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Claims Risk Manager Jobs in Kansas (NOW HIRING)

Republic County Hospital

Risk Manager

Belleville, KS · On-site

Risk Manager REPORTS TO: CEO/Administrator JOB SUMMARY: The Risk Manager works with all hospital ... Involved with insurance and claims management * Works in conjunction with department heads to ...

Ccfs

Risk Claims Manager

Kansas City, KS · Remote

$95/hr

Risk Claims Manager Department: Compliance Job Status: Exempt Compensation: Direct Reports: Yes COMPANY OVERVIEW CrossCountry Freight Solutions (CCFS) is an exceptional company with a mission to ...

University of Kansas

Risk Analyst

Lawrence, KS · On-site

Manage insurance claims by actively engaging with the impacted party/unit and ensuring that ... The Risk Analyst works directly with the Insurance and Risk Management Director and others to ...

Chubb

ESIS Senior Claims Representative, WC

Bucyrus, KS · On-site

$78K - $109K/yr

Join ESIS, a leader in risk management and insurance services, where your skills and talents can ... Reporting to the Claims Team Leader, you will play a vital role in investigating and managing ...

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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, and why are they important?

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 Kansas? For Claims Risk Manager jobs in Kansas, the most frequently searched job titles are:
What job categories do people searching Claims Risk Manager jobs in Kansas look for? The top searched job categories for Claims Risk Manager jobs in Kansas are:
What cities in Kansas are hiring for Claims Risk Manager jobs? Cities in Kansas with the most Claims Risk Manager job openings:
Claims Risk Manager jobs near you
Risk Manager

Risk Manager

Republic County Hospital

Belleville, KS • On-site

Full-time

Re-posted 21 days ago

Job description

JOB TITLE: Risk Manager

REPORTS TO: CEO/Administrator

JOB SUMMARY: The Risk Manager works with all hospital departments, employees, medical staff, patients, Board of Trustees, outside governmental agencies, and the public. The Risk Manager administers the internal RM plan, directs the functions and activities of the RM committee, investigates all incidents or assigns appropriate staff to complete investigations, and maintains mandatory logs, reports, and summaries. The RM functions with other members of the hospital community to protect the financial assets of the hospital, to reduce the frequency of potentially compensable events, and to reduce the severity and impact of the losses if an event does occur.


JOB RESPONSIBILITIES:


  • Develop departmental policies and procedures

  • Develop a budget and work to operate within that budget

  • Prepare and maintain departmental records and reports

  • Responsible to assist with risk identification and prevention or reduction of loss, including risk assessments

  • Involved with insurance and claims management

  • Works in conjunction with department heads to review non-legal contracts for liability issues. This may include warranties, service agreements and contract liability agreements between the hospital and independent contractors

  • Monitor and investigate medical-legal concerns. Work with legal defense as appropriate

  • Responsible to provide employees, executives, medical staff, and students with annual education regarding the RM program

  • Assist with the 1management of departmental recalls

  • Review new products and services as needed to assess for potential associated risks

  • Report medical device related incidents to the proper authorities in accordance with state and federal laws and regulations, working in conjunction with the safety officer

  • Work with administration and department heads to ensure compliance with local, state, and federal laws and regulations

  • Interface within the scope of RM with safety management, emergency preparedness, quality improvement, utilization review, employee health, infection control, pharmacy and therapeutics, medical and nursing staff and others as appropriate

  • Coordinate and chair risk management committees

  • Assist in ensuring survey readiness and compliance

  • Other various duties and tasks as assigned by the CEO

SKILLS AND QUALIFICATIONS:


  • State of Kansas Registered Nurse license

  • Possess a broad knowledge of hospital operations

  • Clinical or administrative background is preferred

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