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Claims Risk Manager Jobs in Michigan (NOW HIRING)

We serve the growing insurance and risk management needs of medium and large governmental entities ... The Claims Attorney is also responsible for determination of probable loss exposure and ...

... 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 ...

Management of claims and litigation matters includes, but is not limited to, supporting SPX ... SPX Risk Management, insurance broker representatives, and other service providers. Legal ...

... 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 ...

Property Claims Leader

Grand Rapids, MI · On-site

$150K - $160K/yr

... risk management, life and health, employee benefits, investment and wealth management products and ... Report directly to National Claims leader. * Development and implementation of procedures ...

Supplier Claims Audit Manager

Auburn Hills, MI · On-site

$98.40K - $129.20K/yr

The Supplier Claims Audit Manager is responsible for leading, supervising, and executing supplier ... Communicate audit results, risk assessments, and recommendations clearly and confidently to senior ...

... risk management. Responsibilities: * Develop and maintain relationships with the Management Team ... Minimum 2 years' claims processing/analysis/advisement experience in pharmaceuticals preferred ...

... risk management. Responsibilities: * Develop and maintain relationships with the Management Team ... Minimum 2 years' claims processing/analysis/advisement experience in pharmaceuticals preferred ...

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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:

Claims Control Consultant

The Whiteside Agency

Manchester, MI • Hybrid

Full-time

Medical, Retirement

Posted 24 days ago


Job description

Who Are We?

Taking care of our customers, our communities and each other. That's the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 170 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine loving what you do and where you do it.

Job Category
Claim
Target Openings
1
What Is the Opportunity?
We are recruiting for a Claims Control Consultant to join our team based in Redhill, London or Manchester.
In this role you will play a pivotal role in ensuring the effectiveness of financial and regulatory controls across all lines of business! As a key player in managing and implementing critical projects within Claim Europe, you'll drive success by tracking outcomes, delivering key metrics, and collaborating closely with stakeholders to enhance processes and quality. Lead and participate in audits, provide actionable insights, and implement improvements that make a real impact. Support our Global Offshore team, ensuring top-notch service and cost efficiency, while delivering comprehensive training and feedback. You will provide support for corporate and external audits, delivering timely, accurate reports, and providing operational support to keep our Claims Department running smoothly.
Travelers Europe currently offers flexibility to employees who wish to work on a hybrid basis in accordance with our Hybrid Work Arrangements Policy. This entails full time employees working three days a week in the office and two days at home (or pro rata for part-time employees). This policy may be changed at the Company's discretion.What Will You Do?
  • Foster and develop good working relationships with business partners within the Claims department, our Global Off-Shore Team and wider business.

  • Assist the Claim Controls Manager in the successful implementation of the financial controls and risk management environment, e.g., Sarbanes-Oxley compliance and Financial Self-Assessment (FSA) framework.
  • Ensure that monthly exception reports are created, validated, shared and completed ensuring deadlines are met.
  • Work closely and manage the day-to-day activities of our offshore team, track quality and improve efficiencies in the process. Provide feedback and support to offshore Management Team and internal Claim Management Team.
  • Develop, document, and deliver training programme to our offshore team, track the results with effective oversight of quality programme and error rates.
  • Project work - work on and deliver ad-hoc projects, deliver them to the wider claim audience.
  • Be recognised as a point of contact for quality or risk management queries through effective engagement.
  • Assist in the provision and trending of key management metrics. To be jointly accountable for innovation in the delivery of operational services by continuously reviewing processes and when appropriate making recommendations to enhance the service to our customers and business partners.
  • Take personal responsibility for allocating yourself strictly where it will provide the greatest impact.
  • Consider cost benefit approach to business decisions.
  • Provide operational support to both onshore and offshore teams, like storing of evidence, Best Practices, ad hoc operational reports.
  • When developing new processes or recommending the delivery of new services identifying the key points for measuring any expected improvement.
  • Perform other duties as assigned.

What Will Our Ideal Candidate Have?

  • University degree or equivalent level of education or work experience.
  • Advanced formal financial education preferred.
  • Financial control or risk management experience preferred.
  • Advanced knowledge of Microsoft Excel, Macros etc. preferred of a willingness to progress skills.
  • Basic knowledge of Word and PowerPoint.
  • Basic knowledge of Workstation, I90, Openbox+ and Lloyd's claims systems is preferred.
  • Experience in auditing claim files/practices preferred.
  • Intermediate Change Management: Uses effective strategies to facilitate organisational change initiatives and overcome resistance to change.
  • Intermediate Problem Solving & Decision Making: Is skilled at analysing problems and making clear decisions.
  • Basic Influencing, Leadership, Power Good at inspiring and promoting a vision; able to persuade and motivate others; skilled at influencing superiors; delegates effectively.
  • Results Orientation: Aligns resources to accomplish key objectives; assigns clear accountability for important objectives.
  • Intermediate Business Perspective: Understands the perspectives of different functional areas in the organisation; has a firm grasp of external conditions affecting the organisation.
  • Intermediate Understanding & Navigating the Organisation (Includes Collaboration)
  • Understands the political nature of the organisation and works appropriately within it; effectively establishes collaborative relationships and alliances throughout the organisation.
  • Technical Proficiency: Skilled in the ability to prepare and present data using different forms of software. Comfortable with newer and emerging technology and tools.
  • Intermediate Communication: Excellent written and oral communication skills. Effectively articulates financial/accounting/ expense reporting issues to team members, customers, management, and external parties.

What is a Must Have?

  • Technical claims/ quality management experience in the Insurance Industry with a strong understanding of UK Claims and practices.
  • Good knowledge of accounting practices and finance principles.
  • Experience working in Excel, Word and PowerPoint.
  • General understanding of insurance products.
  • Willing to be open to and implement change.
  • Excellent Presentation Skills
What Is in It for You?
  • Private Medical Insurance:On commencement of employment, you are eligible for single cover provided by Travelers, with the option to add cover for your dependents, at your expense through payroll deduction.
  • Retirement: Travelers will make a core contribution of a percentage of salary to your Pension Plan. Additionally, if you decide to contribute to the plan, you will receive an increased company contribution.
  • Holiday Entitlement:Start your career at Travelers with a minimum of 25 days holiday entitlement annually, plus the opportunity to purchase additional days to allow for up to a total of 35 holidays per year.
  • Wellness Programme: The Travelers wellness programme is comprised of tools, discounts and resources that empower you to achieve your wellness goals and caregiving needs. In addition, our mental health programme provides access to free professional counseling services and other resources that support your daily life needs.
  • Volunteer Encouragement:We have a deep commitment to the communities we serve and encourage our employees to get involved. Travelers has a Matching Gift and Volunteer Rewards programme that enables you to give back to the charity of your choice.
Employment Practices

Travelers is an equal opportunity employer. We value the unique abilities and talents each individual brings to our organization and recognize that we benefit in numerous ways from our differences.


If you are a candidate and have specific questions regarding the physical requirements of this role, please send us an email so we may assist you.


Travelers reserves the right to fill this position at a level above or below the level included in this posting.

To learn more about our comprehensive benefit programs please visit http://careers.travelers.com/life-at-travelers/benefits/.