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Claims Risk Manager Jobs in Michigan (NOW HIRING)

As the Risk Management Specialist, you will support the Company Vehicle Operations (CVO) program by managing policy violation reviews, claims processes, and risk-related reporting. You will oversee ...

ESIS, the Risk Management Services Company of ACE USA, provides claims, risk control & loss information systems to Fortune 1000 accounts. ESIS employs more than 1,500 professionals in nine regional ...

Ensures adherence to Trinity Health Insurance and Risk Management Services (IRMS) Policies and Procedures. * Complies with Best Practice protocol in management of assigned claims. Claim Management ...

Ensures adherence to Trinity Health Insurance and Risk Management Services (IRMS) Policies and Procedures. * Complies with Best Practice protocol in management of assigned claims. Claim Management ...

Direct experience designing and managing global insurance programs, including placement, renewals, claims management, and broker oversight. * Strong knowledge of financial risk assessment, internal ...

... Risk and Safety Program designed to reduce financial losses associated with City property and ... Manages and coordinates the Safety, Loss Control, Property/Liability Claims, Fraud Investigation ...

This role is designed for a detail-oriented professional who is eager to build a broad foundation in risk analysis, insurance programs, claims management, and legal processes including contracts ...

This role is designed for a detail-oriented professional who is eager to build a broad foundation in risk analysis, insurance programs, claims management, and legal processes including contracts ...

This role is designed for a detail-oriented professional who is eager to build a broad foundation in risk analysis, insurance programs, claims management, and legal processes including contracts ...

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Claims Risk Manager information

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.

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 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 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 popular job titles related to Claims Risk Manager jobs in Michigan? For Claims Risk Manager jobs in Michigan, the most frequently searched job titles are:
What cities in Michigan are hiring for Claims Risk Manager jobs? Cities in Michigan with the most Claims Risk Manager job openings:

Risk Management Specialist

sasholdings

Auburn Hills, MI • On-site

$60K - $70K/yr

Other

Posted 19 days ago


Job description

As the Risk Management Specialist, you will support the Company Vehicle Operations (CVO) program by managing policy violation reviews, claims processes, and risk-related reporting. You will oversee the Review Board process, analyze driver record data, and coordinate with internal departments and external vendors to ensure compliance with company policies. This role requires strong analytical, organizational, and communication skills to investigate potential risks, track cases, and support risk management initiatives that protect the program and the organization.

Salary Overview:
The salary rate for this role is between $60,000-$70,000 based on experience.

Hours:

The hours for this role are Monday through Friday 8am to 5pm.

Risk Management Specialist Responsibilities Include:

  • Manage the Review Board process for policy violations, including information gathering, documentation, tracking, reporting, and communication with program participants and internal departments.
  • Make disciplinary recommendations based on Review Board findings and ensure compliance with all Review Board decisions, including vehicle turn-ins, fee collection, and completion of administrative documentation.
  • Serve as the primary administrator of the DriverCare website to analyze driver record data and identify system issues or potential Review Board cases.
  • Collaborate with the claims and automated driving record vendor to ensure Company Car and Stellantis business needs are being met.
  • Oversee the claims process by working closely with body shops to ensure repairs are completed in a timely manner.
  • Analyze and investigate claim reports to identify potential corporate risk and ensure appropriate action is taken.
  • Assist in the development and implementation of risk management initiatives and training modules for program participants.
  • Develop and maintain reporting and analysis procedures related to the claims process.
  • Coordinate and communicate with Stellantis departments, employees, dealers, and auction houses to resolve program-related issues.
  • Demonstrate strong interpersonal and communication skills, both written and verbal, while interacting with employees at all levels.
  • Maintain high levels of organization and attention to detail in all case management and reporting activities.
  • Utilize analytical, customer service, and critical thinking skills to address issues effectively.
  • Maintain confidentiality when handling sensitive program, claims, or employee information.
  • Adhere to Suburban Automotive Service’s DRIVEN values and align business practices to support the SAS mission and vision.

Risk Management Specialist Qualifications and Skills:

  • Ability to read, write, and speak English.
  • Must meet company background check and drug screen requirements.
  • Consistent work history and attendance record.
  • Ability to multitask with strong follow-up skills.
  • Strong analytical, investigative, and problem-solving skills with close attention to detail.
  • Experience managing claims, risk management processes, or policy compliance preferred.
  • Proficient in Microsoft Office, including Excel, Word, Outlook, PowerPoint, Access, and OneDrive.
  • Strong interpersonal and communication skills with the ability to interact effectively with employees at all levels.
  • Proven ability to handle confidential and sensitive information with discretion.
  • High School Diploma or GED required.

Risk Management Specialist Working Conditions and Physical Demands Include:

  • 90% of the time, this job will be completed while sitting.
  • 10% of the time, this job will be completed while walking and standing.