risk Management, Insurance, or related field
  • Strong analytical and problem-solving skills 
  • Internship or coursework related to insurance, risk management, or consulting
  • Florida 2-20 license, or ability to obtain
  • Professional certifications preferred: ARM, CPCU, CRM, FRM, RF.

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