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Claims Risk Manager Jobs in Utah (NOW HIRING)

Refers complex coverage questions to Risk Manager * Secures loss runs from carriers as requested. * Prepares claims information for presentations as requested. * Resolves customer claim issues in ...

Risk Management, Regulatory & Claims, and Legal. Summary of Responsibilities: Legal & Compliance * Serve as a trusted advisor to OOCL North America Group companies, providing practical, business ...

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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 Utah are hiring for Claims Risk Manager jobs? Cities in Utah with the most Claims Risk Manager job openings:
Director, Commercial Liability Claims

Director, Commercial Liability Claims

WCF Insurance

Sandy, UT • On-site

$120K - $160K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 10 days ago


Job description

WCF Insurance, an "A" rated carrier growing throughout the western states, has an immediate opening for a Director, Commercial Liability Claims. This full-time, exempt position reports to the VP, Commercial Claims and offers the opportunity for hybrid work. We are looking for someone who embodies WCF's core values: doing the right thing, being great at your job, and helping others succeed.

This position may be based at WCF's headquarters in Sandy, Utah, or in one of our regional offices in Meridian, Idaho; Las Vegas, Nevada; Englewood, Colorado; or Phoenix, Arizona.

Responsibilities

  • Lead the general liability claims function including strategy, performance, and technical standards
  • Establish and implement claims handling strategies, policies, and procedures to ensure consistent, high-quality outcomes
  • Monitor and manage claim reserves, settlement authority, and expense controls to support financial performance and profitability
  • Oversee vendor relationships, defense counsel, and third-party administrators to ensure effective claim outcomes
  • Partner cross-functionally with underwriting, actuarial, finance, and risk management to align claim strategies with business objectives
  • Analyze claims data, loss trends, and emerging risks to drive continuous improvement and proactive risk mitigation
  • Manage department compliance with state and federal regulatory requirements
  • Communicate key claims trends and performance indicators to leadership
  • Provide leadership, direction, and support for the claims department
  • Support development, engagement, and retention of a high-performing claims team

Qualifications

The most qualified applicants will bring:

  • Bachelor's degree in business, risk management, insurance, or law; Juris Doctor preferred
  • At least ten years of experience in umbrella and liability claims and insurance administration
  • Proven leadership and managerial skills
  • Deep expertise in general liability, auto liability, and/or commercial casualty claims
  • Strong understanding of litigation, coverage analysis, litigation strategy, and complex claims handling
  • Experience with claims analytics, trend identification, and operational improvement initiatives
  • Excellent communication, negotiation, and decision-making skills

Internal candidates should have at least six months in their current position, and must have acceptable job performance, a good attendance record, and notify their current supervisor that they have applied.

Benefits

WCF Insurance offers an extensive compensation package. Benefits include Medical, Dental, and Vision insurance, company paid life insurance, 401K with a generous 6% employer match and additional benefits such as an Employee Assistance Program and time off to volunteer. All employees earn 4 weeks of vacation their first year.

Compensation

The expected pay range for this position is $120,000 to $160,000 annually depending upon education, experience, and individual qualifications.

OUR PEOPLE

WCF strives to provide an excellent work experience and cultivate an inclusive environment where anyone who embodies our values will thrive

WCF INSURANCE IS AN EQUAL OPPORTUNITY EMPLOYER

WCF Insurance provides equal employment opportunity to all qualified applicants and employees regardless of race, color, religion, sex, age, national origin, veteran status, disability that can be reasonably accommodated, or any other basis prohibited by federal, state, or local law.


Job Posted by ApplicantPro