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Claims Risk Manager Jobs in Appleton, WI (NOW HIRING)

Bellin

Risk & Insurance Specialist

Green Bay, WI · On-site

$95.80K/yr

Associate in Risk Management (ARM) or Certified Risk Manager (CRM) preferred. Experience: 3-4 years ... Support leaders responsible for managing property and casualty insurance claims, assist with claim ...

Jewelers Mutual Group

Product Manager II

Neenah, WI · On-site

... claims, distribution, compliance, finance, legal, and operations. * Perform product analysis and ... Statistics, Risk Management/Insurance, Analytics) or equivalent combination of education and ...

GFL Environmental

Facility Manager

Omro, WI

... sound risk management program, and facilitate business expansion. Pay: Compensation Based on ... Promote an accident prevention program that seeks to reduce claims, avoid injury and recognize safe ...

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Claims Risk Manager information

See Appleton, WI salary details

$34.1K

$85.7K

$135.6K

How much do claims risk manager jobs pay per year?

As of May 28, 2026, the average yearly pay for claims risk manager in Appleton, WI is $85,729.00, according to ZipRecruiter salary data. Most workers in this role earn between $66,300.00 and $102,500.00 per year, depending on experience, location, and employer.

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.

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 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 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 job categories do people searching Claims Risk Manager jobs in Appleton, WI look for? The top searched job categories for Claims Risk Manager jobs in Appleton, WI are:
What cities near Appleton, WI are hiring for Claims Risk Manager jobs? Cities near Appleton, WI with the most Claims Risk Manager job openings:
Claims Risk Manager jobs near you

Risk & Insurance Specialist

Bellin

Green Bay, WI • On-site

$95.80K/yr

Full-time

Medical, Retirement, PTO

Posted 6 days ago

Job description

Job Specifics
Location: 1920 Libal St, Green Bay, WI 54301
FTE Status: Full-Time 1.00 FTE (40 hours/week)
Work Schedule: Days. Monday - Friday. No weekends or holidays
Want to learn more: Chat with Marissa Zorzin at marissa.zorzin@emplifyhealth.org
Job Description:
Support procurement and the administration of all insurance programs, including captive insurance companies, commercially insured programs, and self-insured trusts.
Qualifications:
Education: Associate degree required; bachelor's degree preferred. Equivalent relevant education and/or experience may be considered in lieu of a degree requirement.
Certification/Registration/Licensure: Associate in Risk Management (ARM) or Certified Risk Manager (CRM) preferred.
Experience: 3-4 years of experience supporting underwriting or placement of professional liability, general liability, and/or property and casualty insurance, either within an organization or an insurance agency required. 5-7 years of related experience, preferably within healthcare or a closely related industry.
Essential Job Duties:
  • Work with leadership to develop and maintain a database of insurable assets, including schedules of property, automobiles, trustees, officers, insured physicians, name insureds, and other data, to be used for renewal of the various lines of coverage
  • Assist leadership with the insurance application process, verifying data obtained from insured entities, compiling data for the systems, and reviewing final application forms before submission to markets.
  • Work with leadership to direct broker activities on all insurance programs, maintaining an ongoing interface and flow of information, leveraging broker resources, and executing work plans to support organization risk visibility.
  • Maintain collaborative relationships with BGHS affiliates while facilitating information flow, respond to insurance and ERM-related inquiries, work to identify and reduce areas of redundancy and improve efficiency.
  • Support leaders responsible for managing property and casualty insurance claims, assist with claim reporting and investigation, support business analysis, and assemble records across the organization.
  • Facilitate the flow of information across the organization to help ensure any new exposures get identified and adequately insured.
  • Ensure that payments for insurance, settlements, or risk management services get paid timely and accurately.
  • Maintain a current, valid insurance digest of coverages (policy cover sheets, certificates of insurance and proof of insurance) for dissemination, and maintain insurance documents to comply with records retention requirements of the organization
  • Support the administration of the self-funded professional liability trust fund, collaborating with internal and external partners and fund regulator(s).
  • Interface with all insurance carriers for all insurance policies, serving as liaison with all internal departments at BGHS for insurance and ERM-related requests.
  • Assist with identifying and pursuing all opportunities for: recovery of insurance costs including subrogation, and improvement opportunities in processes to create efficiencies.
  • Participate in leveraging all soft benefits and programs offered by insurance companies, audit and risk professionals, including safety program offerings, claim or loss trends analysis, emerging risks.
  • Maintain an overview of claims based on up to date loss runs for each policy and participate in root cause analysis of claims to support the team's responsibility to monitor trends and promote institutional learning.
  • Provide required information to carriers, auditors, regulators, and state program administrators for reporting, audits, compliance reviews, etc.
  • Assist leadership with other projects and duties as assigned.

Why Bellin Health?
With so many amazing healthcare organizations in this area, why Bellin?
Bellin Health offers a proud, local history spanning more than 100 years. Our personalized patient care model is only the beginning of what you will experience as we foster population health transformation and innovation to serve our communities. You can be part of an exciting dynamic place that offers an employee-first culture, work-life balance, and career advancement & growth opportunities. This culture allows our organization to attract elite talent, like yourself!
Additional perks include:
  • Top-notch benefits: 401(k) with matching, paid time off, competitive health insurance, wellness programs to keep you and your family healthy, tuition reimbursement, and more
  • Preventative care focused medical coverage that includes free visits to: Bellin primary care providers, Urgent Care & Fast Care facilities, physical therapy sessions and any labs required during these visits
  • Access to online continuing education for professional and career development
  • Empowerment to shape your work environment, encouragement to improve processes and create efficiencies, and support when seeking opportunities for growth.
  • Culture that encourages self-care and provides you with opportunities to be your best self at work and at home
  • Be a member of a passionate workforce, that feels like family and is driven to provide exceptional patient care with a strong focus on community.

We inspire your best life by relentlessly caring, learning and innovating. This is our purpose. Together with our values - belonging, respect, excellence, accountability, teamwork and humility - our pillars set our foundation and our future.
Bellin Health is an Equal Opportunity Employer.

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