Provides assistance with claims investigation, management and litigation. Facilitates reporting of safety data/events. Evaluates risk management program(s) through the use of data capture, follow up ...
Provides assistance with claims investigation, management and litigation. Facilitates reporting of safety data/events. Evaluates risk management program(s) through the use of data capture, follow up ...
Provides assistance with claims investigation, management and litigation. Facilitates reporting of safety data/events. Evaluates risk management program(s) through the use of data capture, follow up ...
Provides assistance with claims investigation, management and litigation. Facilitates reporting of safety data/events. Evaluates risk management program(s) through the use of data capture, follow up ...
Provides assistance with claims investigation, management and litigation. Facilitates reporting of safety data/events. Evaluates risk management program(s) through the use of data capture, follow up ...
Provides assistance with claims investigation, management and litigation. Facilitates reporting of safety data/events. Evaluates risk management program(s) through the use of data capture, follow up ...
Provides assistance with claims investigation, management and litigation. Facilitates reporting of safety data/events. Evaluates risk management program(s) through the use of data capture, follow up ...
Provides assistance with claims investigation, management and litigation. Facilitates reporting of safety data/events. Evaluates risk management program(s) through the use of data capture, follow up ...
Claims Monitoring Counsel
Providence, RI · On-site
$120K - $190K/yr
The Consulting Group provides risk management and claims monitoring services and strategic advice to architects and engineers and their professional liability insurers. The Consulting Group is at the ...
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Claims Monitoring Counsel
Providence, RI · On-site
$120K - $190K/yr
The Consulting Group provides risk management and claims monitoring services and strategic advice to architects and engineers and their professional liability insurers. The Consulting Group is at the ...
Claims Advisor, Professional Liability | E&O, D&O
Providence, RI · On-site
$115K - $130K/yr
Designations and/or licensing including but not limited to Associate in Claims (AIC), Chartered Property and Casualty Underwriter (CPCU), Associate in Risk Management (ARM), Associate in Insurance ...
Claims Advisor, Professional Liability | E&O, D&O
Providence, RI · On-site
$115K - $130K/yr
Designations and/or licensing including but not limited to Associate in Claims (AIC), Chartered Property and Casualty Underwriter (CPCU), Associate in Risk Management (ARM), Associate in Insurance ...
Coordinate FTCA risk management activities, claims management, insurer reporting, and annual deeming support. * Ensure timely reporting of incidents to insurers, FTCA representatives, and regulatory ...
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Coordinate FTCA risk management activities, claims management, insurer reporting, and annual deeming support. * Ensure timely reporting of incidents to insurers, FTCA representatives, and regulatory ...
Senior Information Security Risk Analyst
Johnston, RI · On-site
$106K - $152K/yr
This high-impact role where your expertise in cyber risk, vendor security, and cloud architecture ... claims and evidence * Ability to manage multiple priorities independently while maintaining quality ...
Senior Information Security Risk Analyst
Johnston, RI · On-site
$106K - $152K/yr
This high-impact role where your expertise in cyber risk, vendor security, and cloud architecture ... claims and evidence * Ability to manage multiple priorities independently while maintaining quality ...
Senior Information Security Risk Analyst
Johnston, RI · On-site
$106K/yr
This high-impact role where your expertise in cyber risk, vendor security, and cloud architecture ... claims and evidence * Ability to manage multiple priorities independently while maintaining quality ...
Senior Information Security Risk Analyst
Johnston, RI · On-site
$106K/yr
This high-impact role where your expertise in cyber risk, vendor security, and cloud architecture ... claims and evidence * Ability to manage multiple priorities independently while maintaining quality ...
This high-impact role where your expertise in cyber risk, vendor security, and cloud architecture ... claims and evidence * Ability to manage multiple priorities independently while maintaining quality ...
This high-impact role where your expertise in cyber risk, vendor security, and cloud architecture ... claims and evidence * Ability to manage multiple priorities independently while maintaining quality ...
This high-impact role where your expertise in cyber risk, vendor security, and cloud architecture ... claims and evidence * Ability to manage multiple priorities independently while maintaining quality ...
This high-impact role where your expertise in cyber risk, vendor security, and cloud architecture ... claims and evidence * Ability to manage multiple priorities independently while maintaining quality ...
This high-impact role where your expertise in cyber risk, vendor security, and cloud architecture ... claims and evidence * Ability to manage multiple priorities independently while maintaining quality ...
This high-impact role where your expertise in cyber risk, vendor security, and cloud architecture ... claims and evidence * Ability to manage multiple priorities independently while maintaining quality ...
This high-impact role where your expertise in cyber risk, vendor security, and cloud architecture ... claims and evidence * Ability to manage multiple priorities independently while maintaining quality ...
This high-impact role where your expertise in cyber risk, vendor security, and cloud architecture ... claims and evidence * Ability to manage multiple priorities independently while maintaining quality ...
Workers Compensation Claims Trainee - New England
Providence, RI · Remote
$60K/yr
The sandbox allows colleagues to practice making decisions, inputting data, and managing mock claims without risk, helping build confidence before handling actual cases. * Complete Program Milestones
Workers Compensation Claims Trainee - New England
Providence, RI · Remote
$60K/yr
The sandbox allows colleagues to practice making decisions, inputting data, and managing mock claims without risk, helping build confidence before handling actual cases. * Complete Program Milestones
Claims management * Client relationship management * Shadow experienced Account Managers, Producers, and Risk Advisors during client meetings and renewal strategy discussions. * Assist with policy ...
Claims management * Client relationship management * Shadow experienced Account Managers, Producers, and Risk Advisors during client meetings and renewal strategy discussions. * Assist with policy ...
Claims management * Client relationship management * Shadow experienced Account Managers, Producers, and Risk Advisors during client meetings and renewal strategy discussions. * Assist with policy ...
Claims management * Client relationship management * Shadow experienced Account Managers, Producers, and Risk Advisors during client meetings and renewal strategy discussions. * Assist with policy ...
Claims management * Client relationship management * Shadow experienced Account Managers, Producers, and Risk Advisors during client meetings and renewal strategy discussions. * Assist with policy ...
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Claims management * Client relationship management * Shadow experienced Account Managers, Producers, and Risk Advisors during client meetings and renewal strategy discussions. * Assist with policy ...
Job Title Commercial Claims Insurance Analyst - Remote Requisition Number R7976 Commercial Claims ... manage risk, move quickly and deliver exceptional experiences. We're looking for motivated ...
Job Title Commercial Claims Insurance Analyst - Remote Requisition Number R7976 Commercial Claims ... manage risk, move quickly and deliver exceptional experiences. We're looking for motivated ...
Investigator
Providence, RI · On-site
$30 - $35/hr
Ethos Risk Services is a leading insurance claims investigation and medical management company, specializing in surveillance and fraud detection. At the forefront, we provide accurate data and ...
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Investigator
Providence, RI · On-site
$30 - $35/hr
Ethos Risk Services is a leading insurance claims investigation and medical management company, specializing in surveillance and fraud detection. At the forefront, we provide accurate data and ...
Investigator
West Greenwich, RI · On-site
$30 - $35/hr
Ethos Risk Services is a leading insurance claims investigation and medical management company, specializing in surveillance and fraud detection. At the forefront, we provide accurate data and ...
Investigator
West Greenwich, RI · On-site
$30 - $35/hr
Ethos Risk Services is a leading insurance claims investigation and medical management company, specializing in surveillance and fraud detection. At the forefront, we provide accurate data and ...
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?
| 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.
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 are popular job titles related to Claims Risk Manager jobs in Rhode Island?
For Claims Risk Manager jobs in Rhode Island, the most frequently searched job titles are:
What job categories do people searching Claims Risk Manager jobs in Rhode Island look for?
The top searched job categories for Claims Risk Manager jobs in Rhode Island are:
What cities in Rhode Island are hiring for Claims Risk Manager jobs?
Cities in Rhode Island with the most Claims Risk Manager job openings:
Risk Management Coordinator
Woonsocket, RI • On-site
Landmark Medical Center •
Health Care and Social Assistance • 1 - 5K employees1,001 - 5,000 employees
Full-time
Re-posted 5 days ago
Job description
Overview
At Landmark Medical Center, our dedicated team of professionals is committed to our core values of quality, compassion, and community. As a member of Prime Healthcare, Landmark Medical Center is actively seeking new members to join its award-winning team!
Landmark Medical Center is a 214-bed acute care hospital in Woonsocket, RI. The hospital has been "A"rated for patient safety by The Leapfrog Group and has received numerous Healthgrades awards for patient safety excellence, heart care, and orthopedics. Originally known as the "Woonsocket Hospital," Landmark Medical Center has been serving the communities of northern Rhode Island and southern Massachusetts since 1873. Learn more at www.landmarkmedical.org.
Responsibilities
Responsible for designing, organizing, coordinating and implementing the Risk Management Program with the objective of controlling and minimizing loss to protect the human, physical and fiscal assets of the organization. Is an active participant in performance improvement data collection, activities, and functions to promote an integrated program, which ensures the provision of the highest quality of health care. Collaborates with personnel responsible for safety and security and actively participates in risk-related activities in this area. Provides assistance with claims investigation, management and litigation. Facilitates reporting of safety data/events. Evaluates risk management program(s) through the use of data capture, follow up and trend analysis and presents findings to appropriate committees. Assists with the development and implementation of initiatives, policies and procedures, including staff education activities, regarding risk reduction/elimination throughout the organization. Collaborates with multidisciplinary team on problem identification and resolution, cost containment issues, implementation of new services and systems/ performance measures
Qualifications
Education and Work Experience
#LI-DQ1
Employment Status
Full Time
Shift
Days
Equal Employment Opportunity
Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf
At Landmark Medical Center, our dedicated team of professionals is committed to our core values of quality, compassion, and community. As a member of Prime Healthcare, Landmark Medical Center is actively seeking new members to join its award-winning team!
Landmark Medical Center is a 214-bed acute care hospital in Woonsocket, RI. The hospital has been "A"rated for patient safety by The Leapfrog Group and has received numerous Healthgrades awards for patient safety excellence, heart care, and orthopedics. Originally known as the "Woonsocket Hospital," Landmark Medical Center has been serving the communities of northern Rhode Island and southern Massachusetts since 1873. Learn more at www.landmarkmedical.org.
Responsibilities
Responsible for designing, organizing, coordinating and implementing the Risk Management Program with the objective of controlling and minimizing loss to protect the human, physical and fiscal assets of the organization. Is an active participant in performance improvement data collection, activities, and functions to promote an integrated program, which ensures the provision of the highest quality of health care. Collaborates with personnel responsible for safety and security and actively participates in risk-related activities in this area. Provides assistance with claims investigation, management and litigation. Facilitates reporting of safety data/events. Evaluates risk management program(s) through the use of data capture, follow up and trend analysis and presents findings to appropriate committees. Assists with the development and implementation of initiatives, policies and procedures, including staff education activities, regarding risk reduction/elimination throughout the organization. Collaborates with multidisciplinary team on problem identification and resolution, cost containment issues, implementation of new services and systems/ performance measures
Qualifications
Education and Work Experience
- Bachelor of Science in Nursing or healthcare related field preferred
- Fellow or Diplomat of American Society of Healthcare Risk Managers Associate in Risk Management (ARM) or Certified Professional in Healthcare Risk Management (CPHRM), preferred
- Five years clinical and/or management experience in a multidisciplinary health care setting which includes a minimum of two years of inpatient experience preferred
- Experience in risk management and/or professional liability claims management preferred
- Should be knowledgeable about current State Laws and Regulations as applicable to facility
#LI-DQ1
Employment Status
Full Time
Shift
Days
Equal Employment Opportunity
Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf
About Landmark Medical Center
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
1,001 - 5,000 Employees
Headquarters location
Woonsocket, RI, US
Year founded
1873