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Claims Risk Manager Jobs in Ohio (NOW HIRING)

... for Risk Management client reviews. * Prepare Workers' Compensation Experience Modification Factor evaluations as needed and maintain insurance carrier production records. * Deliver exceptional ...

Liability Claims Manager

Waltham, MA · On-site

  • Medical

  • Retirement

As a Liability Claims Manager, you will lead a team of casualty claim adjusters handling first and ... risk transfer, other insurance and excess clauses, primary and non-contributory wording, and ...

Claims Associate

Cincinnati, OH · On-site

$17.50 - $22/hr

  • Medical

  • Dental

  • Vision

  • Retirement

As a Claims Representative with TQL, you will be a vital part of the company's risk management and loss prevention efforts. You will be responsible for managing an evolving portfolio of cargo claims ...

Vice President of Risk

Westerville, OH · On-site

$180 - $240/hr

Risk Management, Claims, and Insurance teams Working Conditions * Primarily office-based with ... regular interaction across departments. * Travel required (approximately 10-20%) to job sites and ...

Claims Associate

Cincinnati, OH · On-site

$17.50 - $22/hr

  • Medical

  • Dental

  • Vision

  • Retirement

As a Claims Representative with TQL, you will be a vital part of the company's risk management and loss prevention efforts. You will be responsible for managing an evolving portfolio of cargo claims ...

Claims Associate

Cincinnati, OH · On-site

$17.50 - $22/hr

  • Medical

  • Dental

  • Vision

  • Retirement

As a Claims Representative with TQL, you will be a vital part of the company's risk management and loss prevention efforts. You will be responsible for managing an evolving portfolio of cargo claims ...

Senior Claims Representative

Cincinnati, OH · Hybrid

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Bachelor's degree in Business, Risk Management, Insurance, Finance, or a related field, or equivalent experience. * Generally, 5+ years of commercial casualty claims handling experience. * Experience ...

Senior Claims Representative

Cincinnati, OH · Hybrid

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Bachelor's degree in Business, Risk Management, Insurance, Finance, or a related field, or equivalent experience. * Generally, 5+ years of commercial casualty claims handling experience. * Experience ...

Risk Management, Claims, and Insurance teams WORKING CONDITIONS: * Primarily office-based with ... regular interaction across departments. * Travel required (approximately 10-20%) to job sites and ...

Risk Management, Claims, and Insurance teams WORKING CONDITIONS: * Primarily office-based with ... regular interaction across departments. * Travel required (approximately 10-20%) to job sites and ...

Showing results 21-40

Claims Risk Manager information

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 the key skills and qualifications needed to thrive as a claims risk manager?

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 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.

How much do claims risk managers make in the US?

Claims risk managers in the US typically earn a median annual salary of around $80,000 to $100,000, with experienced professionals and those in senior roles earning over $120,000. Salaries vary based on location, industry, experience, and certifications such as CPCU or ARM.

Is Claims Risk Manager a good career?

A Claims Risk Manager oversees the assessment and mitigation of insurance claim risks, often requiring strong analytical skills and knowledge of insurance policies. The role offers opportunities for advancement and typically involves working in insurance, risk management, or corporate environments. It can be a stable and rewarding career for those interested in risk analysis and insurance processes.

What cities in Ohio are hiring for Claims Risk Manager jobs?

Cities in Ohio with the most Claims Risk Manager job openings:

$31.43 - $47.74/hr

Full-time

Re-posted 25 days ago


Cincinnati Children's Hospital Medical Center rating

7.3

Company rating: 7.3 out of 10

Based on 150 frontline employees who took The Breakroom Quiz

390th of 1,060 rated hospitals


Job description

Description:

Expected Starting Salary Range: 31.43 - 39.59

SUBFUNCTION DEFINITION: Provides risk management and insurance advice and services on issues concerning the rights, obligations and privileges of the organization. Represents the organization to customers, suppliers, competitors and government agencies. Provides resolution of business or technical issues by identifying risk management solutions and recommending a course of action. Analyzes information to determine advisability of defending or prosecuting lawsuits, claims and problem-solving complex issues.

CAREER LEVEL SUMMARY: In-depth conceptual and working knowledge in job area; familiarity in related disciplines / specialties. Requires minimal guidance and attention to detail, displays an intellectual curiosity and willingness to learn the organization, may lead projects of manageable risk or have accountability for ongoing activities or objectives. Deep experience in role; able to train / may lead others in job area. Executes wide range of difficult / complex tasks Level at which career may stabilize.

Representative Responsibilities

Support Risk Management Program
· Support processes related to risk financing and insurance (i.e. policy management and administration, contract risk management, captive insurance, sourcing, renewals), as well as Cincinnati Children's Enterprise Risk Management program.

· Educate staff on risk management issues, provide training to identified groups on select topics, assist with the insurance claims. management program, and assist with related education of patient services.

· Identify issues and/or risks and ensure appropriate controls and monitoring exist or are implemented through risk assessments or other means of identification.

Managing Select Programs
· Perform apparent cause analysis on pre-cursor and near-miss events, input information from analysis into database, and generate appropriate feedback and reports in accordance with Joint Commission or other industry standards.

· Participate in investigations, conduct interviews, gather information, review medical records and literature as requested in connection with patient safety matters, and participate in meeting preparation as requested.

Support Safety Reporting System
· Support the maintenance of Cincinnati Children's Safety Reporting platform, including generating appropriate reports, reviewing and coding safety reports submitted, providing feedback to end users, analysis and trending of data, and providing back-up for maintaining the system.

Qualifications:

EDUCATION/EXPERIENCE

Required:
·Bachelor's degree in a related field
· 5 - 7 years of work experience in risk management, insurance or related discipline

Preferred:

  • CPHRM or ARM Certification
  • Enterprise Risk Management Experience
  • Risk Management Information System Experience

Cincinnati Children's is proud to be an Equal Opportunity Employer that values and treasures Diversity, Equity, and Inclusion. We are committed to creating an environment of dignity and respect for all our employees, patients, and families. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, genetic information, national origin, sexual orientation, gender identity, disability or protected veteran status. EEO/AA/M/F/Veteran/Disability

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About Cincinnati Children's Hospital Medical Center

Sourced by ZipRecruiter

Cincinnati Children's Hospital Medical Center, located in Cincinnati, OH, US, is a premier pediatric hospital renowned for its exceptional clinical services, research programs, and medical education. The healthcare institution, founded in 1883, holds a sterling reputation in the industry, with a mission to improve child health and transform delivery of care through fully integrated, globally recognized research, education and innovation. As one of the oldest and most distinguished pediatric hospitals in the United States, Cincinnati Children's continues to offer a broad range of high-quality, compassionate care to children in the community and around the globe. As a testament to its dedication, it has consistently been ranked among the top three US pediatric hospitals by U.S. News & World Report.

Industry

Hospitals

Company size

10,000+ Employees

Headquarters location

Cincinnati, OH, US

Year founded

1883