ZipRecruiter

Log In

1

Claims Risk Manager Jobs in Boca Raton, FL (NOW HIRING)

The Hartford

Behavioral Health Case Manager

Sunrise, FL · Hybrid

Manages risk and resources on highly complex behavioral health claims. * Identifies appropriate return to work options and/or barriers to partner with internal resources to ensure a smooth transition ...

New

previous page

Showing results 41-60

All JobsClaims Risk JobsClaims Risk Manager JobsClaims Risk Manager Jobs in Boca Raton, FL

Claims Risk Manager information

See Boca Raton, FL salary details

$33.2K

$83.4K

$131.9K

How much do claims risk manager jobs pay per year?

As of Aug 6, 2026, the average yearly pay for claims risk manager in Boca Raton, FL is $83,377.00, according to ZipRecruiter salary data. Most workers in this role earn between $64,500.00 and $99,600.00 per year, depending on experience, location, and employer.

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?

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 Boca Raton, FL? For Claims Risk Manager jobs in Boca Raton, FL, the most frequently searched job titles are:
What job categories do people searching Claims Risk Manager jobs in Boca Raton, FL look for? The top searched job categories for Claims Risk Manager jobs in Boca Raton, FL are:
What cities near Boca Raton, FL are hiring for Claims Risk Manager jobs? Cities near Boca Raton, FL with the most Claims Risk Manager job openings:
Claims Risk Manager jobs near you
Infographic showing various Claims Risk Manager job openings in Boca Raton, FL as of August 2026, with employment types broken down into 83% Full Time, and 17% Part Time. Highlights an 100% In-person job distribution, with an average salary of $83,377 per year, or $40.1 per hour.

Business Analyst I, II, III (Personal & Commercial Residential Insurance)

Windward Risk Managers

Boca Raton, FL • On-site

Full-time

This job post has expired today. Applications are no longer accepted.

Job description

Position Summary:

We are seeking an experienced Business Analyst with solid expertise in personal and/or commercial residential property insurance to support and enhance our Policy and/or Claims Administration systems. This role will partner with business stakeholders and technology teams to analyze workflows, define requirements, support system enhancements, and resolve production issues that impact critical insurance operations.

This position may be filled at the BA I, BA II, or BA III level, depending on the candidate’s experience, skills, and demonstrated ability to work independently, lead initiatives, and influence outcomes. The ideal candidate is detail-oriented, proactive, and comfortable operating in a dynamic, regulated environment with evolving priorities.

Essential Functions:

Business & Systems Analysis

  • Partner directly with Underwriting, Product, Operations, Compliance, Claims, and Technology teams to gather and document business requirements
  • Translate underwriting and/or claims guidelines, eligibility rules, rates, forms, endorsements, and workflows into functional system requirements
  • Support enhancements and configuration of online quote/bind applications and policy/claims administration systems
  • Create user stories, business process flows, requirement documentation, acceptance criteria, and traceability artifacts
  • Analyze impacts of product or regulatory changes to system functionality and business processes
  • Perform other related duties and responsibilities as assigned to support business objectives.

Project Delivery & Stakeholder Engagement

  • Participate in or lead requirements workshops, discovery sessions, and backlog refinement meetings.
  • Manage changing priorities and scope while ensuring requirements remain clear, documented, and approved.
  • Participate in testing validation, defect triage, and production implementation activities
  • Provide clear, timely communication and status updates to stakeholders.

Documentation & Quality Assurance

  • Create and maintain documentation while ensuring Confluence is consistently updated and serves as the single source of truth for requirements including workflows, business rules, system behaviors, and configuration details.
  • Develop and execute test plans, track defects and coordinate fixes.
  • Ensure delivered solutions meet business requirements, quality standards, and compliance expectations.

Production Support & Issue Resolution

  • Troubleshoot system issues, identify root cause, and coordinate resolution with IT and development teams.
  • Support production incidents and escalated help desk tickets related to our systems.
  • Communicate issue status, risks, and resolution progress effectively to business partners.
  • Review escalated Service Desk tickets to identify opportunities for process improvement, knowledge base development, and training, facilitating the transition of repeatable support activities and issue resolution from higher support tiers to Level 1 Service Desk teams.

Required Education and Experience:

  • Bachelor’s degree or equivalent combination of education and relevant work experience.
  • Professional experience in the Property & Casualty Homeowners and/or Residential Commercial insurance industry functioning in a Business Analyst capacity, including requirements elicitation, documentation, and collaboration with technical teams to implement changes to insurance or policy administration systems.
  • Proven experience analyzing business problems, troubleshooting issues, and applying logical, detail-oriented approaches to develop effective solutions with limited supervision.
  • Demonstrated experience managing multiple assignments simultaneously, prioritizing work, managing scope, and driving work to completion with minimal supervision in a fast-paced, results-driven environment.
  • Demonstrated experience working with cross-functional teams, business stakeholders, and technical resources, with strong written and verbal communication skills.
  • Experience working in Agile / Scrum or sprint-based delivery environments.

Preferred Qualifications:

  • 3+ years of professional experience in a Business Analyst role within the Property & Casualty insurance industry.
  • Experience supporting Homeowners and/or Residential Commercial lines of business for Florida, Texas, and/or California risks, including familiarity with state-specific products, forms, rating, underwriting, or regulatory requirements.
  • Experience with Duck Creek.
  • Familiarity with regulated environments such as Florida and/or Texas.
  • Insurance carrier or MGA background strongly preferred.
  • Business Analyst certification (CBAP, CCBA, PMI-PBA) a plus.

Essential Skills:

  • Ability to understand technical concepts and communicate effectively with developers and system vendors.
  • Strong attention to detail especially when working with policy, forms, rating, claims, or billing system changes.
  • Strong analytical and critical-thinking skills, with the ability to evaluate business needs and translate them into clear, well-defined requirements.
  • Ability to work independently with minimal supervision while maintaining accountability for quality and timeliness of deliverables.
  • Strong problem-solving skills, including the ability to research issues, recreate steps, identify root causes, and recommend practical solutions.
  • Ability to understand complex business processes, system workflows, and dependencies.
  • Proficiency with business analysis, documentation, and collaboration tools used to support project delivery.
     

Due to current business and operational considerations, we currently hire employees residing in the following states at this time: AL, AR, CA, CT, FL, GA, KY, MO, NC, NV, OH, SC, TN, TX, VA, and WI.

Work Authorization Requirement:

  • This role requires permanent U.S. work authorization and does not offer employer sponsorship now or in the future.

WRM is committed to providing equal employment opportunities to all employees and applicants without regard to race, color, religion, sex, sexual orientation, gender identity or expression, national origin, disability, or veteran status. We take affirmative action to ensure that all employment decisions are based on merit, qualifications, and abilities.
Notice to Third Party Agencies: WRM does not accept unsolicited resumes from third party recruiting firms. Absent a signed Service Agreement by WRM’s Human Resources Department, WRM reserves the right to pursue and hire these candidates without financial obligation to recruiters or agencies.

Apply