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Claims Risk Manager Jobs in Massachusetts (NOW HIRING)

Serving as a trusted advisor to policyholders, underwriting, and claims teams, you'll deliver expert risk management and loss prevention solutions that help organizations operate more safely, reduce ...

Seeking a dynamic, knowledgeable risk management professional to lead on all matters related to ... Partner with CHRO, attorneys, insurance companies, and individuals to support open claims and ...

Claims Monitoring Counsel

Boston, MA · On-site

$120K - $190K/yr

The Consulting Group provides risk management and claims monitoring services and strategic advice to architects and engineers and their professional liability insurers. The Consulting Group is at the ...

Partner with brokers, risk managers, reinsurers, and insureds to strengthen relationships and ... D. preferred. * 7 + years claims/legal experience, with at least 2 years within a technical ...

... management products and services. But we don't stop there - we also invest deeply in our people ... Whether you're supporting a local business or helping a national client navigate complex risk, you ...

Showing results 21-40

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 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:
Infographic showing various Claims Risk Manager job openings in Massachusetts as of August 2026, with employment types broken down into 100% Full Time. Highlights an 82% In-person, 8% Hybrid, and 10% Remote job distribution.

Senior Director Insurance Claims

Staffingine LLC

Boston, MA • On-site

Full-time

Re-posted 5 days ago


Job description

Job Title:  Senior Director Insurance Claims 
Job Location: Boston, MA 
Job Type: Full Time 

Job Description:  

  • Lead and manage the claims department (property, casualty, auto, life, or health — depending on company type). 

  • Develop and implement claims handling policies, procedures, and performance standards. 

  • Oversee claims investigations, settlements, and litigation management. 

  • Collaborate with underwriting, legal, risk management, and finance teams to support organizational goals. 

  • Monitor claims trends, analyze data, and identify opportunities for cost reduction and efficiency. 

  • Ensure compliance with state and federal insurance regulations. 

  • Drive training, mentoring, and leadership development within the claim's organization. 

  • Manage vendor relationships (TPAs, adjusters, investigators, etc.). 

  • Report key performance metrics and outcomes to executive leadership. 

Must Have: 

  • Bachelor’s Degree 

  • 10 years of experience in healthcare risk management, litigation and claims management, and insurance coverage issues. 

  • Healthcare risk management, claims management, and managing insurance coverage issues. 

Nice-To-Haves: 

  • An advanced degree in business, law, or health professions is preferred.