... risk management, claims , or information technology. The Corporate Counsel will maintain a level of practice autonomy and perform essential functions at a level deemed appropriate by the Deputy ...
... risk management, claims , or information technology. The Corporate Counsel will maintain a level of practice autonomy and perform essential functions at a level deemed appropriate by the Deputy ...
... risk management, claims , or information technology. The Corporate Counsel will maintain a level of practice autonomy and perform essential functions at a level deemed appropriate by the Deputy ...
... risk management, claims , or information technology. The Corporate Counsel will maintain a level of practice autonomy and perform essential functions at a level deemed appropriate by the Deputy ...
Strategically manage enterprisewide insurance and risk program renewals, including broker oversight ... Collaborate with and direct external advisors including brokers, underwriters, claims professionals ...
Strategically manage enterprisewide insurance and risk program renewals, including broker oversight ... Collaborate with and direct external advisors including brokers, underwriters, claims professionals ...
Strategically manage enterprise-wide insurance and risk program renewals, including broker ... Collaborate with and direct external advisors including brokers, underwriters, claims professionals ...
Strategically manage enterprise-wide insurance and risk program renewals, including broker ... Collaborate with and direct external advisors including brokers, underwriters, claims professionals ...
Risk Management Specialist
Pensacola, FL · On-site
Description The Risk Management Specialist is responsible for assessing, responding to, and ... in risk claims administration, including: * reporting incidents to insurance carriers ...
Risk Management Specialist
Pensacola, FL · On-site
Description The Risk Management Specialist is responsible for assessing, responding to, and ... in risk claims administration, including: * reporting incidents to insurance carriers ...
Claims Specialist
Tallahassee, FL · On-site
The Claims Specialist exercises independent judgment in managing day-to-day claim activity, identifying and escalating high-risk or complex issues, and ensuring compliance with applicable workers ...
Claims Specialist
Tallahassee, FL · On-site
The Claims Specialist exercises independent judgment in managing day-to-day claim activity, identifying and escalating high-risk or complex issues, and ensuring compliance with applicable workers ...
Risk Management and Purchasing Director
Lakeland, FL · On-site
$134K - $215K/yr
... Risk Management and Purchasing Department. The position is responsible for strategic planning ... Analyzes loss trends, claims data, and operational risks to identify root causes and implement ...
Risk Management and Purchasing Director
Lakeland, FL · On-site
$134K - $215K/yr
... Risk Management and Purchasing Department. The position is responsible for strategic planning ... Analyzes loss trends, claims data, and operational risks to identify root causes and implement ...
Responsibilities Manage general liability claims up to $400,000 and commercial property claims up to $1,000,000 globally Manage and coordinate with legal high risk/high profile property and casualty ...
Responsibilities Manage general liability claims up to $400,000 and commercial property claims up to $1,000,000 globally Manage and coordinate with legal high risk/high profile property and casualty ...
Director of Risk Management
Tampa, FL · On-site
$150 - $190/hr
Administers the Port's loss control program including handling all insurance claims made against ... Supervise staff working in Risk Management roles. * Responsible for hiring, training, mentoring ...
Director of Risk Management
Tampa, FL · On-site
$150 - $190/hr
Administers the Port's loss control program including handling all insurance claims made against ... Supervise staff working in Risk Management roles. * Responsible for hiring, training, mentoring ...
Director of Risk, Insurance & Claims
Miami, FL · On-site
$120 - $160/hr
Director of Risk, Insurance & Claims Full-Time Sweetwater, FL, US 30+ days ago Requisition ID: 1406 ... Manage the end-to-end processing of all cargo claims, including damage, loss, delay, and related ...
Director of Risk, Insurance & Claims
Miami, FL · On-site
$120 - $160/hr
Director of Risk, Insurance & Claims Full-Time Sweetwater, FL, US 30+ days ago Requisition ID: 1406 ... Manage the end-to-end processing of all cargo claims, including damage, loss, delay, and related ...
Manager, Risk Management
Naples, FL · On-site
$90 - $130/hr
Educates staff on risk management protocols, patient safety initiatives, and the importance of ... Oversees or coordinates the investigation, processing, and defense of claims and suits against the ...
Manager, Risk Management
Naples, FL · On-site
$90 - $130/hr
Educates staff on risk management protocols, patient safety initiatives, and the importance of ... Oversees or coordinates the investigation, processing, and defense of claims and suits against the ...
Manager, Risk Management
Naples, FL · On-site
Educates staff on risk management protocols, patient safety initiatives, and the importance of ... Oversees or coordinates the investigation, processing, and defense of claims and suits against the ...
Manager, Risk Management
Naples, FL · On-site
Educates staff on risk management protocols, patient safety initiatives, and the importance of ... Oversees or coordinates the investigation, processing, and defense of claims and suits against the ...
Risk Management Specialist
Immokalee, FL · On-site
$21.23 - $27.60/hr
Risk Management Tasks : * Responds to brokers' requests for information, completes, and submits ... Tracks liability claims, legal actions, and medical payments activities. * Responds to subpoenas ...
Risk Management Specialist
Immokalee, FL · On-site
$21.23 - $27.60/hr
Risk Management Tasks : * Responds to brokers' requests for information, completes, and submits ... Tracks liability claims, legal actions, and medical payments activities. * Responds to subpoenas ...
Claims and TPA Oversight * Manage relationships with TPAs, carriers, adjusters, defense counsel ... Operational and Business Risk * Assess risks involving casino, hotel, food and beverage ...
Claims and TPA Oversight * Manage relationships with TPAs, carriers, adjusters, defense counsel ... Operational and Business Risk * Assess risks involving casino, hotel, food and beverage ...
Director of Risk Management
Pensacola, FL · On-site
Director of Risk Management About Us At Community Health Northwest Florida , we believe that a ... Coordinate with the Office of General Counsel on claims and litigation documentation. * Proactively ...
Quick apply
Director of Risk Management
Pensacola, FL · On-site
Director of Risk Management About Us At Community Health Northwest Florida , we believe that a ... Coordinate with the Office of General Counsel on claims and litigation documentation. * Proactively ...
Sr. Manager, Risk Management
Miami, FL · On-site
The department of Risk Management has an exciting opportunity for a full-time Sr. Manager, Risk ... Officer, Director of Medical Claims and Assistant General Counsel. * Conduct additional ...
Sr. Manager, Risk Management
Miami, FL · On-site
The department of Risk Management has an exciting opportunity for a full-time Sr. Manager, Risk ... Officer, Director of Medical Claims and Assistant General Counsel. * Conduct additional ...
Sr. Manager, Risk Management
Miami, FL · On-site
The department of Risk Management has an exciting opportunity for a full-time Sr. Manager, Risk ... Officer, Director of Medical Claims and Assistant General Counsel. * Conduct additional ...
Sr. Manager, Risk Management
Miami, FL · On-site
The department of Risk Management has an exciting opportunity for a full-time Sr. Manager, Risk ... Officer, Director of Medical Claims and Assistant General Counsel. * Conduct additional ...
Senior Manager, Risk Management
Palm Beach Gardens, FL · On-site
$117K - $234K/yr
Claims Management. * Mergers, Acquisitions & Divestitures. * Contract Reviews. * Risk Financing/Insurance Program Management. * Cost Forecasting. * Manage RMIS ( Risk Management Information System ...
Senior Manager, Risk Management
Palm Beach Gardens, FL · On-site
$117K - $234K/yr
Claims Management. * Mergers, Acquisitions & Divestitures. * Contract Reviews. * Risk Financing/Insurance Program Management. * Cost Forecasting. * Manage RMIS ( Risk Management Information System ...
Knowledge of hospital operations, risk identification, assessment and reduction and claims management * Excellent communication skills, both written and oral Physical Requirements: * Work is ...
Knowledge of hospital operations, risk identification, assessment and reduction and claims management * Excellent communication skills, both written and oral Physical Requirements: * Work is ...
Knowledge of hospital operations, risk identification, assessment and reduction and claims management * Excellent communication skills, both written and oral Physical Requirements: * Work is ...
Knowledge of hospital operations, risk identification, assessment and reduction and claims management * Excellent communication skills, both written and oral Physical Requirements: * Work is ...
Claims Risk Management information
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 the key skills and qualifications needed to thrive in claims risk management?
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 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?
| Aspect | Claims Risk Management | Claims Adjuster |
|---|---|---|
| Primary Focus | Identifying and mitigating risks to prevent claims | Investigating and settling individual insurance claims |
| Certifications | Risk management certifications (e.g., CRM, ARM) | Adjuster licenses and certifications |
| Work Environment | Office-based, strategic planning | Fieldwork, claims sites, or office |
| Industry Usage | Insurance companies, risk management firms | Insurance 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:
Corporate Counsel, Claims & Risk Management
Orlando, FL • On-site
Orlando Health •
Health Care and Social Assistance • 10K+ employees10,000+ employees
7.4
Based on 624 frontline employees who took The Breakroom Quiz
271st of 894 rated healthcare providers
Great coworkers
People enjoy working here
Good employer
Recommended by students
Recommended by parents
Full-time, Part-time
Medical, Retirement, PTO
Posted 15 days ago
Job description
Position Summary
At Orlando Health, we are ordinary people with extraordinary individuality, working together to bring help, healing and hope to those we serve. By daily embodying our over 100-year legacy, we reinforce our reputation as a trusted and respected healthcare organization that delivers professional and compassionate care to our patients, families and communities. Through our award-winning hospitals and ERs, specialty institutes, urgent care centers, primary care practices and outpatient facilities, our 27,000+ team members serve communities that span Florida's east to west coasts and beyond.
ORLANDO HEALTH - BENEFITS & PERKS:
All Inclusive Benefits (start day one)
Forbes Recognizes Orlando Health as a Best-In-State Employer
Employee-centric
Position Summary:
The Corporate Counsel provides advice and counsel on legal, regulatory, and enterprise risk issues impacting the organization. The Corporate Counsel may serve the organization: (i) as a generalist, focusing on health, hospital, and general corporate law; or (ii) as a specialist, focusing on a specific area of the law or corporate department such as real estate, human resources, risk management, claims, or information technology.
The Corporate Counsel will maintain a level of practice autonomy and perform essential functions at a level deemed appropriate by the Deputy General Counsel or General Counsel considering years of experience, academic background, training, command of applicable legal.
principals, interpersonal skillset, and organizational demand.
Responsibilities
Essential Functions:
• Offers clear and effective advice and counsel to team members and executives on legal, compliance, and other risk issues affecting the organization.
• Drafts, reviews, and negotiates contracts and other organizational documents such as (but not limited to) confidentiality agreements, policies and procedures, transactional documents, and corporate governance documents.
• Performs legal research and drafts legal memorandums and other written summaries related to same.
• Prepares and presents education on legal, compliance, and risk topics.
• Coordinates legal work performed by outside counsel.
• Assists in the administration corporate documents and records.
• Represents the organization before third-party boards, regulatory bodies, and accrediting agencies.
• Assists with other duties typically associated with the administration of a corporate legal department.
• Maintains reasonably regular, punctual attendance consistent with Orlando Health policies, the ADA, FMLA and other federal, state and local standards.
• Maintains compliance with all Orlando Health policies and procedures.
Qualifications
Education/Training
• Juris Doctorate (J.D.) from an accredited law school.
Licensure/Certification
• Admitted as member in good standing of The Florida Bar or ability to be admitted as member in good standing prior to employment.
Experience
• 2+ years of experience in health law or applicable practice area or more recently admitted attorney with demonstrated interest in health law or applicable practice area.
At Orlando Health, we are ordinary people with extraordinary individuality, working together to bring help, healing and hope to those we serve. By daily embodying our over 100-year legacy, we reinforce our reputation as a trusted and respected healthcare organization that delivers professional and compassionate care to our patients, families and communities. Through our award-winning hospitals and ERs, specialty institutes, urgent care centers, primary care practices and outpatient facilities, our 27,000+ team members serve communities that span Florida's east to west coasts and beyond.
ORLANDO HEALTH - BENEFITS & PERKS:
All Inclusive Benefits (start day one)
- Student loan repayment, tuition reimbursement, FREE college education programs, retirement savings, paid paternity leave, fertility benefits, back up elder and childcare, pet insurance, PTO/Holidays, and more for full time and part time employees.
Forbes Recognizes Orlando Health as a Best-In-State Employer
- Forbes has named Orlando Health as one of America's Best-In-State Employers for 2024. Orlando Health is the top healthcare organization in the Metro Orlando area to make the prestigious list. "We are proud to be named once again as a best place to work," said Karen Frenier, VP (HR). "This achievement reflects our positive culture and efforts to ensure that all team members feel respected, supported and valued.
Employee-centric
- Orlando Health has been selected as one of the "Best Places to Work in Healthcare" by Modern Healthcare
Position Summary:
The Corporate Counsel provides advice and counsel on legal, regulatory, and enterprise risk issues impacting the organization. The Corporate Counsel may serve the organization: (i) as a generalist, focusing on health, hospital, and general corporate law; or (ii) as a specialist, focusing on a specific area of the law or corporate department such as real estate, human resources, risk management, claims, or information technology.
The Corporate Counsel will maintain a level of practice autonomy and perform essential functions at a level deemed appropriate by the Deputy General Counsel or General Counsel considering years of experience, academic background, training, command of applicable legal.
principals, interpersonal skillset, and organizational demand.
Responsibilities
Essential Functions:
• Offers clear and effective advice and counsel to team members and executives on legal, compliance, and other risk issues affecting the organization.
• Drafts, reviews, and negotiates contracts and other organizational documents such as (but not limited to) confidentiality agreements, policies and procedures, transactional documents, and corporate governance documents.
• Performs legal research and drafts legal memorandums and other written summaries related to same.
• Prepares and presents education on legal, compliance, and risk topics.
• Coordinates legal work performed by outside counsel.
• Assists in the administration corporate documents and records.
• Represents the organization before third-party boards, regulatory bodies, and accrediting agencies.
• Assists with other duties typically associated with the administration of a corporate legal department.
• Maintains reasonably regular, punctual attendance consistent with Orlando Health policies, the ADA, FMLA and other federal, state and local standards.
• Maintains compliance with all Orlando Health policies and procedures.
Qualifications
Education/Training
• Juris Doctorate (J.D.) from an accredited law school.
Licensure/Certification
• Admitted as member in good standing of The Florida Bar or ability to be admitted as member in good standing prior to employment.
Experience
• 2+ years of experience in health law or applicable practice area or more recently admitted attorney with demonstrated interest in health law or applicable practice area.
About Orlando Health
Sourced by ZipRecruiter
Orlando Health is a 3,200-bed system that includes 15 wholly-owned hospitals and emergency departments; rehabilitation services, cancer institutes, heart institutes, imaging and laboratory services, wound care centers, physician offices for adults and pediatrics, skilled nursing facilities, an in-patient behavioral health facility, home healthcare services in partnership with LHC Group, and urgent care centers in partnership with CareSpot Urgent Care. Nearly 4,200 physicians, representing more than 80 medical specialties and subspecialties have privileges across the Orlando Health system, which employs nearly 22,000 team members. Areas of clinical excellence are orthopedics, heart and vascular, cancer care, neurosciences, surgery, pediatric specialties, neonatology, women's health and trauma.
Industry
Health care and social assistance
Company size
10,000+ Employees
Headquarters location
Orlando, FL, US
Year founded
1918
Website
What Orlando Health employees say
Pay
Benefits
Hours and flexibility
Workplace
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