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Claims Risk Management Jobs (NOW HIRING)

Claims & Risk Management * Maintain database of all property and corporate insurance policies, terms, contacts and limits. * Manage the full lifecycle of insurance claims such as property damage ...

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Risk Manager

Woodland Hills, CA · On-site +1

$85K/yr

Claims & Risk Management * Maintain database of all property and corporate insurance policies, terms, contacts and limits. * Manage the full lifecycle of insurance claims such as property damage ...

We are seeking a detail-oriented and proactive Claims Specialist to oversee and manage company insurance claims, risk coordination, and insurance administration across multiple business operations.

... management skills. • Experience integrating claims insights with risk control, analytics, and placement strategies. SUCCESS METRICS • Reduction in loss frequency and severity through coordinated ...

... management skills. • Experience integrating claims insights with risk control, analytics, and placement strategies. SUCCESS METRICS • Reduction in loss frequency and severity through coordinated ...

We have outstanding opportunity now available for senior technical claims examiners both on the insurance carrier and risk management side. We are working with an outstanding company who writes ...

... management skills. • Experience integrating claims insights with risk control, analytics, and placement strategies. SUCCESS METRICS • Reduction in loss frequency and severity through coordinated ...

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Claims Risk Management information

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$35K

$87.9K

$139K

How much do claims risk management jobs pay per year?

As of Jun 5, 2026, the average yearly pay for claims risk management in the United States is $87,861.00, according to ZipRecruiter salary data. Most workers in this role earn between $68,000.00 and $105,000.00 per year, depending on experience, location, and employer.

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.

More about Claims Risk Management jobs
What cities are hiring for Claims Risk Management jobs? Cities with the most Claims Risk Management job openings:
What states have the most Claims Risk Management jobs? States with the most job openings for Claims Risk Management jobs include:
What job categories do people searching Claims Risk Management jobs look for? The top searched job categories for Claims Risk Management jobs are:
ADMINISTRATIVE ASSISTANT - CLAIMS & RISK COORDINATOR

ADMINISTRATIVE ASSISTANT - CLAIMS & RISK COORDINATOR

Premier Health

Dayton, OH • On-site

$17.75 - $24.25/hr

Full-time

Posted 3 days ago


Job description

DEPT ASST / ADMINISTRATIVE ASSISTANT / CLAIMS & RISK COORDINATOR
110 N MAIN ST, DAYTON, OH 45402
Full-Time / Mon - Fri / 8:00 AM
This position is responsible for supporting the Risk Management & Insurance program within Premier Health Partners, as well as attorneys from the General Counsel's office. The position will assist with clerical, data entry, insurance, claims, and contract functions. This position serves as a liaison between patients, families, employees, outside counsel, insurance contacts and the department staff. A high degree of accountability for the maintenance of confidential and sensitive information is a responsibility of the Risk Management & Insurance Department Assistant.
* Candidates must be willing to commute and work "in-person" in the Dayton, Ohio area
Are you looking for a pivotal role that offers not just a job, but a meaningful career within the healthcare sector? Premier Health is on the lookout for a Department Assistant / Risk Management, Insurance & Claims Specialist who is ready to step into a position that promises not just growth, but a chance to make a real impact. At Premier Health, we pride ourselves on being a well-loved employer, known for our supportive work environment and commitment to our employee's professional and personal development. In this role, you'll have the unique opportunity to connect deeply not only with your colleagues but also with the community we serve, providing essential support to the Legal and Risk Management Departments. This position will enable you to showcase your remarkable administrative skills and attention to detail, in a setting that is quick to recognize and celebrate your contributions. Join a team that loves what they do and thrives on making a difference every day.
Responsibilities
  • Scheduling meetings and coordinating calendars
  • Answering telephones and directing calls appropriately
  • Drafting documents and reports, typing, and copying
  • Data entry for claim files and managing the claim management system
  • Processing record restriction requests
  • Auditing and processing invoices and claim settlements
  • Drafting and submitting SMDA reporting, preparing QIC and EOC reporting
  • Maintaining trial calendars

If you're an organized, detail-oriented individual with a passion for supporting others and a knack for managing multiple tasks seamlessly, we would love to hear from you. Join us at Premier Health and become a part of our community that is dedicated to making a difference. Don't miss this opportunity to build a rewarding career in a supportive and dynamic environment. Apply now to take the first step towards a fulfilling future with us!
The Department Assistant is responsible for performing all duties associated with full secretarial support for the Director of Risk Management, Claims & Insurance for Premier Health Partners, the Risk Managers for the associated entities within Premier Health Partners, and the Manager of Insurance & Claims Support for Premier Health Partners with occasional assistance to the attorneys in the General Counsel's office. The position is highly clerical and requires great attention to detail and demonstrated professionalism. The Assistant will be visible as the main contact to the entire Legal and Risk Management Department within Premier Health Partners. Duties will include greeting visitors, scheduling meetings, answering telephones and directing calls to the appropriate personnel, typing and copying documents, data entry, filing information in claim files and taking directions from the aforementioned individuals.The Department Assistant is responsible for performing all duties associated with full secretarial support for the Director of Risk Management, Claims & Insurance for Premier Health Partners, the Risk Managers for the associated entities within Premier Health Partners, and the Manager of Insurance & Claims Support for Premier Health Partners with occasional assistance to the attorneys in the General Counsel's office. The position is highly clerical and requires great attention to detail and demonstrated professionalism. The Assistant will be visible as the main contact to the entire Legal and Risk Management Department within Premier Health Partners. Duties will include greeting visitors, scheduling meetings, answering telephones and directing calls to the appropriate personnel, typing and copying documents, data entry, filing information in claim files and taking directions from the aforementioned individuals.
  • High School completion / GED with a preference for an Associate's Degree
  • 1 - 3 years of job-related experience (Assistant, Receptionist, Secretary, Clerk, or similar)
  • Excellent verbal and written communication skills
  • Strong interpersonal and collaborative skills
  • Proficiency in Microsoft Office, especially Excel
  • Ability to work independently on multiple tasks
  • Knowledge of medical and legal terminology preferred
  • Maintains confidentiality in all work activities