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Claims Risk Management Jobs in Florida (NOW HIRING)

The role also involves partnering with internal stakeholders, brokers, and external providers to ensure effective management of claims and insurance programs. Key Responsibilities Risk Management ...

Risk Reduction * Contract preparation ... Claims management * Loss Control and Prevention * Committee Participation * Employee/Physician ...

Risk Reduction * Contract preparation ... Claims management * Loss Control and Prevention * Committee Participation * Employee/Physician ...

Risk Management Opening Date: 04/30/2026 Closing Date: Continuous FLSA: Exempt Description The City ... Skill in file management and tracking * Skill in research of claims and negotiation settlements

... claims. 6. Support the Enterprise Wide Risk Management program in furtherance of the mission, vision, and strategic goals of the Center. The Ideal Candidate: * Professional knowledge of Risk ...

Support claims management activities, including coordination with risk management, insurance carriers, and legal counsel. Review contracts and vendor agreements for insurance and indemnification ...

Risk Manager

Tampa, FL · On-site +1

Support claims management activities, including coordination with risk management, insurance carriers, and legal counsel. Review contracts and vendor agreements for insurance and indemnification ...

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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 cities in Florida are hiring for Claims Risk Management jobs? Cities in Florida with the most Claims Risk Management job openings:

Risk Manager

Aligned Solutions

Miami Beach, FL

Full-time

Posted 13 days ago


Job description

Aligned Solutions is seeking a Risk Manager, on behalf of our client, to support and strengthen our overall risk management function.

This role will be responsible for overseeing and continuously improving the organization's risk and insurance strategies, including bond and surety programs and compliance efforts. The Risk Manager will provide leadership to the team, refine internal processes and controls, and serve as a key advisor across the business. This individual will take a proactive approach to identifying potential risks, evaluating exposure, and implementing strategies to minimize impact.

Working closely with the Director of Risk Management, this person will help develop and execute plans to address incidents, mitigate future risk, and enhance the company's overall risk posture. The role also involves partnering with internal stakeholders, brokers, and external providers to ensure effective management of claims and insurance programs.

Key Responsibilities

Risk Management & Insurance

  • Oversee day-to-day execution of the company's risk management and insurance programs
  • Lead the annual insurance renewal process, including gathering internal data, coordinating with stakeholders, and presenting recommendations
  • Ensure all claims are reported, tracked, and resolved efficiently and in accordance with compliance standards
  • Manage claims activity, including monitoring progress, reserves, and resolution timelines
  • Respond to insurance-related needs such as certificates, contract reviews, bids, proposals, and claim notifications
  • Support the development and execution of risk mitigation and crisis response strategies
  • Conduct risk assessments to identify operational exposures and determine appropriate coverage needs
  • Identify opportunities to enhance processes, controls, and overall operational efficiency
  • Develop reporting and analytics to support risk-related decision making
  • Manage insurance documentation including quotes, policies, renewals, and coverage schedules
  • Review contracts (leases, vendor agreements, client contracts, etc.) to ensure appropriate risk transfer and insurance requirements are in place
  • Collaborate with cross-functional teams (operations, legal, procurement, business development) to identify and implement risk mitigation strategies
  • Monitor market trends within the insurance space and provide insights and recommendations based on findings
  • Serve as a subject matter expert on insurance, risk mitigation, and loss prevention strategies
  • Coordinate insurance submissions and maintain strong relationships with brokers and internal partners
  • Analyze claims and financial data to produce regular reporting for leadership
  • Drive internal awareness through training and education on risk-related topics
  • Stay current on industry developments and advise on emerging risks and best practices
  • Provide general support across the risk management function as needed

Bond & Surety

  • Develop and manage a cost-effective surety bond program aligned with business needs and regulatory requirements
  • Handle requests related to bonding, including permits, licenses, contract bids, and reference letters
  • Partner with estimating and bidding teams to advise on bonding capacity and structure
  • Maintain strong relationships with surety providers and brokers in collaboration with leadership
  • Track bond activity and ensure timely closure to optimize available capacity

For more information please visit www.alignedtogether.com