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Claims Risk Manager Jobs in Michigan (NOW HIRING)

... 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 ...

... risk management challenges, delivering measurable results through advanced technology, collaborative problem-solving, and an unwavering commitment to their success. We don't just process claims-we ...

... risk management challenges, delivering measurable results through advanced technology, collaborative problem-solving, and an unwavering commitment to their success. We don't just process claims--we ...

... risk management challenges, delivering measurable results through advanced technology, collaborative problem-solving, and an unwavering commitment to their success. We don't just process claims-we ...

Claims Manager Location: East Lansing, MI Department: Property/Casualty & Workers' Compensation SET ... Collaborate closely with internal teams, including risk control, underwriting, and claims ...

The Claims Analyst will support the Risk Management/Quality Department in analytical, reporting and record keeping functions. The primary responsibility of this position is to analyze each cargo ...

... financial management of two captive insurance companies. This position is responsible for ... Support the actuarial process by analyzing claims data and challenging actuarial reports.

Claims Manager Location: East Lansing, MI Department: Property/Casualty & Workers' Compensation SET ... Collaborate closely with internal teams, including risk control, underwriting, and claims ...

The Sr Consultant Casualty Claims is responsible for managing high-complexity no-fault claims ... Identify opportunities to transfer risk and pursue subrogation. Proactively resolve disputes ...

Claims Examiner - Construction

Lansing, MI · On-site +1

$75K - $100K/yr

QUALIFICATIONS Education & Licensing: 5 years of claims management experience or equivalent ... Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive ...

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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:
Pharmacy Claims Consultant

Pharmacy Claims Consultant

Acrisure

Traverse City, MI • On-site

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 27 days ago


Job description

About Acrisure

A global fintech leader, Acrisure empowers millions of ambitious businesses and individuals with the right solutions to grow boldly forward. Bringing cutting-edge technology and top-tier human support together, we connect clients with customized solutions across a range of insurance, reinsurance, payroll, benefits, cybersecurity, mortgage services - and more.

In the last twelve years, Acrisure has grown in revenue from $38 million to almost $5 billion and employs over 19,000 colleagues in more than 20 countries. Acrisure was built on entrepreneurial spirit. Prioritizing leadership, accountability, and collaboration, we equip our teams to work at the highest levels possible.

Job Summary:

Acrisure is seeking a Claims Consultant to join our growing team. This role acts as a strategic partner and risk advisor for all clients and service teams through a high level of service and analysis of claims data that helps shape client policies and procedures to improve overall risk management.

Responsibilities:

  • Develop and maintain relationships with the Management Team, providing assistance as needed
  • Attend and assist in facilitating department meetings
  • Maintain awareness of new developments or changes within the department updating training materials and team resources
  • Maintain and take appropriate action on eligibility reports
  • Maintain and update data for billing purposes as needed
  • Assist in weekly reporting and other various projects
  • Assist in managing and updating activities when needed
  • Resolve or refer all requests from the Pharmacy Service Representatives
  • Perform other tasks or projects as needed/assigned
  • Attend and complete training sessions or assignments as required
  • Work directly with the Pharmacy Benefits Manager
  • Adhere to Acrisure service standards for the department and agency

Requirements:

  • Willingness to participate in self-development or technical classes
  • Strong organizational and workflow management skills
  • Must be comfortable in an electronic environment with strong computer skills
  • Strong working knowledge of Microsoft Office Products
  • Excellent verbal and written communication skills, courteous telephone skills
  • Excellent people skills and ability to work well in a team environment
  • Strong organizational skills, high attention to detail, responsive and self-motivated
  • Team player and task-oriented

Education and Experience:

  • Bachelor's degree in business or related field of study or equivalent relevant experience
  • Minimum 2 years' claims processing/analysis/advisement experience in pharmaceuticals preferred

Benefits and Perks:

  • Competitive compensation
  • Generous vacation policy, paid holidays, and paid sick time
  • Medical Insurance, Dental Insurance, and Vision Insurance (employee-paid)
  • Company-paid Short-Term and Long-Term Disability Insurance
  • Company-paid Group Life insurance
  • Company-paid Employee Assistance Program (EAP) and Calm App subscription
  • Employee-paid Pet Insurance and optional supplemental insurance coverage
  • Vested 401(k) with company match and financial wellness programs
  • Flexible Spending Account (FSA), Health Savings Account (HSA) and commuter benefits options
  • Paid maternity leave, paid paternity leave, and fertility benefits
  • Career growth and learning opportunities
  • ...and so much more!

#LI-On-Site

#LI- DL1

Candidates should be comfortable with an on-site presence to support collaboration, team leadership, and cross-functional partnership.

Why Join Us:

At Acrisure, we're building more than a business, we're building a community where people can grow, thrive, and make an impact. Our benefits are designed to support every dimension of your life, from your health and finances to your family and future.

Making a lasting impact on the communities it serves, Acrisure has pledged more than $22 million through its partnerships with Corewell Health Helen DeVos Children's Hospital in Grand Rapids, Michigan, UPMC Children's Hospital in Pittsburgh, Pennsylvania and Blythedale Children's Hospital in Valhalla, New York.

Employee Benefits

We also offer our employees a comprehensive suite of benefits and perks, including:

  • Physical Wellness: Comprehensive medical insurance, dental insurance, and vision insurance; life and disability insurance; fertility benefits; wellness resources; and paid sick time.

  • Mental Wellness: Generous paid time off and holidays; Employee Assistance Program (EAP); and a complimentary Calm app subscription.

  • Financial Wellness: Immediate vesting in a 401(k) plan; Health Savings Account (HSA) and Flexible Spending Account (FSA) options; commuter benefits; and employee discount programs.

  • Family Care: Paid maternity leave and paid paternity leave (including for adoptive parents); legal plan options; and pet insurance coverage.

  • ... and so much more!

This list is not exhaustive of all available benefits. Eligibility and waiting periods may apply to certain offerings. Benefits may vary based on subsidiary entity and geographic location.

Acrisure is an Equal Opportunity Employer. We consider qualified applicants without regard to race, color, religion, sex, national origin, disability, or protected veteran status. Applicants may request reasonable accommodation by contacting leaves@acrisure.com.

Final candidates will be required to complete post-offer verification processes related to the role and in accordance with applicable laws.

California Residents: Learn more about our privacy practices for applicants by visiting the Acrisure California Applicant Privacy Policy.

Recruitment Fraud: Please visit here to learn more about our Recruitment Fraud Notice.

Welcome, your new opportunity awaits you.