Troy, MI · On-site
$93K/yr
... malpractice claims, and cause loss to the health care system. The QRS II collaborates with ... Experience required includes risk and safety event management, multidisciplinary process ...
Troy, MI · On-site
$93K/yr
... malpractice claims, and cause loss to the health care system. The QRS II collaborates with ... Experience required includes risk and safety event management, multidisciplinary process ...
Sterling Heights, MI · On-site
Review vendor and supplier agreements (secondary focus) Claims, Risk & Dispute Management * Oversee claims, disputes, and potential litigation matters * Coordinate with outside counsel on strategy ...
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Sterling Heights, MI · On-site
Review vendor and supplier agreements (secondary focus) Claims, Risk & Dispute Management * Oversee claims, disputes, and potential litigation matters * Coordinate with outside counsel on strategy ...
Auburn Hills, MI · On-site
... 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 ...
Auburn Hills, MI · On-site
... 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 ...
... risk identification/mitigations, claim reporting (to both management and joint venture partners ... Claims experience * Project Management experience and ability to effectively use Excel, Word ...
... risk identification/mitigations, claim reporting (to both management and joint venture partners ... Claims experience * Project Management experience and ability to effectively use Excel, Word ...
Detroit, MI · On-site
... risk identification/mitigations, claim reporting (to both management and joint venture partners ... Claims experience * Project Management experience and ability to effectively use Excel, Word ...
Detroit, MI · On-site
... risk identification/mitigations, claim reporting (to both management and joint venture partners ... Claims experience * Project Management experience and ability to effectively use Excel, Word ...
Grand Rapids, MI · On-site
... loss claims involving a primary insurance carrier and/or GAP company in accordance with ... the Bank's risk appetite, achieves results by consistently identifying, assessing, managing ...
Grand Rapids, MI · On-site
... loss claims involving a primary insurance carrier and/or GAP company in accordance with ... the Bank's risk appetite, achieves results by consistently identifying, assessing, managing ...
While operating within the Bank's risk appetite, achieves results by consistently identifying, assessing, managing, monitoring, and reporting risks of all types. ESSENTIAL DUTIES AND RESPONSIBILITIES:
While operating within the Bank's risk appetite, achieves results by consistently identifying, assessing, managing, monitoring, and reporting risks of all types. ESSENTIAL DUTIES AND RESPONSIBILITIES:
$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 ...
$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 ...
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 ...
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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 ...
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 ...
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 ...
$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 ...
$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 ...
We serve the growing insurance and risk management needs of medium and large governmental entities ... Manage claims from initial report through resolution following the Company's Claims Handling ...
We serve the growing insurance and risk management needs of medium and large governmental entities ... Manage claims from initial report through resolution following the Company's Claims Handling ...
$69K - $92K/yr
Manages an inventory of claims to evaluate compensability/liability. * Plans and conducts claim ... Bachelor's Degree in Business Administration, Risk Management and Insurance, Finance, or a related ...
$69K - $92K/yr
Manages an inventory of claims to evaluate compensability/liability. * Plans and conducts claim ... Bachelor's Degree in Business Administration, Risk Management and Insurance, Finance, or a related ...
$69K - $92K/yr
Manages an inventory of claims to evaluate compensability/liability. * Plans and conducts claim ... Bachelor's Degree in Business Administration, Risk Management and Insurance, Finance, or a related ...
$69K - $92K/yr
Manages an inventory of claims to evaluate compensability/liability. * Plans and conducts claim ... Bachelor's Degree in Business Administration, Risk Management and Insurance, Finance, or a related ...
We serve the growing insurance and risk management needs of medium and large governmental entities ... Manage claims from initial report through resolution following the Company's Claims Handling ...
We serve the growing insurance and risk management needs of medium and large governmental entities ... Manage claims from initial report through resolution following the Company's Claims Handling ...
The role also incorporates risk management related to company mergers and acquisitions activities ... Liaise with Corporate and Regional Legal to manage potential and active claims with legacy ...
The role also incorporates risk management related to company mergers and acquisitions activities ... Liaise with Corporate and Regional Legal to manage potential and active claims with legacy ...
Troy, MI · On-site
... risk solutions, employee benefits, worksite well-being, and personal insurance to a vast and ... Maintain loss history and notes in the agency management system (EPIC) * Follow up on claims as ...
Troy, MI · On-site
... risk solutions, employee benefits, worksite well-being, and personal insurance to a vast and ... Maintain loss history and notes in the agency management system (EPIC) * Follow up on claims as ...
Adrian, MI · On-site
... risk solutions, employee benefits, worksite well-being, and personal insurance to a vast and ... Maintain loss history and notes in the agency management system (EPIC) * Follow up on claims as ...
Adrian, MI · On-site
... risk solutions, employee benefits, worksite well-being, and personal insurance to a vast and ... Maintain loss history and notes in the agency management system (EPIC) * Follow up on claims as ...
Troy, MI · On-site
... risk solutions, employee benefits, worksite well-being, and personal insurance to a vast and ... Maintain loss history and notes in the agency management system (EPIC) * Follow up on claims as ...
Troy, MI · On-site
... risk solutions, employee benefits, worksite well-being, and personal insurance to a vast and ... Maintain loss history and notes in the agency management system (EPIC) * Follow up on claims as ...
Ann Arbor, MI · On-site
... risk solutions, employee benefits, worksite well-being, and personal insurance to a vast and ... Maintain loss history and notes in the agency management system (EPIC) * Follow up on claims as ...
Ann Arbor, MI · On-site
... risk solutions, employee benefits, worksite well-being, and personal insurance to a vast and ... Maintain loss history and notes in the agency management system (EPIC) * Follow up on claims as ...
| Aspect | Claims Risk Manager | Claims Adjuster |
|---|---|---|
| Credentials | Typically requires a bachelor’s degree in risk management, insurance, or related field; certifications like CPCU or ARM are common | Requires a high school diploma or bachelor’s degree; insurance licenses may be needed depending on state |
| Work Environment | Office-based, strategic planning, risk assessment, policy development | Field or office-based, investigating claims, assessing damages, negotiating settlements |
| Industry Usage | Used across insurance companies, risk management firms, and large corporations | Primarily 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.
$93K/yr
Other
Posted 5 days ago
GENERAL SUMMARY:
Under minimal direction, the Quality/Risk Specialist (QRS) II supports the effective surveillance, analysis, and prevention of events which may injure patients, lead to malpractice claims, and cause loss to the health care system. The QRS II collaborates with multidisciplinary health care teams to reduce and prevent adverse medical outcomes, minimize the risk of injury to patients, staff and visitors, and control any associated liability. The QRS II will be involved in sentinel event investigations, safety event investigation and trend analysis, risk management program development, educational in-services and process improvement projects.
EDUCATION AND EXPERIENCE:
