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Claims Risk Manager Jobs in Kansas (NOW HIRING)

CorVel Corporation

Claims Supervisor

Overland Park, KS · Remote

$73K - $113K/yr

Assists Claims Manager with recruitment, interviewing, and onboarding new staff, ensuring ... CorVel Careers | Opportunities in Risk Management In general, our opportunities will be posted for ...

Corvel

Claims Supervisor

Overland Park, KS · Remote

$73K - $113K/yr

Assists Claims Manager with recruitment, interviewing, and onboarding new staff, ensuring ... CorVel Careers | Opportunities in Risk Management In general, our opportunities will be posted for ...

Corvel

Claims Supervisor

Overland Park, KS · On-site

$73K - $113K/yr

Assists Claims Manager with recruitment, interviewing, and onboarding new staff, ensuring ... CorVel Careers | Opportunities in Risk Management In general, our opportunities will be posted for ...

Corvel

Claims Assistant

Overland Park, KS

$13.38 - $23.42/hr

The Claims Assistant will support the claims staff in the set-up and administration of workers ... CorVel Careers | Opportunities in Risk Management In general, our opportunities will be posted for ...

Corvel

Claims Assistant

Overland Park, KS · On-site

$13.38 - $23.42/hr

The Claims Assistant will support the claims staff in the set-up and administration of workers ... CorVel Careers | Opportunities in Risk Management In general, our opportunities will be posted for ...

Corvel

Medical Only Claims Specialist

Overland Park, KS · On-site

$16.74 - $26.92/hr

Receives claims, confirms policy coverage and acknowledgement of the claim * Determines the ... CorVel Careers | Opportunities in Risk Management In general, our opportunities will be posted for ...

Corvel

Medical Only Claims Specialist

Overland Park, KS · Remote

$16.74 - $26.92/hr

Receives claims, confirms policy coverage and acknowledgement of the claim * Determines the ... CorVel Careers | Opportunities in Risk Management In general, our opportunities will be posted for ...

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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
Director of Risk Management

Director of Risk Management

Providence Medical Center

Kansas City, KS • On-site

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 11 days ago

Job description

Overview
We are seeking a RN Director of Risk Management, also known as the RN Director of Clinical Risk Management or RN Director of Risk and Compliance. The RN Director of Risk Management is responsible for planning, developing, and implementing the Risk Management Program across multiple locations in the area to control and minimize loss while protecting the organization's assets. The RN Director of Risk Management coordinates the program across multiple departments and medical staff, actively supporting performance improvement activities to ensure high-quality patient care. In addition, the RN Director of Risk Management will collaborate with safety and security personnel and participate in risk-related initiatives to strengthen organizational safety.
Shifts Available: Days
Employment Type: Full Time
Hours: 8 hour - 8:00am to 5:00pm
Location: Providence Medical Center - Kansas City, KS
Coverage Area: Providence Medical Center, Saint John Hospital, Providence Place and affiliated physician practices
Here are some of the benefits of working at Prime Healthcare:
  • Health, dental, and vision insurance options
  • Paid vacation, sick time and holidays
  • Bereavement leave, FMLA and other leave options
  • Employer 401K options
  • Tuition reimbursement options
  • Life, disability, and other insurance options
  • Many other amazing benefits

Responsibilities
Essential Duties and Responsibilities (includes, but not limited to):
  • Lead hospital-wide initiatives to reduce medical errors, adverse events, and patient harm while evaluating incidents and reviewing patient complaints
  • Ensure compliance with accreditation bodies such as The Joint Commission and CMS while managing adverse event reporting and working with legal counsel on liability issues
  • Oversee the incident reporting system, investigates root causes, analyzes data trends, and prepares reports for executives and the board
  • Develop and enforce hospital risk management policies, train staff on safety and compliance, and collaborate with department heads for consistency
  • Coordinate with insurers on malpractice and liability claims, reviews coverage, and assists with negotiations and settlements
  • Act as a bridge between nursing staff, administration, and legal teams while serving on patient safety and compliance committees
  • Advise senior leadership on organizational risk exposure, prevention strategies, and overall safety initiatives

Qualifications
Before we go any further, we do have some deal-breakers. You must have:
  • Bachelor of Science in Nursing or healthcare related field preferred
  • Registered Nurse licensed in Kansas
  • Five years clinical and/or management experience in a multidisciplinary health care setting which includes a minimum of two years of inpatient experience
  • Experience in risk management and/or professional liability claims management preferred.
  • Should be knowledgeable about current State Laws and Regulations as applicable to facility

Additional Qualifications That Are a Plus:
  • Certified Professional in Healthcare Risk Management preferred

Full benefits at Prime Healthcare: https://www.primehealthcare.com/careers/benefits/
#LI-TS2
Employment Status
Full Time
Shift
Days
Equal Employment Opportunity
Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf

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