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Claims Risk Manager Jobs in Minnesota (NOW HIRING)

Abbott

Manager, Patient Claims

Plymouth, MN · On-site

Compliance, Governance, and Risk Management * Ensure full compliance with FDA regulations, U.S. privacy/HIPAA requirements, anti-kickback statutes, and Abbott's complaint reporting processes.

Abbott

Manager, Patient Claims

Plymouth, MN

Compliance, Governance, and Risk Management * Ensure full compliance with FDA regulations, U.S. privacy/HIPAA requirements, anti-kickback statutes, and Abbott's complaint reporting processes.

Abbott

Manager, Patient Claims

Plymouth, MN

Compliance, Governance, and Risk Management * Ensure full compliance with FDA regulations, U.S. privacy/HIPAA requirements, anti-kickback statutes, and Abbott's complaint reporting processes.

illumifin

Claims Manager - LSW or RN

Eden Prairie, MN · On-site +1

$60K/yr

We also provide clients with unique risk management insight built upon our proprietary long term care databases. The Claims Manager position is responsible for evaluation and rendering eligibility ...

LTCG

Care Manager- LTC Claims

Eden Prairie, MN · On-site

We also provide clients with unique risk management insight built upon our proprietary databases ... reports to ensure claims are handled timely and appropriately. 6. Attend case conferences ...

LTCG

Claims Manager - LSW or RN

Eden Prairie, MN · Hybrid

We also provide clients with unique risk management insight built upon our proprietary long term care databases. The Claims Manager position is responsible for evaluation and rendering eligibility ...

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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 are popular job titles related to Claims Risk Manager jobs in Minnesota? For Claims Risk Manager jobs in Minnesota, the most frequently searched job titles are:
What job categories do people searching Claims Risk Manager jobs in Minnesota look for? The top searched job categories for Claims Risk Manager jobs in Minnesota are:
What cities in Minnesota are hiring for Claims Risk Manager jobs? Cities in Minnesota with the most Claims Risk Manager job openings:
Claims Risk Manager jobs near you
Claims Administrator

Claims Administrator

North Risk Partners LLC

Mendota Heights, MN • On-site

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 12 days ago

Key responsibilities

  • Provide service, expertise, and guidance to insureds and claimants for prompt, fair handling of property and casualty claims.

  • Collaborate with Risk Advisors to identify claim issues, potential solutions, strategies, and services for clients.

  • Prepare and analyze loss history, experience modifications, and claims reports to identify loss trends with the goal of reducing the cost of risk.

Job description

Job Type
Full-time
Description
WHY NORTH RISK PARTNERS
Are you interested in doing work that matters everyday with an organization intentional about building and living out a values-driven team culture? North Risk Partners is a fast-growing firm dedicated to serving the insurance and risk management needs of businesses and individuals. We provide expertise in Commercial Lines, Employee & Individual Benefits, Personal Lines, Surety, Claims, and Risk Management. Our team consists of over 450 employees working in over 30 locations across five states, including Minnesota, Iowa, North Dakota, South Dakota, and Nebraska.
At North Risk Partners, our #oneTEAM lives out #oneMISSION: to provide extraordinary #service to our clients, to each other, and to our communities while living out our core values each day. Our team environments are designed to provide #oneTEAM members opportunity to focus on collaborative relationships (clients and team), variety from day-to-day, constant learning, and the tools and resources to learn and grow at work and in life.
JOB SUMMARY
The Claims Administrator will serve as a property and casualty claims advocate on behalf of North Risk's clients. This position works closely with Risk Advisors across the company. The Claims Administrator will resolve issues for clients by developing trusted relationships and serving as an expert advocate.
ESSENTIAL RESPONSIBILITES
  • Provide service, expertise, and guidance to insured(s) and claimant(s) with a planned approach for prompt, fair handling of property and casualty claims.
  • Aid on claim denials and reservation of rights to ensure coverage is applied appropriately.
  • Develop action plans on high exposure claims.
  • Work on accounts that receive additional services.
  • Monitor specific claims with a goal to insure reserve and claims handling accuracy.
  • Work with insurance adjusters to obtain the best claim resolution. Challenging in a respectful way.
  • Coordinate and conduct claim review meetings.
  • Set priorities and manage workflow to ensure efficient, timely, and accurate product by utilizing the company's software system(s).
  • Collaborate with Risk Advisors to identify claim issues, potential solutions, strategies, and services for clients.
  • Prepare and analyze loss history, experience modifications, and claims reports to identify loss trends with the goal of reducing the cost of risk.
  • Mentor Associate Claims Administrators.

Requirements
QUALIFICATIONS (Knowledge, Skills, & Abilities)
  • A combination of education and experience generally attained through a high school degree, bachelor's degree, and a minimum of 5 years in property & casualty insurance
  • Active property & casualty insurance license
  • Excellent oral and written communication skills
  • Strong attention to detail with excellent organizational skills, demonstrating ability to prioritize tasks effectively
  • Thorough knowledge of commercial insurance coverage and claims processes
  • Ability to work in a fast-paced environment
  • Maintain internal and external relationships with professionalism
  • Proficiency in CRM software and Microsoft Office suite
  • Knowledge of ModMaster and basic concepts

BEHAVIOR EXPECTATIONS
  • A role model for North Risk Partners' core values, mission, and desired culture
  • Demonstrate enthusiasm and a positive attitude
  • Professionally and positively represent North Risk Partners to all coworkers, clients, and external stakeholders
  • A team player who collaborates and works well with his/her coworkers
  • A professional who demonstrates the ability to carry on a conversation with clients, Risk Advisors, and other coworkers within North Risk Partners

PHYSICAL REQUIREMENTS
  • Perform under normal office conditions; may include lifting/carrying objects weighing up to 25 pounds
  • Twist, bend, stoop, kneel, squat, stand, walk, and reach frequently
  • Hear, speak, and effectively verbally communicate in the English language, including following oral and written instructions to communicate with people inside and outside of the organization
  • Sit and a desk for extended periods of time and perform long hours of work sitting at a computer
  • Move around office/building/facilities repeatedly throughout the day
  • Apply manual dexterity, visual acuity and ability, for computer keyboarding, office equipment uses, review of detailed reports, information, fine print, and warning labels
  • Must possess valid driver's license and be able to travel to different North Risk Partners locations for meetings, as well as various locations throughout the state and potentially the region for client meetings
  • Able to work a flexible work schedule, including overtime and potential evenings/weekends for events and meetings as needed

TOOLS AND EQUIPMENT USED
Incumbents must be able to use telephones, calculators, copy machines, computers, printers, and other office equipment
WORK ENVIRONMENT
The work environment is primarily indoors. Exposure to a variety of weather conditions during work related travel and events held outside of the workplace will occur and I acknowledge that I have read, understood, and agree with the contents of this position description. I agree to use my best efforts to fulfill all expectations of the position. I also acknowledge that I am an at-will employee.
This job description does not necessarily list all the job functions or accountabilities of the job. Employees may be asked by management to perform additional duties and tasks. Management reserves the right to revise and update job descriptions at any time.
COMPENSATION AND BENEFITS
The estimated base salary range for this full-time position is $69,000 - $86,000 annually, plus benefits. The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to departmental budgets, qualifications, experience, education, licenses, specialty, and training. The hiring range represents the company's good faith and reasonable estimate of the range of possible compensation at the time of posting.
We offer a comprehensive benefits package, including health, dental, vision, short-term and long-term disability, life, long-term care, 401(k) plan, and more. North Risk Partners is growing which means your career can too. #oneTEAM members receive continuing professional education and development, volunteer time off, paid time off, and paid holidays.

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