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Claims Risk Management Jobs in Florida (NOW HIRING)

UHS

COORD - RISK MGMT

Tequesta, FL

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

McKesson Corporation

Risk Manager

Largo, FL · On-site

Lead Claims & Incident Management * Facilitate claim reporting and support claim resolution ... Support risk reporting, data analytics, and risk management information systems (RMIS). * Track ...

UHS

COORD - RISK MGMT

Tequesta, FL

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

DeAngelis Diamond

Risk Manager

Naples, FL · On-site

Preparing summaries and reports for management. * Coordinating the process of insurance claims ... risk management. What you need for this position: * Bachelor's Degree preferred education in ...

UHS

RISK MANAGEMENT COORDINATOR

West Palm Beach, FL · On-site

$15.25 - $20.50/hr

Coordinates risk programs with hospital departments, administration. Responsible for establishing ... Responsible for local claims management activities to include coordination with corporate claims ...

UHS

RISK MANAGEMENT COORDINATOR

West Palm Beach, FL · On-site

$15.25 - $20.50/hr

Coordinates risk programs with hospital departments, administration. Responsible for establishing ... Responsible for local claims management activities to include coordination with corporate claims ...

CorVel Enterprise Claims, Inc.

Claims Specialist

Tampa, FL · Hybrid

$52K - $85K/yr

The Workers' Compensation Claims Specialist manages within company best practices lower-level, non ... CorVel Careers | Opportunities in Risk Management In general, our opportunities will be posted for ...

UHS

RISK MANAGEMENT COORDINATOR

West Palm Beach, FL

$15.25 - $20.50/hr

Coordinates risk programs with hospital departments, administration. Responsible for establishing ... Responsible for local claims management activities to include coordination with corporate claims ...

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Claims Risk Management information

What is the highest paying risk management job?

In risk management, senior roles such as Chief Risk Officer or Risk Director tend to have the highest salaries, often exceeding six figures annually. These positions require extensive experience, advanced certifications like FRM or CRM, and strong leadership skills within financial or insurance industries.

How much do claims managers make in the US?

Claims managers in the US typically earn a median annual salary of around $80,000 to $100,000, depending on experience, location, and industry. Senior claims managers or those in specialized fields can earn higher salaries, often exceeding $120,000. Compensation may also include bonuses and benefits, and strong skills in risk assessment and claims processing are valued in this role.

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.

How much does a risk manager get paid?

A risk manager's average salary varies by experience and industry, but typically ranges from $70,000 to $130,000 annually. Senior risk managers or those in specialized sectors can earn higher salaries, often exceeding $150,000 with certifications like CRM or FRM. Compensation also depends on location, company size, and individual qualifications.

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 qualifications do I need to be a risk manager?

To become a claims risk manager, candidates typically need a bachelor's degree in risk management, insurance, business, or a related field. Professional certifications such as the Certified Risk Manager (CRM) or Associate in Risk Management (ARM) can enhance qualifications, and strong analytical, communication, and problem-solving skills are essential for success in the role.
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:
Claims Risk Management jobs near you
Infographic showing various Claims Risk Management job openings in Florida as of July 2026, with employment types broken down into 87% Full Time, 10% Part Time, 1% Temporary, and 2% Contract. Highlights an 86% Physical, 4% Hybrid, and 10% Remote job distribution.
COORD - RISK MGMT

COORD - RISK MGMT

UHS

Tequesta, FL

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 10 days ago

Universal Health Services rating

6.8

Company rating: 6.8 out of 10

Based on 252 frontline employees who took The Breakroom Quiz

492nd of 884 rated healthcare providers

Job description

Responsibilities
Sandy Pines is seeking a dynamic and talented Risk Coordinator! This is Full Time  - Exempt Position. Sandy Pines is a 149 bed Residential Psychiatric Facility servicing children and adolescents ages 5 to 17. The facility is located in beautiful sub-tropical South Florida and is nestled beside Jonathan Dickinson Sate Park which creates a rustic, roomy outdoor atmosphere. Sandy Pines is at the county line of both Palm Beach and Martin Counties and is just minutes away from the shores of the Atlantic Ocean.
 
One of the nation’s largest and most respected hospital companies, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Steadily growing from a startup to an esteemed Fortune 500 corporation, UHS today has annual revenue nearing $10 billion. In 2017, UHS was recognized as one of the World’s Most Admired Companies by Fortune; ranked #276 on the Fortune 500, and listed #275 in Forbes inaugural ranking of America’s Top 500 Public Companies. Our operating philosophy is as effective today as it was 40 years ago: Build or acquire high quality hospitals in rapidly growing markets, invest in the people and equipment needed to allow each facility to thrive, and become the leading healthcare provider in each community we serve. Headquartered in King of Prussia, PA, UHS has more than 87,000 employees and through its subsidiaries operates more than 320 acute care hospitals, behavioral health facilities and ambulatory centers in the United States, Puerto Rico, the U.S. Virgin Islands and the United Kingdom.
 
Job description:
 
Under the supervision of the Director of Risk Management / Performance Improvement provides guidance to reduce operational risk and provide guidance and direction to keep the facility accredited within the guidelines of JC and other regulatory agencies.
 
Key Responsibilities include:
  • Risk identification and Evaluation
  • Risk Reduction
  • Contract preparation
  • Claims management
  • Loss Control and Prevention
  • Committee Participation
  • Employee/Physician Education
  • Reporting, Report Preparation and Submission
  • Performance Improvement
  • Follows all levels of confidentiality and HIPAA guidelines.
  • Complies with safety and security policies and procedures, including those regarding incidents and injuries.
  • Understands and complies with the intent of the Corporate Compliance Program.
  • Ensures appropriate and timely reporting of occurrences; enters incidents into the Midas Database.
  • Demonstrates the necessary computer skills to perform reporting, documentation and day to day duties

Qualifications
Job Requirements
  • Bachelor's preferred along with one to two years experience with children and adolescents preferred. Previous behavioral health experience would be a plus. Must be organized and detail oriented and have excellent computer (above average working knowledge of Microsoft office) and customer service experience
  • Three years clinical experience in a psychiatric inpatient facility with knowledge of high- risk areas.
Benefits that comes with this full time role: 
·         Challenging and rewarding work environment 
·         Growth and development opportunities within UHS and its subsidiaries 
·         Competitive Compensation 
·         Excellent Medical, Dental, Vision, EAP,  and Prescription Drug Plan
·         401k plan with company match
·         Generous Paid Time Off
 
EEO Statement
All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.
We believe that diversity and inclusion among our teammates is critical to our success.
Notice
At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skillset and experience with the best possible career path at UHS and our subsidiaries.  We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you are suspicious of a job posting or job-related email mentioning UHS or its subsidiaries, let us know by contacting us at: https://uhs.alertline.com or 1-800-852-3449.
 
Qualifications:
Job Requirements
  • Bachelor's preferred along with one to two years experience with children and adolescents preferred. Previous behavioral health experience would be a plus. Must be organized and detail oriented and have excellent computer (above average working knowledge of Microsoft office) and customer service experience
  • Three years clinical experience in a psychiatric inpatient facility with knowledge of high- risk areas.
Benefits that comes with this full time role: 
·         Challenging and rewarding work environment 
·         Growth and development opportunities within UHS and its subsidiaries 
·         Competitive Compensation 
·         Excellent Medical, Dental, Vision, EAP,  and Prescription Drug Plan
·         401k plan with company match
·         Generous Paid Time Off
 
EEO Statement
All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.
We believe that diversity and inclusion among our teammates is critical to our success.
Notice
At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skillset and experience with the best possible career path at UHS and our subsidiaries.  We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you are suspicious of a job posting or job-related email mentioning UHS or its subsidiaries, let us know by contacting us at: https://uhs.alertline.com or 1-800-852-3449.
 
Education:UNAVAILABLEEmployment Type: FULL_TIME

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About Universal Health Services

Sourced by ZipRecruiter

Universal Health Services (UHS) is a major player in the healthcare industry, based in King of Prussia, Pennsylvania, U.S. Founded in 1978, UHS offers hospital and healthcare services. Their diverse services range from acute care hospitals, behavioral health facilities and ambulatory centers nationwide. The company's mission of enhancing the health and well-being of their patients is reflected in their commitment to 'Helping Individuals Live Longer, Healthier and Happier Lives'. Universal Health Services' consistent growth and success in their industry have been recognized on numerous occasions, including being ranked amongst the Fortune 500 list of largest companies.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

King of Prussia, PA, US

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