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Claims Risk Manager Jobs in Ohio (NOW HIRING)

Phillipsedison

Claims and Risk Analyst

Cincinnati, OH · Hybrid

Position Summary The Claims & Risk Analyst supports the corporate risk management department in the administration and analysis of property and casualty claims and related insurance activities. This ...

Montgomery County

Risk & Insurance Specialist

Dayton, OH · On-site

$51K - $68K/yr

... for claims for both record keeping and loss forecasting purposes. Summary of Job Duties Monitors and ensures implementation of risk management processes and programs. The Risk Specialist is ...

Welltower

AVP, Risk Management

Toledo, OH · On-site

... manager). * Manage relationships with operators regarding coverage, claims and participation in captive programs * Partner with legal, asset management, and operations teams on risk exposure and ...

HR4Me

Risk Analyst

Cincinnati, OH · On-site

Support claims management, documentation, and resolution * Assist with renewals and insurer submissions Financial & Operational Risk Analysis * Analyze project financial data to identify cost, margin ...

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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 Ohio? For Claims Risk Manager jobs in Ohio, the most frequently searched job titles are:
What job categories do people searching Claims Risk Manager jobs in Ohio look for? The top searched job categories for Claims Risk Manager jobs in Ohio are:
What cities in Ohio are hiring for Claims Risk Manager jobs? Cities in Ohio with the most Claims Risk Manager job openings:
Claims Risk Manager jobs near you
ADMINISTRATIVE ASSISTANT - CLAIMS & RISK COORDINATOR

ADMINISTRATIVE ASSISTANT - CLAIMS & RISK COORDINATOR

Premier Health

Dayton, OH • On-site

$17.75 - $24.25/hr

Other

Posted 19 days ago

Job description

DEPT ASST / ADMINISTRATIVE ASSISTANT / CLAIMS & RISK COORDINATOR  

110 N MAIN ST, DAYTON, OH 45402

Full-Time / Mon - Fri / 8:00 AM  

This position is responsible for supporting the Risk Management & Insurance program within Premier Health Partners, as well as attorneys from the General Counsel's office.  The position will assist with clerical, data entry, insurance, claims, and contract functions.  This position serves as a liaison between patients, families, employees, outside counsel, insurance contacts and the department staff.  A high degree of accountability for the maintenance of confidential and sensitive information is a responsibility of the Risk Management & Insurance Department Assistant.

       * Candidates must be willing to commute and work "in-person" in the Dayton, Ohio area

Are you looking for a pivotal role that offers not just a job, but a meaningful career within the healthcare sector? Premier Health is on the lookout for a Department Assistant / Risk Management, Insurance & Claims Specialist who is ready to step into a position that promises not just growth, but a chance to make a real impact. At Premier Health, we pride ourselves on being a well-loved employer, known for our supportive work environment and commitment to our employee's professional and personal development. In this role, you'll have the unique opportunity to connect deeply not only with your colleagues but also with the community we serve, providing essential support to the Legal and Risk Management Departments. This position will enable you to showcase your remarkable administrative skills and attention to detail, in a setting that is quick to recognize and celebrate your contributions. Join a team that loves what they do and thrives on making a difference every day.

Responsibilities

  • Scheduling meetings and coordinating calendars
  • Answering telephones and directing calls appropriately
  • Drafting documents and reports, typing, and copying
  • Data entry for claim files and managing the claim management system
  • Processing record restriction requests
  • Auditing and processing invoices and claim settlements
  • Drafting and submitting SMDA reporting, preparing QIC and EOC reporting
  • Maintaining trial calendars

If you're an organized, detail-oriented individual with a passion for supporting others and a knack for managing multiple tasks seamlessly, we would love to hear from you. Join us at Premier Health and become a part of our community that is dedicated to making a difference. Don't miss this opportunity to build a rewarding career in a supportive and dynamic environment. Apply now to take the first step towards a fulfilling future with us!

The Department Assistant is responsible for performing all duties associated with full secretarial support for the Director of Risk Management, Claims & Insurance for Premier Health Partners, the Risk Managers for the associated entities within Premier Health Partners, and the Manager of Insurance & Claims Support for Premier Health Partners with occasional assistance to the attorneys in the General Counsel's office. The position is highly clerical and requires great attention to detail and demonstrated professionalism. The Assistant will be visible as the main contact to the entire Legal and Risk Management Department within Premier Health Partners. Duties will include greeting visitors, scheduling meetings, answering telephones and directing calls to the appropriate personnel, typing and copying documents, data entry, filing information in claim files and taking directions from the aforementioned individuals. The Department Assistant is responsible for performing all duties associated with full secretarial support for the Director of Risk Management, Claims & Insurance for Premier Health Partners, the Risk Managers for the associated entities within Premier Health Partners, and the Manager of Insurance & Claims Support for Premier Health Partners with occasional assistance to the attorneys in the General Counsel's office. The position is highly clerical and requires great attention to detail and demonstrated professionalism. The Assistant will be visible as the main contact to the entire Legal and Risk Management Department within Premier Health Partners. Duties will include greeting visitors, scheduling meetings, answering telephones and directing calls to the appropriate personnel, typing and copying documents, data entry, filing information in claim files and taking directions from the aforementioned individuals.

  • High School completion / GED with a preference for an Associate's Degree
  • 1 - 3 years of job-related experience (Assistant, Receptionist, Secretary, Clerk, or similar)
  • Excellent verbal and written communication skills
  • Strong interpersonal and collaborative skills
  • Proficiency in Microsoft Office, especially Excel
  • Ability to work independently on multiple tasks
  • Knowledge of medical and legal terminology preferred
  • Maintains confidentiality in all work activities
  

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