Join ESIS, a leader in risk management and insurance services, and contribute to work that supports safer workplaces and effective claims outcomes. We are seeking a skilled and collaborative ...
Join ESIS, a leader in risk management and insurance services, and contribute to work that supports safer workplaces and effective claims outcomes. We are seeking a skilled and collaborative ...
Workers Compensation Claims Specialist
Bensalem, PA · Hybrid
$22.25 - $30.50/hr
Workers Compensation Claims Specialist Department ... Risk Management Reports To: Workers Compensation Manager Status: Exempt/ Full Time/ Hybrid Location:
Workers Compensation Claims Specialist
Bensalem, PA · Hybrid
$22.25 - $30.50/hr
Workers Compensation Claims Specialist Department ... Risk Management Reports To: Workers Compensation Manager Status: Exempt/ Full Time/ Hybrid Location:
Join ESIS, a leader in risk management and insurance services, and contribute to work that supports safer workplaces and effective claims outcomes. We are seeking a skilled and collaborative ...
Join ESIS, a leader in risk management and insurance services, and contribute to work that supports safer workplaces and effective claims outcomes. We are seeking a skilled and collaborative ...
Account Manager
Bala Cynwyd, PA · Hybrid
Claims management; instructing the client to report notice of loss directly to the carrier or ... Risk Strategies has over 100 offices and over 5,000 employees across the US and Canada. Our ...
Account Manager
Bala Cynwyd, PA · Hybrid
Claims management; instructing the client to report notice of loss directly to the carrier or ... Risk Strategies has over 100 offices and over 5,000 employees across the US and Canada. Our ...
Account Manager
Bala Cynwyd, PA · On-site
Claims management; instructing the client to report notice of loss directly to the carrier or ... Risk Strategies has over 100 offices and over 5,000 employees across the US and Canada. Our ...
Account Manager
Bala Cynwyd, PA · On-site
Claims management; instructing the client to report notice of loss directly to the carrier or ... Risk Strategies has over 100 offices and over 5,000 employees across the US and Canada. Our ...
Workers' Compensation Claims Specialist
Norristown, PA · Remote
$51K - $83K/yr
The Workers' Compensation Claims Specialist manages within company best practices lower-level, non ... CorVel Careers | Opportunities in Risk Management In general, our opportunities will be posted for ...
Workers' Compensation Claims Specialist
Norristown, PA · Remote
$51K - $83K/yr
The Workers' Compensation Claims Specialist manages within company best practices lower-level, non ... CorVel Careers | Opportunities in Risk Management In general, our opportunities will be posted for ...
The Senior Claims Consultant serves as a strategic advisor and technical expert, managing complex and high-severity claims while supporting sophisticated client risk portfolios. This role provides ...
The Senior Claims Consultant serves as a strategic advisor and technical expert, managing complex and high-severity claims while supporting sophisticated client risk portfolios. This role provides ...
The Senior Claims Consultant serves as a strategic advisor and technical expert, managing complex and high-severity claims while supporting sophisticated client risk portfolios. This role provides ...
The Senior Claims Consultant serves as a strategic advisor and technical expert, managing complex and high-severity claims while supporting sophisticated client risk portfolios. This role provides ...
Senior Claims Specialist
Norristown, PA · On-site
$61K - $98K/yr
The Senior Claims Specialist handles complex and high-profile Workers' Compensation claims ... CorVel Careers | Opportunities in Risk Management In general, our opportunities will be posted for ...
Senior Claims Specialist
Norristown, PA · On-site
$61K - $98K/yr
The Senior Claims Specialist handles complex and high-profile Workers' Compensation claims ... CorVel Careers | Opportunities in Risk Management In general, our opportunities will be posted for ...
Senior Claims Specialist
Norristown, PA · Hybrid
$61K - $98K/yr
The Senior Claims Specialist handles complex and high-profile Workers' Compensation claims ... CorVel Careers | Opportunities in Risk Management In general, our opportunities will be posted for ...
Senior Claims Specialist
Norristown, PA · Hybrid
$61K - $98K/yr
The Senior Claims Specialist handles complex and high-profile Workers' Compensation claims ... CorVel Careers | Opportunities in Risk Management In general, our opportunities will be posted for ...
Workers' Compensation Claims Specialist
Norristown, PA · On-site
$51K - $83K/yr
The Workers' Compensation Claims Specialist manages within company best practices lower-level, non ... CorVel Careers | Opportunities in Risk Management In general, our opportunities will be posted for ...
Workers' Compensation Claims Specialist
Norristown, PA · On-site
$51K - $83K/yr
The Workers' Compensation Claims Specialist manages within company best practices lower-level, non ... CorVel Careers | Opportunities in Risk Management In general, our opportunities will be posted for ...
Chubb is a mortgage firm that offers risk management, property, health, personal, business, health, home, and life insurance. It is a sub-organization of Executive Risk. Founded in 1985, the company ...
Chubb is a mortgage firm that offers risk management, property, health, personal, business, health, home, and life insurance. It is a sub-organization of Executive Risk. Founded in 1985, the company ...
Quality/Risk Director
Rural Ridge, PA · On-site
Oversee risk management activities, including completion of incident reports, notice of potential claims, corrective action planning, and incident reporting to the Corporate Risk Manager.
Quick apply
Quality/Risk Director
Rural Ridge, PA · On-site
Oversee risk management activities, including completion of incident reports, notice of potential claims, corrective action planning, and incident reporting to the Corporate Risk Manager.
Quality/Risk Director
Bairdford, PA · On-site
Oversee risk management activities, including completion of incident reports, notice of potential claims, corrective action planning, and incident reporting to the Corporate Risk Manager.
Quick apply
Quality/Risk Director
Bairdford, PA · On-site
Oversee risk management activities, including completion of incident reports, notice of potential claims, corrective action planning, and incident reporting to the Corporate Risk Manager.
Quality/Risk Director
Russellton, PA · On-site
Oversee risk management activities, including completion of incident reports, notice of potential claims, corrective action planning, and incident reporting to the Corporate Risk Manager.
Quick apply
Quality/Risk Director
Russellton, PA · On-site
Oversee risk management activities, including completion of incident reports, notice of potential claims, corrective action planning, and incident reporting to the Corporate Risk Manager.
Quality/Risk Director
Turtle Creek, PA · On-site
Oversee risk management activities, including completion of incident reports, notice of potential claims, corrective action planning, and incident reporting to the Corporate Risk Manager.
Quick apply
Quality/Risk Director
Turtle Creek, PA · On-site
Oversee risk management activities, including completion of incident reports, notice of potential claims, corrective action planning, and incident reporting to the Corporate Risk Manager.
Quality/Risk Director
Glenshaw, PA · On-site
Oversee risk management activities, including completion of incident reports, notice of potential claims, corrective action planning, and incident reporting to the Corporate Risk Manager.
Quick apply
Quality/Risk Director
Glenshaw, PA · On-site
Oversee risk management activities, including completion of incident reports, notice of potential claims, corrective action planning, and incident reporting to the Corporate Risk Manager.
Quality/Risk Director
Indianola, PA · On-site
Oversee risk management activities, including completion of incident reports, notice of potential claims, corrective action planning, and incident reporting to the Corporate Risk Manager.
Quick apply
Quality/Risk Director
Indianola, PA · On-site
Oversee risk management activities, including completion of incident reports, notice of potential claims, corrective action planning, and incident reporting to the Corporate Risk Manager.
Quality/Risk Director
Verona, PA · On-site
Oversee risk management activities, including completion of incident reports, notice of potential claims, corrective action planning, and incident reporting to the Corporate Risk Manager.
Quick apply
Quality/Risk Director
Verona, PA · On-site
Oversee risk management activities, including completion of incident reports, notice of potential claims, corrective action planning, and incident reporting to the Corporate Risk Manager.
Quality/Risk Director
Allison Park, PA · On-site
Oversee risk management activities, including completion of incident reports, notice of potential claims, corrective action planning, and incident reporting to the Corporate Risk Manager.
Quick apply
Quality/Risk Director
Allison Park, PA · On-site
Oversee risk management activities, including completion of incident reports, notice of potential claims, corrective action planning, and incident reporting to the Corporate Risk Manager.
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?
| Aspect | Claims Risk Manager | Claims Adjuster |
|---|---|---|
| Credentials | Typically requires a bachelor’s degree in risk management, insurance, or related field; certifications like CPCU or ARM are common | Requires a high school diploma or bachelor’s degree; insurance licenses may be needed depending on state |
| Work Environment | Office-based, strategic planning, risk assessment, policy development | Field or office-based, investigating claims, assessing damages, negotiating settlements |
| Industry Usage | Used across insurance companies, risk management firms, and large corporations | Primarily 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?
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 Pennsylvania? For Claims Risk Manager jobs in Pennsylvania, the most frequently searched job titles are:
What job categories do people searching Claims Risk Manager jobs in Pennsylvania look for? The top searched job categories for Claims Risk Manager jobs in Pennsylvania are:
What cities in Pennsylvania are hiring for Claims Risk Manager jobs? Cities in Pennsylvania with the most Claims Risk Manager job openings:
Chubb rating
8.2
Based on 66 frontline employees who took The Breakroom Quiz
141st of 301 rated insurance
Job description
Join ESIS, a leader in risk management and insurance services, and contribute to work that supports safer workplaces and effective claims outcomes. We are seeking a skilled and collaborative professional to help manage workers' compensation claims with accuracy, responsiveness, and a strong focus on service.
At ESIS, we value integrity, accountability, and continuous improvement. This role offers the opportunity to work in a team-oriented environment where you can apply your expertise, grow your career, and make a meaningful contribution to our clients and their employees.
Duties may include, but are not limited to:
- Receive and manage new claim assignments.
- Review claim and policy information to establish the background for investigation and determine the extent of the policy's obligations to the insured, depending on the line of business.
- Contact, interview, and obtain statements, recorded or in person, from insureds, claimants, witnesses, physicians, attorneys, police officers, and others to gather necessary claim information.
- Arrange surveys and engage experts when appropriate.
- Evaluate facts obtained through investigation to determine the extent of liability, if any, and the company's obligations under the policy contract.
- Prepare reports related to investigations, settlements, claim denials, and evaluations of involved parties.
- Establish reserves within authority limits and recommend reserve changes to the Team Leader.
- Review claim progress and status with the Team Leader and discuss issues and recommended actions.
- Manage litigation files in a timely and appropriate manner.
- Assist the Team Leader in developing methods and process improvements for claims handling.
- Settle claims promptly and equitably.
- Obtain releases, proofs of loss, or compensation agreements and issue company drafts for claim and expense payments.
- Inform claimants, insureds, customers, agents, or attorneys of claim denials when applicable.
- Assist the Team Leader and company attorneys in preparing cases for trial by arranging witness attendance and obtaining statements, while continuing settlement efforts prior to trial.
- Refer claims to subrogation as appropriate.
- Participate in claim file reviews and audits with customers, insureds, and brokers as needed.
- Administer benefits in a timely and appropriate manner and maintain control of the claim resolution process to help minimize current exposure and future risk.
- Build and maintain strong working relationships with agents, underwriters, insureds, experts, and other stakeholders.
Depending on the line of business, additional duties may include:
- Maintaining system logs
- Investigating compensability and benefit entitlement
- Reviewing and approving medical bill payments or forwarding them for outside review as needed
- Managing vocational rehabilitation
Scope Information:
This position reports directly to a Claims Team Leader or another member of claims management.
Qualifications
- Bachelor's degree from an accredited college or university, or equivalent work experience; advanced degree preferred.
- Strong technical knowledge of workers' compensation claims, demonstrated through claims handling experience at ESIS or a similar organization. Five or more years of claims handling experience preferred.
- Thorough knowledge of workers' compensation products, services, and coverages, along with a solid understanding of applicable legal principles. Experience in DE, NJ, NY, and/or PA preferred.
- Knowledge of workers' compensation cost containment programs and strong account management skills.
- Professional insurance designations such as Associate in Claims (AIC), Associate in Risk Management (ARM), AICPCU, or equivalent preferred.
- Ability to plan, organize, and implement general business and people management practices, supported by management and technical training, a business or legal college-level curriculum, or equivalent practical experience.
- Strong communication and interpersonal skills with the ability to work effectively with team members at all levels of the organization, as well as attorneys, producers, and clients.
- Understanding of team-building principles and how they apply to ongoing and planned activities.
- Ability to evaluate the effectiveness of programs and procedures and identify opportunities for improvement. Ability to facilitate and lead groups.
- Strong analytical and evaluative thinking skills, with the ability to gather and assess information from multiple sources to support sound decision-making.
- Demonstrated professionalism, credibility, and commitment to organizational strategies and values.
- Creativity, initiative, and self-motivation demonstrated through direct claim handling and related responsibilities.
- Ability to manage priorities and allocate resources effectively in support of timely, high-quality service and long-term claims handling objectives.
An applicable resident or designated home state adjuster's license is required for ESIS Field Claims Adjusters. Adjusters that do not fulfill the license requirements will not meet ESIS's employment requirements for handling claims. ESIS supports independent self-study time and will allow up to 4 months to pass the adjuster licensing exam.
ESIS, a Chubb company, provides claim and risk management services to a wide variety of commercial clients. ESIS' innovative best-in-class approach to program design, integration, and achievement of results aligns with the needs and expectations of our clients' unique risk management needs. With more than 70 years of experience, and offerings in both the U.S. and globally, ESIS provides one of the industry's broadest selections of risk management solutions covering both pre- and post-loss services.
The pay range for the role is $78,100 to $109,400. The specific offer will depend on an applicant's skills and other factors. This role may also be eligible to participate in a discretionary annual incentive program. Chubb offers a comprehensive benefits package, more details on which can be found on our careers website. The disclosed pay range estimate may be adjusted for the applicable geographic differential for the location in which the position is filled.
About Us
Chubb is a world leader in insurance. With operations in 54 countries, Chubb provides commercial and personal property and casualty insurance, personal accident and supplemental health insurance, reinsurance, and life insurance to a diverse group of clients. The company is distinguished by its extensive product and service offerings, broad distribution capabilities, exceptional financial strength, underwriting excellence, superior claims handling expertise and local operations globally.
At Chubb, we are committed to equal employment opportunity and compliance with all laws and regulations pertaining to it. Our policy is to provide employment, training, compensation, promotion, and other conditions or opportunities of employment, without regard to race, color, religious creed, sex, gender, gender identity, gender expression, sexual orientation, marital status, national origin, ancestry, mental and physical disability, medical condition, genetic information, military and veteran status, age, and pregnancy or any other characteristic protected by law. Performance and qualifications are the only basis upon which we hire, assign, promote, compensate, develop and retain employees. Chubb prohibits all unlawful discrimination, harassment and retaliation against any individual who reports discrimination or harassment.
About Chubb
Sourced by ZipRecruiter
Chubb is the world's largest publicly traded property and casualty insurer. With operations in 54 countries, Chubb provides commercial and personal property and casualty insurance, personal accident and supplemental health insurance, reinsurance and life insurance to a diverse group of clients. We are a unique global organization with a culture of individuals passionately committed to our respective crafts. With underwriting at our core, each of us contributes to providing the best insurance coverage and service to our clients. Our highly collaborative, inclusive nature helps us drive better business outcomes through diversity of background, experiences, insights and values.
Industry
Insurance services
Company size
10,000+ Employees
Headquarters location
Warren, NJ, US