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Claims Risk Manager Jobs in Michigan (NOW HIRING)

Claims Management Position At HUB International, we are a team of entrepreneurs. We believe in ... risk management, life and health, employee benefits, investment and wealth management products and ...

Claims Management Position At HUB International, we are a team of entrepreneurs. We believe in ... risk management, life and health, employee benefits, investment and wealth management products and ...

Claims Management Position At HUB International, we are a team of entrepreneurs. We believe in ... risk management, life and health, employee benefits, investment and wealth management products and ...

Claims Management Position At HUB International, we are a team of entrepreneurs. We believe in ... risk management, life and health, employee benefits, investment and wealth management products and ...

... risk management, life and health, employee benefits, investment and wealth management products and ... The Claims Department's mandate is to deliver claims consulting services to clients, and advocate ...

... risk management, life and health, employee benefits, investment and wealth management products and ... The Claims Department's mandate is to deliver claims consulting services to clients, and advocate ...

... risk management, life and health, employee benefits, investment and wealth management products and ... The Claims Department's mandate is to deliver claims consulting services to clients, and advocate ...

... risk management, life and health, employee benefits, investment and wealth management productsand ... The Claims Department's mandate is to deliver claims consulting services to clients, and advocate ...

... risk management, life and health, employee benefits, investment and wealth management productsand ... The Claims Department's mandate is to deliver claims consulting services to clients, and advocate ...

... risk management, life and health, employee benefits, investment and wealth management productsand ... The Claims Department's mandate is to deliver claims consulting services to clients, and advocate ...

... risk management, life and health, employee benefits, investment and wealth management productsand ... The Claims Department's mandate is to deliver claims consulting services to clients, and advocate ...

... risk management, life and health, employee benefits, investment and wealth management products and ... The Claims Department's mandate is to deliver claims consulting services to clients, and advocate ...

Manages diary system to move losses to conclusion in a timely manner. * Collaborate closely with internal teams, including risk management, underwriting, and claims leadership to support effective ...

Collaborates, influences and supports internal business partners (underwriting/product management/claims/risk control) to identify and capitalize on opportunities, solve problems, share key ...

... and Program Management to evaluate and resolve disputed claims. The Auditor will perform ... Leverage data analytics and AI-enabled tools to identify anomalies, trends, and risk indicators ...

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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 cities in Michigan are hiring for Claims Risk Manager jobs? Cities in Michigan with the most Claims Risk Manager job openings:
Infographic showing various Claims Risk Manager job openings in Michigan as of June 2026, with employment types broken down into 96% Full Time, and 4% Part Time. Highlights an 82% In-person, 2% Hybrid, and 16% Remote job distribution.
Absence/Leave Case Manager Intermediate

Absence/Leave Case Manager Intermediate

University of Michigan

Ann Arbor, MI • On-site

$65K - $78K/yr

Full-time

Posted 6 days ago


University Of Michigan rating

8.1

Company rating: 8.1 out of 10

Based on 140 frontline employees who took The Breakroom Quiz

131st of 538 rated colleges and universities


Job description

How to Apply
Interested candidates are invited to submit a cover letter and resume to the University of Michigan online application portal.
Job Summary
The Offices of Insurance & Claims Administration and Work Connections are looking to hire an Intermediate Absence/Leave Case Manager. This position will play a crucial role in supporting the Work Connections Team by handling a range of responsibilities. Key tasks include processing and administering Family and Medical Leave Act (FMLA) claims, coordinating second opinion independent medical examinations (IMEs), and conducting Fitness for Duty evaluations. Additionally, the role involves providing comprehensive support for various claims-related activities, ensuring that all processes are managed efficiently and in compliance with relevant policies and regulations.
Responsibilities*
Case Management
  • Manage non-complex medical claims for faculty and staff, applying strategies to optimize return-to-work efforts and minimize duration of disability.
  • Assess the severity and duration of employee disability and advise departments, referring complex cases to a specialized case manager as needed.
  • Analyze medical records and employment information to manage medical treatment protocols and assess employee disability status effectively.
  • Authorize benefit payments and establish case reserves, ensuring financial obligations are met.
  • Identify treatment or disability cases outside established guidelines, implementing remedial actions to align with institutional standards.
  • Maintain appropriate diary controls and follow up within 48 hours to ensure timely progress on cases.

Customer Service
  • Respond to inquiries and explain policies and procedures to faculty and staff, ensuring they understand their claims and benefits.
  • Promote customer service standards, ensuring confidentiality, making appropriate payments, and maintaining timely communication.
  • Conduct customer service meetings to discuss service successes, identify gaps, and create opportunities for improvement, implementing corrective measures as needed.
  • Ensure timely and professional communication with departments and claimants, fostering trust and transparency in all interactions.

Reporting
  • Provide administrative support, including data entry and the preparation of state forms, ensuring accurate and compliant documentation.
  • Establish and maintain case reserves, providing detailed financial reporting and claim analysis for ongoing monitoring and assessment.
  • Lead and participate in special projects and initiatives, tracking progress and reporting findings to relevant stakeholders.
  • Attend departmental meetings to ensure service commitments are met and expectations are clearly communicated.

Collaboration
  • Collaborate with team members, treatment providers, employees, and departments, facilitating care and ensuring best practices in return-to-work plans.
  • Identify cases with barriers to return-to-work and facilitate stakeholder meetings to collaboratively address these issues.
  • Inform departments of restrictions and work with them to recommend suitable accommodations for employees.
  • Visit departments and job sites to address employment concerns and develop practical solutions that benefit all parties involved.
  • Build collaborative relationships with university departments, focusing on employee health, benefits, disability, and return-to-work services to ensure cohesive management of employee welfare.
  • Work cooperatively with others towards achieving common goals, emphasizing team-oriented interactions and supporting team members during absences.

Required Qualifications*
  • A high school diploma is required.
  • Strong problem-solving, interpersonal, and communication skills are essential.
  • Ability to prioritize, handle multiple tasks, delegate work, and meet deadlines is necessary.
  • Must be capable of working with minimal supervision and comfortably seeking guidance when needed.
  • Proficient with Adobe, Google, and Microsoft Office Suite applications.
  • Excellent customer service skills are a must.
  • Willingness to collaborate effectively as part of a team.

Desired Qualifications*
  • Knowledge and understanding of FMLA administration.
  • Experience in medical claims adjusting and/or other insurance related background.
  • Experience and familiarity with claims risk management information systems.

Modes of Work
Positions that are eligible for hybrid or mobile/remote work mode are at the discretion of the hiring department. Work agreements are reviewed annually at a minimum and are subject to change at any time, and for any reason, throughout the course of employment. Learn more about the work modes .
The work requirements allow both onsite and offsite work and an employee has an expected recurring onsite presence. On occasion, the employee may be required and must be available to work onsite more frequently if necessitated by unit leadership or their designee and/or the job requirements.
Work Schedule
This is a full-time exempt position, Monday through Friday. As part of the University of Michigan's Future of Work initiative, this role allows for hybrid work arrangements balancing onsite and remote responsibilities according to operational needs.
U-M EEO Statement
The University of Michigan is an Equal Opportunity Employer. We are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants, including protected veterans and individuals with disabilities.
Job Detail
Job Opening ID
278909
Working Title
Absence/Leave Case Manager Intermediate
Job Title
Absence/Leave Case Mgr Inter
Work Location
Ann Arbor Campus
Ann Arbor, MI
Modes of Work
Hybrid
Full/Part Time
Full-Time
Regular/Temporary
Regular
FLSA Status
Exempt
Organizational Group
Risk Management Admn
Department
Work Connections
Posting Begin/End Date
6/15/2026 - 6/22/2026
Salary
$65,000.00 - $78,000.00
Career Interest
Finance

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About University of Michigan

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The University of Michigan (U-M), based in Ann Arbor, MI, US, is one of America's most esteemed institutions in higher education. Established in 1817, it presides in the industry of education and research, providing a range of services including undergraduate, graduate, and professional education programs. Complementing this is an extensive research activity that has significantly contributed to various fields, from healthcare to engineering, humanities to sports. Upholding its mission "to serve the people of Michigan and the world through preeminence in creating, communicating, preserving and applying knowledge, art, and academic values", U-M consistently ranks among the top universities globally, a testament to its tradition of excellence in learning and research, and a deep commitment to innovation and discovery.

Industry

Colleges, universities, and professional schools

Company size

10,000+ Employees

Headquarters location

Ann Arbor, MI, US

Year founded

1817

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