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Claims Risk Manager Jobs in Gainesville, GA (NOW HIRING)

Senior Claims Advocate

Peachtree Corners, GA · On-site

$62K - $80K/yr

... claims management, strategic advocacy, and risk mitigation support to our clients. The ideal ... candidate will have a strong background in multi-jurisdictional claims handling, including workers ...

Senior Claims Advocate

Duluth, GA · On-site

$60K - $78K/yr

Claims Advocacy & Oversight * Manage and advocate for complex claims across both workers ... Bachelor's degree in Risk Management, Insurance, Business, or a related field preferred. * Industry ...

Senior Claims Advocate

Duluth, GA · On-site

$60K - $78K/yr

Claims Advocacy & Oversight * Manage and advocate for complex claims across both workers ... Bachelor's degree in Risk Management, Insurance, Business, or a related field preferred. * Industry ...

Senior Claims Advocate

Duluth, GA · On-site

$60K - $78K/yr

Claims Advocacy & Oversight * Manage and advocate for complex claims across both workers ... Bachelor's degree in Risk Management, Insurance, Business, or a related field preferred. * Industry ...

The Indemnity Claims Specialist manages within company best practices lower-level, non-complex and ... CorVel Careers | Opportunities in Risk Management In general, our opportunities will be posted for ...

Job Title Join ESIS, a leader in risk management and insurance services, where your skills and ... Claims Management: Investigate, evaluate, and manage workers' compensation claims from inception to ...

The Indemnity Claims Specialist manages within company best practices lower-level, non-complex and ... CorVel Careers | Opportunities in Risk Management In general, our opportunities will be posted for ...

Manages claims, as well as claims staff, in other areas, including Miscellaneous Professional ... minimize company risk of loss. Negotiate claim settlements within defined authority limit.

... management, vendor performance - at the executive and Board levels. * Own the financial performance of the claims program, including reserve adequacy, loss forecasting, and total cost of risk.

Lead and direct Complex claims department leadership and personnel in achieving high standards of ... Collaborates with Underwriting, Risk Management, Actuarial, and other stakeholders to ensure ...

Lead and direct Complex claims department leadership and personnel in achieving high standards of ... Collaborates with Underwriting, Risk Management, Actuarial, and other stakeholders to ensure ...

Showing results 21-40

Claims Risk Manager information

See Gainesville, GA salary details

$32.6K

$81.9K

$129.6K

How much do claims risk manager jobs pay per year?

As of Aug 6, 2026, the average yearly pay for claims risk manager in Gainesville, GA is $81,926.00, according to ZipRecruiter salary data. Most workers in this role earn between $63,400.00 and $97,900.00 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 job categories do people searching Claims Risk Manager jobs in Gainesville, GA look for? The top searched job categories for Claims Risk Manager jobs in Gainesville, GA are:
What cities near Gainesville, GA are hiring for Claims Risk Manager jobs? Cities near Gainesville, GA with the most Claims Risk Manager job openings:
Infographic showing various Claims Risk Manager job openings in Gainesville, GA as of July 2026, with employment types broken down into 87% Full Time, 11% Part Time, and 2% Contract. Highlights an 87% Physical, 3% Hybrid, and 10% Remote job distribution, with an average salary of $81,926 per year, or $39.4 per hour.

Senior Claims Advocate

EPIC Brokers

Peachtree Corners, GA • On-site

$62K - $80K/yr

Other

Medical, Dental, Vision, Retirement, PTO

Re-posted 16 days ago


Job description

Senior Claims Advocate

We are seeking a highly experienced Senior Claims Advocate with expertise in both workers' compensation and liability claims to deliver exceptional claims management, strategic advocacy, and risk mitigation support to our clients. The ideal candidate will have a strong background in multi-jurisdictional claims handling, including workers' compensation and liability lines such as general liability, auto, and property and demonstrate analytical skills and a client-focused mindset.

Location: Duluth GA, this is a hybrid position, with a minimum of three in-office days per week.

Claims Advocacy & Oversight
  • Manage and advocate for complex claims across both workers' compensation and liability lines from initial reporting to final resolution.
  • Serve as a trusted advisor to clients, delivering strategic guidance to reduce claim costs and improve outcomes.
  • Partner with carriers, TPAs, and legal counsel to ensure appropriate claim handling, reserving, and settlement strategies.
  • Identify claim trends across multiple lines and propose tailored solutions to reduce loss experience.
  • Support clients in challenging denials, negotiating settlements, and intervening in escalated cases.
Client Consulting & Risk Mitigation
  • Provide consultative support on injury and incident management, return-to-work strategies, and liability exposure, and overall claim risk.
  • Prepare and present client-facing settlement and reserve recommendations aligned with exposure analysis, jurisdictional factors, and risk-management objectives.
  • Facilitate claim review meetings and prepare detailed reports that communicate claim status, trends, and recommendations.
  • Collaborate closely with the account service team to ensure coordinated client strategy, consistent communication, and effective execution of claims initiatives.
  • Partner with client risk, safety, legal, and HR teams to implement proactive measures aimed at reducing claim frequency and severity.
Carrier, TPA & Legal Liaison
  • Interface with carriers, TPAs, and attorneys to ensure effective, timely, and client-centered claim resolution.
  • Advocate for appropriate reserving practices, equitable settlements, and consistent claims service.
  • Participate in settlement negotiations and mediation where appropriate.
Compliance & Regulatory Awareness
  • Maintain current knowledge of workers' compensation and liability laws, litigation trends, and best practices across jurisdictions.
  • Ensure clients remain compliant with regulatory requirements, including reporting obligations and safety protocols.
Data Analytics & Reporting
  • Analyze loss data across lines of coverage to identify trends, gaps, and opportunities for improvement.
  • Prepare and deliver client-facing analytics reports with strategic insights and practical recommendations.

What You'll Bring:

  • Experience: Minimum 5 to 10 years of claims experience across workers' compensation and liability lines (GL, Auto, etc.), with a background in brokerage, TPA, or carrier environments.
  • Technical Expertise: Strong knowledge of multi-jurisdictional laws and best practices in both workers' compensation and liability claims.
  • Client-Facing Skills: Demonstrated ability to build relationships, influence outcomes, and communicate effectively with all stakeholders.
  • Analytical Ability: Skilled in data analysis, claim reviews, and trend identification.
  • Technology: Proficient in claims management systems, Excel, and reporting tools.
Preferred Education & Certifications
  • Bachelor's degree in Risk Management, Insurance, Business, or a related field preferred.
  • Industry designations such as AIC, ARM, CPCU, or CLCS strongly preferred.

Compensation:

The base pay offered will be determined based on your experience, skills, training, certifications and education, while also considering internal equity and market data.

Why EPIC:

  • Generous Paid Time off: Managed PTO for salaried/exempt employees (personal time off without accruals or caps); 22 PTO days starting out for hourly/non-exempt employees; 12 company-observed paid holidays; 4 early-close days
  • Generous leave time options: Paid parental leave, pregnancy disability and bonding leave, and organ donor/bone marrow donor leave
  • Generous employee referral bonus program of $1,500 per hired referral
  • Employee recognition programs for demonstrating EPIC's values plus additional employee recognition awards and programs (and trips!)
  • Employee Resource Groups: Women's Coalition, EPIC Veterans Group
  • Professional growth & development: Mentorship Program, Tuition Reimbursement Program, Leadership Development
  • Unique benefits such as Pet Insurance, Identity Theft & Fraud Protection Coverage, Legal Planning, Family Planning, and Menopause & Midlife Support
  • Additional benefits include (but are limited to): 401(k) matching, medical insurance, dental insurance, vision insurance, and wellness & employee assistance programs
  • 50/50 Work Culture: EPIC fosters a 50/50 culture between producers and the rest of the business, supporting collaboration, teamwork, and an inclusive work environment. It takes both production and service to be EPIC!
  • EPIC Gives Back – Some of our charitable efforts include Donation Connection, Employee Assistance Fund, and People First Foundation
  • We're in the top 10 of property/casualty agencies according to "Insurance Journal"