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Claims Risk Manager Jobs in Virginia (NOW HIRING)

Risk Analyst

Richmond, VA · On-site

$40 - $55/hr

We are looking for an experienced Risk Analyst to support claims risk management activities for a government-focused organization in Richmond, Virginia. This Long-term Contract position is ideal for ...

Risk Manager Job Code: RM1505 ABOUT US We are ushering in a new era of healthcare where achieving ... Uses incident, complaint, and claims-related information to identify trends and support risk ...

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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 job categories do people searching Claims Risk Manager jobs in Virginia look for? The top searched job categories for Claims Risk Manager jobs in Virginia are:
What cities in Virginia are hiring for Claims Risk Manager jobs? Cities in Virginia with the most Claims Risk Manager job openings:
Manager, Claims & Risk Management

Manager, Claims & Risk Management

HITT Contracting

Falls Church, VA • On-site

$95K - $140K/yr

Other

Medical, Dental, Vision, Retirement

Posted 26 days ago


Job description

Every day, our team members do amazing things in pursuit of our shared purpose to build trust with our clients, partners, subcontractors, and teammates. No matter your background, education, or career path, if you share our vision to create extraordinary experiences, you belong at HITT. Manager, Claims & Risk Management Job Description: The Manager, Claims & Risk Management, is responsible for the oversight and management of a variety of complex property and casualty insurance claims and disputes.

The Manager, Claims & Risk Management performs work that varies in scope and is in support of their development and growth within the Insurance & Risk Management department. The Manager, Claims & Risk Management proactively develops solutions to problems and uses sound judgement in issue escalation to leadership. This role applies fundamental insurance and claim concepts, practices, and procedures in support of the claims functions within Insurance & Risk Management.

The Manager, Claims & Risk Management role is a combination of exceptional contributor functions with direct team management of multiple direct reports. This position reports to Senior Manager, Claims & Risk Management in the Insurance & Risk Management Department. RESPONSIBILITIES Claims and Incident Management and Advocacy Independent claims handling and shared coordination with direct reports for the major lines of coverage including but not limited to auto, general liability, workers’ compensation, builder’s risk, pollution liability, and professional liability Review insurance policies, provide guidance on applicable insurance, analyze coverage letters, and coordinate response Analyze construction documents to assess liability and damages Liaison with insurance company claims professionals and internal stakeholders for successful outcome of claim Monitor and evaluate claims activity to ensure accuracy and compliance with laws and regulations Draft settlement recommendation memorandums within prescribed authority Litigation case management to include interviewing prospective attorneys and vendors, initiating litigation holds and document production, coordinating depositions, and attending conferences/hearings.

Conduct quarterly reviews with insurance carriers Complete monthly and bi-annual claim reporting to leadership Claims Team Management Manage, coach, and develop a team of direct reports, fostering a high-performing, inclusive culture based on accountability and continuous growth. Provide technical direction on complex, high-severity, or disputed claims. Review and approve settlement recommendations and reserve changes.

Risk Management Information System (RMIS) Technical subject matter expert on claims data within organization’s RMIS Analyze incident and claims data and draw meaningful conclusions to include in the company’s internal reporting Process improvement Identify areas of opportunity where efficiencies can be made and implement improvements Streamline departmental process and procedures Assist management with property and casualty claims programs including updating account instructions, resolving performance issues, and identifying opportunities for improvement. Departmental Goals Create standard operating procedures for assigned tasks Assist with the planning and execution of departmental goals Train and mentor staff as needed Assist with risk control and risk reduction strategies Generate company resources such as news articles and presentations regarding relevant topics QUALIFICATIONS • Bachelor’s degree in Risk Management, Business, Finance, Economics, Safety, or related fields preferred, but not required; in lieu of a degree, additional work experience is acceptable • Minimum of 6-8 years of experience handling property & casualty insurance claims • Experience in the architecture/engineering/construction (AEC) field or commercial real estate development highly desirable • Adept with Microsoft Excel for data analytics and financial summaries • Knowledge of insurance regulations and industry best practices • Excellent written and verbal communication skills • Able to work independently and manage multiple tasks • Previous experience managing a team preferred This position reports out of HITT’s Headquarters in Falls Church, VA with a 4-day in office schedule. In accordance with Virginia Senate Bill 215 (SB 215), the base salary range for this position is: $95,000.00 - $140,000.00 Compensation in other cities and states may vary.

HITT Contracting offers a competitive total benefits and compensation package including performance-based bonuses, premium health care coverage including vision and dental, employer-matched 401(k), wellness reimbursement program, paid holidays and time-off, and other voluntary benefits and leave types. The determination of salary is based on the candidate’s individual professional experience, qualifications, education, skills, and training. HITT Contracting is an equal opportunity employer.

We are committed to hiring and developing the most qualified individuals based on job-related experience, skills, and merit. All employment decisions are made without regard to race, color, religion, sex, national origin, age, disability, veteran status, or any other protected characteristic. We value a respectful, inclusive workplace where everyone has the opportunity to succeed.

HITT Contracting maintains a drug-free workplace, consistent with applicable local, state, and federal laws.