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Claims Risk Manager Jobs in Indiana (NOW HIRING)

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Commercial Claims Advocate

Indianapolis, IN

... risk management, life and health, employee benefits, investment and wealth management productsand ... The Claims Department's mandate is to deliver claims consulting services to clients, and advocate ...

Gregory & Appel

Claims Advocate

Indianapolis, IN · On-site

Claims Advocate The Claims Advocate (CA) at Gregory & Appel works closely with our clients ... Manager of Client Services. • Responds or refers risk control consulting services desired by ...

The MJ Companies

Commercial Claims Leader

Carmel, IN · On-site

... team. + Manage workloads, capacity and account assignments. + Development and continuous ... risk. + Develops and introduces new capabilities with the Claims Department team and the overall ...

Evonik

Contract and Claims Manager

Lafayette, IN · On-site +1

... and risk-reduction, and/or optimization of the category profit, while reporting to senior ... Change order and claims negotiation management experience Procurement phase experience reviewing ...

Gregory & Appel Inc

Claims Advocate

Indianapolis, IN · On-site

The Claims Advocate (CA) at Gregory & Appel works closely with our clients, insurance company ... Manager of Client Services. * Responds or refers risk control consulting services desired by ...

The MJ Companies

Commercial Claims Leader

Carmel, IN · On-site

... team. + Manage workloads, capacity and account assignments. + Development and continuous ... risk. + Develops and introduces new capabilities with the Claims Department team and the overall ...

Tokio Marine HCC

CTP Claims Examiner

Carmel, IN · On-site

CTP, Claims Examiner At WorldTrips, a proud member of the Tokio Marine HCC group of companies, we ... Associate's or Bachelor's degree in Business, Insurance, Healthcare Administration, Risk Management ...

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Claims Risk Manager information

How does a claims risk manager typically collaborate with other departments to minimize organizational risk?

A Claims Risk Manager works closely with departments such as underwriting, legal, compliance, and operations to identify potential risk exposures and implement effective mitigation strategies. They often participate in cross-functional meetings to review claims trends, share insights, and develop risk management policies. This collaborative approach ensures that the organization proactively addresses risks, maintains regulatory compliance, and continually improves claims processes for better outcomes.

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

AspectClaims Risk ManagerClaims Adjuster
CredentialsTypically requires a bachelor’s degree in risk management, insurance, or related field; certifications like CPCU or ARM are commonRequires a high school diploma or bachelor’s degree; insurance licenses may be needed depending on state
Work EnvironmentOffice-based, strategic planning, risk assessment, policy developmentField or office-based, investigating claims, assessing damages, negotiating settlements
Industry UsageUsed across insurance companies, risk management firms, and large corporationsPrimarily in insurance companies, adjusting claims for auto, property, or health insurance

The Claims Risk Manager focuses on identifying and mitigating risks related to claims, developing policies, and overseeing risk strategies. In contrast, a Claims Adjuster handles the day-to-day investigation and settlement of individual claims. Both roles are essential in the insurance industry but differ in scope and responsibilities.

What are the key skills and qualifications needed to thrive as a claims risk manager?

To thrive as a Claims Risk Manager, you need expertise in insurance claims processes, risk assessment, and regulatory compliance, typically backed by a bachelor’s degree in a relevant field and experience in claims management. Familiarity with claims management systems, risk modeling software, and certifications such as CPCU (Chartered Property Casualty Underwriter) or ARM (Associate in Risk Management) are often required. Strong analytical thinking, attention to detail, and effective communication skills help you investigate claims and collaborate with stakeholders. These skills enable accurate risk evaluation, minimize losses, and ensure the organization’s compliance and financial stability.

What does a claims risk manager do?

A Claims Risk Manager is responsible for identifying, assessing, and managing risks associated with insurance claims within an organization. They analyze claims data to detect patterns, prevent fraudulent activity, and develop strategies to minimize financial losses. Additionally, they work closely with claims adjusters, legal teams, and other departments to ensure compliance with regulations and to optimize claims processes. Their goal is to protect the company from unnecessary losses while ensuring legitimate claims are handled efficiently.
What are popular job titles related to Claims Risk Manager jobs in Indiana? For Claims Risk Manager jobs in Indiana, the most frequently searched job titles are:
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What cities in Indiana are hiring for Claims Risk Manager jobs? Cities in Indiana with the most Claims Risk Manager job openings:
Claims Risk Manager jobs near you

Quality/Risk Director

Baptist Health Rehabilitation Hospital

New Albany, IN • On-site

Full-time, Part-time

Medical, Dental, Vision, Retirement, PTO

This job post has expired 2 days ago. Applications are no longer accepted.

Job description

Quality/Risk Director Career Opportunity


Highly regarded and valued for your Quality/Risk Director expertise
Are you seeking a career that not only utilizes your skills but also aligns with your personal values, providing a profound sense of belonging and the opportunity to make a meaningful difference in patients' lives? Look no further than Encompass Health, the nation's leader in in-patient rehabilitation care. As a Quality/Risk Director, you will oversee a hospital-wide quality management program, collaborating with various stakeholders to monitor and enhance the quality of patient care services. Join a team that values collaboration, support, and inclusivity, and embark on a rewarding career close to home and close to your heart, complete with access to cutting-edge equipment and technology and a comprehensive benefits package from day one.


A Glimpse into Our World
At Encompass Health, you'll experience the difference the moment you become a part of our team. Being at Encompass Health means aligning with a rapidly growing national inpatient rehabilitation leader. We take pride in the growth opportunities we offer and how our team unites for the greater good of our patients. Our achievements include being named one of the "World's Most Admired Companies" and receiving the Fortune 100 Best Companies to Work For® Award, among other accolades, which is nothing short of amazing.

Starting Perks and Benefits
At Encompass Health, we are committed to creating a supportive, inclusive, and caring environment where you can thrive. From day one, you will have access to:

  • Affordable medical, dental, and vision plans for both full-time and part-time employees and their families.
  • Generous paid time off that accrues over time.
  • Opportunities for tuition reimbursement and continuing education.
  • Company-matching 401(k) and employee stock purchase plans.
  • Flexible spending and health savings accounts.
  • A vibrant community of individuals passionate about the work they do!

Become the Quality/Risk Director you've always aspired to be

  • Ensure compliance with regulatory agencies, accrediting bodies, corporate and hospital policies, and procedures. Develop, implement, and maintain quality assessment and improvement programs.
  • Assess compliance with federal, state, and industry regulatory and accreditation standards, facilitating processes to remediate and/or maintain compliance. Provide organizational education related to regulations and standards and coordinate local, state, federal, and accreditation surveys.
  • Use a variety of applications (including, but not limited to, PatCom, UDS, ORYX, and Press Ganey) to identify improvement opportunities, generate reports, research issues, identify resources, and access external databases.
  • Ensure the update and maintenance of hospital plans, including the Provision of Care/Scope of Services, Leadership, Information Management, Utilization Review, Infection Control, and Patient Safety plans. Oversee risk management activities, including completion of incident reports, notice of potential claims, corrective action planning, and incident reporting to the Corporate Risk Manager.
  • Coordinate the review, development, and implementation of hospital policies.
  • .Communicate and collaborate with other departments to coordinate care and promptly resolve patient concerns or complaints.
  • Celebrate the accomplishments and successes of our dedicated employees along the way.

Qualifications

  • A bachelor's degree in healthcare or a related field is preferred.
  • License or Certification as required by state regulations.
  • Experience in Quality and/or Risk Management, including primary responsibility for performance improvement activities, regulatory compliance, conflict resolution, leadership, and risk management activities.

#LI-CB1

The Encompass Health Way
We proudly set the standard in care by leading with empathy, doing what's right, focusing on the positive, and standing stronger together. Encompass Health is a trusted leader in post-acute care with over 150 nationwide locations and a team of 36,000 exceptional individuals and growing!
At Encompass Health, we celebrate and welcome diversity in our inclusive culture. We provide equal employment opportunities regardless of race, ethnicity, gender, sexual orientation, gender identity or expression, religion, national origin, color, creed, age, mental or physical disability, or any other protected classification.