Oversee risk management activities, including completion of incident reports, notice of potential claims, corrective action planning, and incident reporting to the Corporate Risk Manager.
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 Examiner
Richmond, VA · Hybrid
Collaborate with departments across Markel including Claims Vendor Management, Finance, Actuarial, Risk Management, and IT. * Travel to other claim offices and conferences as needed. Education * High ...
Claims Examiner
Richmond, VA · Hybrid
Collaborate with departments across Markel including Claims Vendor Management, Finance, Actuarial, Risk Management, and IT. * Travel to other claim offices and conferences as needed. Education * High ...
Claims Examiner
Richmond, VA · On-site
Collaborate with departments across Markel including Claims Vendor Management, Finance, Actuarial, Risk Management, and IT. * Travel to other claim offices and conferences as needed. Education * High ...
Claims Examiner
Richmond, VA · On-site
Collaborate with departments across Markel including Claims Vendor Management, Finance, Actuarial, Risk Management, and IT. * Travel to other claim offices and conferences as needed. Education * High ...
The Senior Claims Specialist will analyze and determine coverage, manage the claim investigation ... Thoroughly investigate and assess claims for coverage, liability and damages and pursue risk ...
The Senior Claims Specialist will analyze and determine coverage, manage the claim investigation ... Thoroughly investigate and assess claims for coverage, liability and damages and pursue risk ...
... management * Moderate knowledge of P&C insurance industry * Ability to effectively assess risk ... Minimum of one year of P&C claims handling experience including handling liability and coverage ...
... management * Moderate knowledge of P&C insurance industry * Ability to effectively assess risk ... Minimum of one year of P&C claims handling experience including handling liability and coverage ...
The Insurance Claims Specialist will be responsible for assisting with the management of all ... Contractual risk assessment * Dispute management * Integrity * Ability to mentor and inspire others
The Insurance Claims Specialist will be responsible for assisting with the management of all ... Contractual risk assessment * Dispute management * Integrity * Ability to mentor and inspire others
The purpose of the Senior Risk Coordinator is to run the project risk program efforts and related ... Change Management, Forecasting, Cost, Trends, and Claims and supports corporate, GBU, commercial ...
The purpose of the Senior Risk Coordinator is to run the project risk program efforts and related ... Change Management, Forecasting, Cost, Trends, and Claims and supports corporate, GBU, commercial ...
The purpose of the Senior Risk Coordinator is to run the project risk program efforts and related ... Change Management, Forecasting, Cost, Trends, and Claims and supports corporate, GBU, commercial ...
The purpose of the Senior Risk Coordinator is to run the project risk program efforts and related ... Change Management, Forecasting, Cost, Trends, and Claims and supports corporate, GBU, commercial ...
The purpose of the Senior Risk Coordinator is to run the project risk program efforts and related ... Change Management, Forecasting, Cost, Trends, and Claims and supports corporate, GBU, commercial ...
The purpose of the Senior Risk Coordinator is to run the project risk program efforts and related ... Change Management, Forecasting, Cost, Trends, and Claims and supports corporate, GBU, commercial ...
Risk Solutions Specialist
Richmond, VA · On-site
$74K - $102K/yr
The Risk Solutions Specialist is a developmental technical position supporting loss control/risk ... claims management and operations responsibilities * Experience using artificial intelligence (AI ...
Risk Solutions Specialist
Richmond, VA · On-site
$74K - $102K/yr
The Risk Solutions Specialist is a developmental technical position supporting loss control/risk ... claims management and operations responsibilities * Experience using artificial intelligence (AI ...
Senior Claims Manager (Remote-Friendly)
Arlington, VA · On-site +1
The Senior Claims Manager is a professional with a high level of subject matter expertise in ... risk control measures are in place. * Interacts with external partners such as Outside Counsel ...
Senior Claims Manager (Remote-Friendly)
Arlington, VA · On-site +1
The Senior Claims Manager is a professional with a high level of subject matter expertise in ... risk control measures are in place. * Interacts with external partners such as Outside Counsel ...
Risk Solutions Specialist
Richmond, VA · On-site +1
$74K - $102K/yr
The Risk Solutions Specialist is a developmental technical position supporting loss control/risk ... claims management and operations responsibilities * Experience using artificial intelligence (AI ...
Risk Solutions Specialist
Richmond, VA · On-site +1
$74K - $102K/yr
The Risk Solutions Specialist is a developmental technical position supporting loss control/risk ... claims management and operations responsibilities * Experience using artificial intelligence (AI ...
Collaborate with departments across Markel including Claims Vendor Management, Finance, Actuarial, Risk Management, and IT. * Travel to other claim offices and conferences as needed. Education * High ...
Collaborate with departments across Markel including Claims Vendor Management, Finance, Actuarial, Risk Management, and IT. * Travel to other claim offices and conferences as needed. Education * High ...
Collaborate with departments across Markel including Claims Vendor Management, Finance, Actuarial, Risk Management, and IT. * Travel to other claim offices and conferences as needed. Education * High ...
Collaborate with departments across Markel including Claims Vendor Management, Finance, Actuarial, Risk Management, and IT. * Travel to other claim offices and conferences as needed. Education * High ...
... Claims, and Accounting teams * Provide oversight and governance for key vendor partnerships, holding partners accountable for performance, risk management, and service delivery * Prepare and present ...
... Claims, and Accounting teams * Provide oversight and governance for key vendor partnerships, holding partners accountable for performance, risk management, and service delivery * Prepare and present ...
... Claims, and Accounting teams * Provide oversight and governance for key vendor partnerships, holding partners accountable for performance, risk management, and service delivery * Prepare and present ...
... Claims, and Accounting teams * Provide oversight and governance for key vendor partnerships, holding partners accountable for performance, risk management, and service delivery * Prepare and present ...
... Claims, and Accounting teams * Provide oversight and governance for key vendor partnerships, holding partners accountable for performance, risk management, and service delivery * Prepare and present ...
... Claims, and Accounting teams * Provide oversight and governance for key vendor partnerships, holding partners accountable for performance, risk management, and service delivery * Prepare and present ...
... management * Moderate knowledge of P&C insurance industry * Ability to effectively assess risk ... Minimum of one year of P&C claims handling experience including handling liability and coverage ...
... management * Moderate knowledge of P&C insurance industry * Ability to effectively assess risk ... Minimum of one year of P&C claims handling experience including handling liability and coverage ...
... Claims, and Accounting teams * Provide oversight and governance for key vendor partnerships, holding partners accountable for performance, risk management, and service delivery * Prepare and present ...
... Claims, and Accounting teams * Provide oversight and governance for key vendor partnerships, holding partners accountable for performance, risk management, and service delivery * Prepare and present ...
Evaluating liability and damages exposure, including high-severity and reputational risk matters * Managing claims involving healthcare entities, corporate boards, senior executives, and employment ...
Evaluating liability and damages exposure, including high-severity and reputational risk matters * Managing claims involving healthcare entities, corporate boards, senior executives, and employment ...
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, 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 are popular job titles related to Claims Risk Manager jobs in Virginia? For Claims Risk Manager jobs in Virginia, the most frequently searched job titles are:
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:
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Other
Medical, Dental, Vision, Retirement, PTO
Posted 3 days ago
Encompass Health rating
6.9
Based on 404 frontline employees who took The Breakroom Quiz
452nd of 870 rated healthcare providers
Job description
Quality/Risk Director Career Opportunity
Highly regarded and valued for your Quality/Risk Director expertise
Are you seeking a career that not only utilizes your skills but also aligns with your personal values, providing a profound sense of belonging and the opportunity to make a meaningful difference in patients' lives? Look no further than Encompass Health, the nation's leader in in-patient rehabilitation care. As a Quality/Risk Director, you will oversee a hospital-wide quality management program, collaborating with various stakeholders to monitor and enhance the quality of patient care services. Join a team that values collaboration, support, and inclusivity, and embark on a rewarding career close to home and close to your heart, complete with access to cutting-edge equipment and technology and a comprehensive benefits package from day one.
A Glimpse into Our World
At Encompass Health, you'll experience the difference the moment you become a part of our team. Being at Encompass Health means aligning with a rapidly growing national inpatient rehabilitation leader. We take pride in the growth opportunities we offer and how our team unites for the greater good of our patients. Our achievements include being named one of the "World's Most Admired Companies" and receiving the Fortune 100 Best Companies to Work For Award, among other accolades, which is nothing short of amazing.
Starting Perks and Benefits
At Encompass Health, we are committed to creating a supportive, inclusive, and caring environment where you can thrive. From day one, you will have access to:
- Affordable medical, dental, and vision plans for both full-time and part-time employees and their families.
- Generous paid time off that accrues over time.
- Opportunities for tuition reimbursement and continuing education.
- Company-matching 401(k) and employee stock purchase plans.
- Flexible spending and health savings accounts.
- A vibrant community of individuals passionate about the work they do!
Become the Quality/Risk Director you've always aspired to be
- Ensure compliance with regulatory agencies, accrediting bodies, corporate and hospital policies, and procedures. Develop, implement, and maintain quality assessment and improvement programs.
- Assess compliance with federal, state, and industry regulatory and accreditation standards, facilitating processes to remediate and/or maintain compliance. Provide organizational education related to regulations and standards and coordinate local, state, federal, and accreditation surveys.
- Use a variety of applications (including, but not limited to, PatCom, UDS, ORYX, and Press Ganey) to identify improvement opportunities, generate reports, research issues, identify resources, and access external databases.
- Ensure the update and maintenance of hospital plans, including the Provision of Care/Scope of Services, Leadership, Information Management, Utilization Review, Infection Control, and Patient Safety plans. Oversee risk management activities, including completion of incident reports, notice of potential claims, corrective action planning, and incident reporting to the Corporate Risk Manager.
- Coordinate the review, development, and implementation of hospital policies.
- Communicate and collaborate with other departments to coordinate care and promptly resolve patient concerns or complaints.
- Celebrate the accomplishments and successes of our dedicated employees along the way.
Qualifications
- A bachelor's degree in healthcare or a related field is preferred.
- License or Certification as required by state regulations.
- Experience in Quality and/or Risk Management, including primary responsibility for performance improvement activities, regulatory compliance, conflict resolution, leadership, and risk management activities.
We're looking forward to meeting you, and we genuinely mean that. Join us on this remarkable journey!
The Encompass Health Way
We proudly set the standard in care by leading with empathy, doing what's right, focusing on the positive, and standing stronger together. Encompass Health is a trusted leader in post-acute care with over 150 nationwide locations and a team of 36,000 exceptional individuals and growing!
At Encompass Health, we celebrate and welcome diversity in our inclusive culture. We provide equal employment opportunities regardless of race, ethnicity, gender, sexual orientation, gender identity or expression, religion, national origin, color, creed, age, mental or physical disability, or any other protected classification.
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About Encompass Health
Sourced by ZipRecruiter
Helping patients regain hope and independence, Encompass Health is a national leader in post-acute care. We operate rehabilitation hospitals in 36 states as well as Puerto Rico. Following the Encompass Way, we are driven by our core values: We proudly set the standard, lead with empathy, do what's right, focus on the positive, and remain stronger together.
Industry
Hospitals
Company size
10,000+ Employees
Headquarters location
Birmingham, AL, US
Year founded
1984