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Claims Risk Manager Jobs in Massachusetts (NOW HIRING)

Complete Staffing Solutions

Risk Manager

Brookline, MA · Hybrid

$160K/yr

Conduct comprehensive risk assessments and analyze incident reports, claims, and data to identify trends and areas for improvement * Develop and update risk management policies and procedures in line ...

Dana-Farber Cancer Institute

Risk Manager

Brookline, MA

$120K - $138K/yr

Analyzes incident reports, claims, and other data to identify trends and areas for improvement. • Policy Development and Implementation: Develops and updates risk management policies and procedures ...

AXA Group

Senior Product Manager

Boston, MA · On-site

$132 - $257/hr

Working closely with underwriting, actuarial, claims, risk engineering, legal, regulatory ... Participate heavily in portfolio management activities, including monitoring performance trends ...

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Claims Risk Manager information

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 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.

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.

How much do claims risk managers make in the US?

Claims risk managers in the US typically earn a median annual salary of around $80,000 to $100,000, with experienced professionals and those in senior roles earning over $120,000. Salaries vary based on location, industry, experience, and certifications such as CPCU or ARM.

Is Claims Risk Manager a good career?

A Claims Risk Manager oversees the assessment and mitigation of insurance claim risks, often requiring strong analytical skills and knowledge of insurance policies. The role offers opportunities for advancement and typically involves working in insurance, risk management, or corporate environments. It can be a stable and rewarding career for those interested in risk analysis and insurance processes.

What are popular job titles related to Claims Risk Manager jobs in Massachusetts?

For Claims Risk Manager jobs in Massachusetts, the most frequently searched job titles are:

What job categories do people searching Claims Risk Manager jobs in Massachusetts look for?

The top searched job categories for Claims Risk Manager jobs in Massachusetts are:

What cities in Massachusetts are hiring for Claims Risk Manager jobs?

Cities in Massachusetts with the most Claims Risk Manager job openings:

Claims Risk Manager jobs near you
Infographic showing various Claims Risk Manager job openings in Massachusetts as of August 2026, with employment types broken down into 90% Full Time, 9% Part Time, and 1% Contract. Highlights an 81% Physical, 2% Hybrid, and 17% Remote job distribution.

Risk Manager

Complete Staffing Solutions

Brookline, MA • Hybrid

$160K/yr

Full-time, Part-time

Posted 7 days ago

Job description

Location: Greater Boston, MA (Hybrid, 2-3 days onsite/week)
Employment Type: Full time
Salary Range: $120-160k based on experience 

About the Role

A leading healthcare organization is seeking a Patient Safety & Risk Manager to join its Quality and Patient Safety team. This role is responsible for the identification, evaluation, and mitigation of risk across outpatient, network, and inpatient settings. The Risk Manager promotes high-quality patient care, ensures regulatory compliance, and mitigates malpractice risk through loss prevention. This is true day-to-day clinical risk management and patient safety work, with a strong focus on case-based investigations.

What You'll Do

  • Conduct comprehensive risk assessments and analyze incident reports, claims, and data to identify trends and areas for improvement
  • Develop and update risk management policies and procedures in line with regulatory requirements and best practices
  • Review patient-safety event reports, lead investigations into adverse events and near misses, and develop corrective action plans
  • Design and deliver training programs to promote a culture of safety
  • Support regulatory and accreditation readiness, including survey preparation and required reporting
  • Collaborate with clinical, legal, and administrative teams on risk and safety issues

What We're Looking For

  • Bachelor's Degree in Healthcare Administration, Nursing, Public Health, or related field required; Master's preferred
  • 5 years of experience in patient safety, quality, compliance, or related field
  • Prior experience in ANY clinical role (e.g., RN, CMA, RT, PT, NP, PA, PharmD) required
  • Strong clinical judgment, critical thinking, and communication skills
  • Ability to manage multiple priorities and operate effectively in ambiguity

Preferred

  • Healthcare risk management experience
  • Acute care setting experience
  • Certification in risk management (CPHRM) or Patient Safety/Quality (CPPS, CPHQ)

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About Complete Staffing Solutions

Sourced by ZipRecruiter

Complete Staffing Solutions, Inc., based in Marlborough, MA, US, is an industry expert in the provision of staffing and recruitment services. With years of experience, the company has built a comprehensive network that allows it to offer solutions to different sectors, including healthcare, information technology (IT), finance, and administration, among others. The official website is completestaffingsolutions.com. Founded by a team that understands the importance of human capital in every organization, the company mainly focuses on meeting its client's specific staffing needs, regardless of the size or industry. The company's mission revolves around connecting businesses with skilled professionals globally, striving for excellence, and maintaining a superior level of customer service.

Industry

Recruiting and staffing services

Company size

51 - 200 Employees

Headquarters location

Marlborough, MA, US

Year founded

2002

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