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Claims Risk Manager Jobs in Ceres, CA (NOW HIRING)

City of Merced

Safety Coordinator

Merced, CA · On-site

$57K - $69K/yr

... risk assessments and regulatory compliance programs; to monitor processes; to conduct or coordinate ... Advise safety committees, supervisors, and management on the best methods to resolve environmental ...

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Showing results 21-27

All JobsClaims Risk JobsClaims Risk Manager JobsClaims Risk Manager Jobs in Ceres, CA

Claims Risk Manager information

See Ceres, CA salary details

$35.9K

$90.1K

$142.5K

How much do claims risk manager jobs pay per year?

As of Sep 2, 2026, the average yearly pay for claims risk manager in Ceres, CA is $90,062.00, according to ZipRecruiter salary data. Most workers in this role earn between $69,700.00 and $107,600.00 per year, depending on experience, location, and employer.

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 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.

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.

How much do claims risk managers make in the US?

Claims risk managers in the US typically earn a median annual salary of around $80,000 to $100,000, with experienced professionals and those in senior roles earning over $120,000. Salaries vary based on location, industry, experience, and certifications such as CPCU or ARM.

Is Claims Risk Manager a good career?

A Claims Risk Manager oversees the assessment and mitigation of insurance claim risks, often requiring strong analytical skills and knowledge of insurance policies. The role offers opportunities for advancement and typically involves working in insurance, risk management, or corporate environments. It can be a stable and rewarding career for those interested in risk analysis and insurance processes.

What cities near Ceres, CA are hiring for Claims Risk Manager jobs?

Cities near Ceres, CA with the most Claims Risk Manager job openings:

Claims Risk Manager jobs near you
Infographic showing various Claims Risk Manager job openings in Ceres, CA as of July 2026, with employment types broken down into 82% Full Time, 16% Part Time, and 2% Contract. Highlights an 87% Physical, 3% Hybrid, and 10% Remote job distribution, with an average salary of $90,062 per year, or $43.3 per hour.

Licensed Therapist Compliance Partner (OT, PT, SLP)

Ensign Services

Modesto, CA • On-site

$100K - $115K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 13 days ago

Ensign Group rating

6.5

Company rating: 6.5 out of 10

Based on 168 frontline employees who took The Breakroom Quiz

612th of 898 rated healthcare providers

Job description

Licensed Therapist Compliance Partner (OT, PT, SLP)
Position Type: Full Time, Employee.
Salary: $100,000 to $115,000 annually.
Location: Field Resource and regularly travels to assigned facilities; must reside near a major airport in one of the following areas: Sacramento, Modesto, Santa Rosa, Davis, CA.
Schedule: Typical business hours but may vary depending on workload and travel needs - 40 hours/week.
About the Company:
Ensign Services, Inc. (“ESI”) is a subsidiary of The Ensign Group, Inc. whose affiliated entities are considered national leaders in the fast-growing post-acute care industry. ESI provides service and support to over 378 facilities in the long-term care continuum that employ over 55,000 employees.
ESI is known as the “Service Center” and provides the facilities and leaders it serves with “back-office” support in areas such as accounting, construction, compliance, human resources, information technology, learning and development, legal and risk management and recruiting. This structure allows the onsite leaders and caregivers to focus on day-to-day care and operational issues in their individual operations. What sets ESI apart from other companies is the quality of our most valuable resource - our people.
We take our core values of Celebration, Accountability, Passion for Learning, Love One Another, Intelligent Risk Taking, Customer Second, and Ownership (“CAPLICO”) seriously. We want an individual in this role who will demonstrate these values through actions and words.
About the Opportunity:
Ensign Services, Inc.’s (ESI) Compliance Department is seeking a Therapy Billing Compliance Partner. Must be an Occupational Therapist, Physical Therapist or Speech Therapist with at least five years’ experience in the skilled nursing environment. Primary responsibilities will involve performing compliance audits, conducting internal investigations under direction of associate and chief compliance officer, reviewing and analyzing medical records and/or claims to detect possible compliance or quality issues.
Our compliance philosophy is to work as closely with field facilities, agencies and resources as possible to develop solid relationships that allow us to enhance and foster compliance throughout the organization. We not only provide training, oversight and auditing functions, but we also serve as partners to our providers to assist them in building successful businesses in an ethical and compliant manner.

Job Duties and Responsibilities include, but are not limited to:
  • Performs Medicare claim review portion of internal compliance audits.
  • Conducts internal investigations involving compliance issues.
  • Track corrective action plans related to any adverse findings.
  • Facilitate other required compliance activities.
  • Travel required 70% of the time within California and surrounding areas/states.
Preferred Qualifications:
  • Occupational, Physical or Speech Language Pathologist Therapy License.
  • A minimum of five years’ SNF experience.
  • Expertise in MDS/PDPM coding rules and regulations.
  • Understanding of the legal and regulatory framework governing the skilled nursing industry.
  • Ability to work with all levels of management on potentially complex compliance/regulatory issues.
Desired Skills:
  • Superior interpersonal communication skills.
  • Strong writing skills required to write compliance reports, and other communications.
  • Works well independently in a home office environment on long term projects and as a member of an interdisciplinary team.
  • An engaging and informative teacher for regular training of facility personnel regarding Medicare requirements.
  • Possesses and conveys high degree of credibility and integrity.
  • A desire to constantly improve Medicare management systems and organizational compliance.
  • Understands and accepts the unpredictable nature and needs of the compliance function in a large organization.
  • Exhibits analytical skills and an understanding of operational processes.
  • Basic to intermediate knowledge of Microsoft Office/Excel.
Additional Information:
  • Pre‑employment criminal background screening required.
What We Offer:
We are committed to providing a competitive benefits and compensation package which includes medical/dental/vision coverage, company-provided life insurance, 401(k) with company match, and sick/vacation plans. We also believe in supporting our employee’s professional growth and development through our Learning Management System as well as training sessions and seminars. Take a look at these benefits (and more!) at www.ensignbenefits.com.
Ensign Services, Inc. is an equal opportunity employer. If you need assistance or accommodation during the application process, please contact us at 888-659-3616.
Job ID 1158

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