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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 ...

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Claims Associate

Cincinnati, OH · On-site

$17.50 - $22/hr

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 Counsel I

Cleveland, OH · On-site

$98K - $126K/yr

... Risk Management partners: * Provides advice - Provides focused and practical legal advice ... Claims adjuster's license * 1-4 years of relevant experience handling claims, lawsuits, or other ...

New

Claims Associate

Cincinnati, OH · On-site

$17.50 - $22/hr

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

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 ...

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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 cities in Ohio are hiring for Claims Risk Manager jobs? Cities in Ohio with the most Claims Risk Manager job openings:
Risk Control Senior Professional (AZ Territory)

Risk Control Senior Professional (AZ Territory)

Westfield

Westfield Center, OH • On-site

Full-time

Re-posted 8 days ago


Westfield Insurance rating

8.7

Company rating: 8.7 out of 10

Based on 12 frontline employees who took The Breakroom Quiz

66th of 281 rated insurance


Job description


Job Summary
The Risk Control Senior Professional is responsible for providing a full range of risk consulting services to assist writing and retaining profitable business. The role conducts consultation with the customers identified gaps to improve awareness and manage key risk issues. The role performs field and virtual interactions with customers to complete risk surveys and gather feedback that enables underwriting to make effective business decisions. The role is responsible for a defined set of assignments (e.g., assigned customers, workload management, resource support, underwriter meetings or other responsibilities) and independently performing a variety of duties, including potentially complex duties within established policy guidelines.
Job Responsibilities
  • Plans, prioritizes, conducts, and provides a full range of risk evaluation and consulting services for business meeting department service level agreements with limited supervision.
  • Utilizes experience and knowledge to create strong agency/customer relationships and markets, communicates and consults with agents and customers typically by phone to create trust, collect feedback and generate a valued experience in each engagement with customer, underwriter, and others.
  • Conducts extensive research, collects, evaluates, and analyzes data to quantify and qualify level of risk, understand operation, and prioritize recommendations for risk improvement.
  • Utilizes various types of technology platforms, programs, and information sources to identify and respond to underwriting and customer needs.
  • Collaborates with underwriting to effectively use department resources that provide operational and risk insight to enable sound business decisions and prepares comprehensive reports, estimates of value, recommendations, and opinions to appropriate business partners.
  • Conducts consultation with the customer to understand operations, complete risk assessment, and prioritize opportunities to manage risks.
  • Maintains advanced knowledge to industry best practices, codes/standards, technology, and legislative issues and shares knowledge on areas of expertise through consultation, development of technical information, championing initiatives and other actions that progress department capabilities.
  • Informs leader of activities and problems within the assigned area of responsibility; refers matters beyond area of authority to leader or appropriate channel for direction.
  • Controls claims cost by creating recommendations that align with industry and Westfield best practices on identified risk issues and upholds a team ownership and approach in achieving timely resolution for identified opportunities with all stakeholders.
  • Participates in agency visits and other marketing interactions to achieve business unit and department objectives with focus on profitable growth, retention, and market perception.
  • For field roles only: Travels as often as needed including regular utilization of assigned fleet vehicle in order to cover assigned territory.
  • This may involve traveling on short notice or other daily driving duties as assigned.

Job Qualifications
  • 3+ years of experience in Risk Management or a related field.
  • Bachelor's degree in Business, Risk Management, or a related field and/or commensurate work experience.
  • For field roles only: Valid driver's license and a driving record that conforms to company standards.

Location
Remote-AZ Territory
Behavioral Competencies
  • Collaborates
  • Customer focus
  • Communicates effectively
  • Decision quality
  • Nimble learning
  • Associate in Risk Management (ARM)
  • Certified Risk Manager (CRM)
  • Drivers License

Technical Skills
  • Operational Risk Management
  • Data Analysis and Reporting
  • Catastrophe Modeling
  • Statistical Analysis
  • Risk Control
  • Risk Management
  • Knowledge of Reporting Tools
  • Business Analysis

This job description describes the general nature and level of work performed in this role. It is not intended to be an exhaustive list of all duties, skills, responsibilities, knowledge, etc. These may be subject to change and additional functions may be assigned as needed by management.
About Us
Founded in 1848, Westfield is a global leader in property and casualty insurance, delivering superior risk insights and innovative solutions to customers through a diverse portfolio of insurance products. Westfield underwrites commercial, personal, surety, and specialty lines of coverage through a network of leading independent agents and brokers in the United States and specialty products through Lloyd's of London Syndicate 1200. As a mutual insurance company with more than 3,000 employees, Westfield has revenues in excess of $4 billion and more than $10 billion in assets.

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