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Claims Risk Manager Jobs in Mexico, MO (NOW HIRING)

Missouri Employers Mutual

$72K - $109K/yr

Lead cross-departmental efforts to improve claims handling and risk management. * Resolve escalated customer service issues and support high-value accounts. * Participate in workflow improvement ...

JBS USA

SAFETY SUPERVISOR

Columbia, MO

Conduct safety inspections, audits, risk assessments, and incident investigations. * Develop and ... Manage the workers' compensation program, including injury reporting, claims management, return-to ...

JBS Imports

SAFETY SUPERVISOR

Columbia, MO · On-site

Conduct safety inspections, audits, risk assessments, and incident investigations. * Develop and ... Manage the workers' compensation program, including injury reporting, claims management, return-to ...

JBS USA

SAFETY SUPERVISOR

Columbia, MO · On-site

Conduct safety inspections, audits, risk assessments, and incident investigations. * Develop and ... Manage the workers' compensation program, including injury reporting, claims management, return-to ...

JBS USA

SAFETY SUPERVISOR

Columbia, MO · On-site

Conduct safety inspections, audits, risk assessments, and incident investigations. * Develop and ... Manage the workers' compensation program, including injury reporting, claims management, return-to ...

JBS USA

SAFETY SUPERVISOR

Columbia, MO · On-site

Conduct safety inspections, audits, risk assessments, and incident investigations.Develop and ... Manage the workers' compensation program, including injury reporting, claims management, return-to ...

JBS USA

SAFETY SUPERVISOR

Columbia, MO

Conduct safety inspections, audits, risk assessments, and incident investigations. * Develop and ... Manage the workers' compensation program, including injury reporting, claims management, return-to ...

The Colie Group

Life Insurance Sales Agent

Columbia, MO

$175K/yr

... claims, and insurance policies * Determine new customers' insurance needs, desires, insurance risk ... Manage electronic and paper records and ensure all contracting paperwork is kept current * Develop ...

All JobsClaims Risk JobsClaims Risk Manager JobsClaims Risk Manager Jobs in Mexico, MO

Claims Risk Manager information

See Mexico, MO salary details

$28.9K

$72.6K

$114.8K

How much do claims risk manager jobs pay per year?

As of Aug 7, 2026, the average yearly pay for claims risk manager in Mexico, MO is $72,584.00, according to ZipRecruiter salary data. Most workers in this role earn between $56,200.00 and $86,700.00 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 cities near Mexico, MO are hiring for Claims Risk Manager jobs? Cities near Mexico, MO with the most Claims Risk Manager job openings:
Claims Risk Manager jobs near you

Senior Claims Representative (Remote)

Missouri Employers Mutual

On-site, Remote

$72K - $109K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 10 days ago

Job description

Are you a seasoned claims professional with a passion for navigating complex cases? MEM Insurance is seeking a Senior Claims Representative to join our Claims team. In this pivotal role, you'll manage high-exposure workers' compensation claims, lead investigations into coverage and fraud, and collaborate across departments to drive strategic outcomes. You'll be a key decision-maker, a mentor to junior adjusters, and a champion of process improvement-all while ensuring exceptional service and regulatory compliance.
At MEM Insurance, we don't just protect our customers-we empower our employees. We foster a culture of integrity, collaboration, and innovation. Our team thrives on solving challenges together, supporting one another, and making a meaningful impact in the lives of our policyholders and injured workers.
Essential Duties and Responsibilities:
Claims Handling & Administration
  • Manage highly complex claims involving significant financial exposure, legal intricacies, and extended life cycles.
  • Conduct advanced investigations into coverage and compensability, including nuanced statutory interpretations.
  • Oversee medical case management for catastrophic injuries and lifetime care needs.
  • Review and authorize large or complex medical bills, negotiating adjustments to control costs.

Return-to-Work Management
  • Develop comprehensive RTW strategies in collaboration with policyholders, legal counsel, and vocational consultants.
  • Ensure precision in benefit calculations for high-exposure claims, addressing tax and compliance risks.
  • Strategically deploy investigative efforts aligned with broader claims strategy.

Claims Investigation & Loss Prevention
  • Lead investigations into complex fraud cases and collaborate with the Special Investigations Unit.
  • Conduct subrogation analysis and negotiate with third-party insurers or attorneys for maximum recovery.

Settlements & Negotiation
  • Partner with legal teams to negotiate complex settlements and manage litigation processes.
  • Oversee Medicare compliance initiatives, including Medicare Set-Asides and CMS engagement.
  • Identify opportunities for structured settlements and lead negotiations.

Reporting
  • Produce strategic reports on high-profile claims to guide management decisions.
  • Maintain system data integrity and prepare claims for Corporate Plan of Action meetings.

Collaboration
  • Lead cross-departmental efforts to improve claims handling and risk management.
  • Resolve escalated customer service issues and support high-value accounts.
  • Participate in workflow improvement initiatives and committees.

Team Leadership
  • Mentor and coach junior and intermediate adjusters.
  • Review escalated claims and provide actionable feedback.
  • Support workforce development and succession planning.

Qualifications:
  • Bachelor's degree in business or related field preferred, or equivalent industry experience.
  • 7-10 years of claims handling experience, with high exposure to Workers' Compensation.
  • Associate in Claims (AIC), AIM, or CPCU designation preferred or ability to obtain.
  • Texas All-Lines license preferred.
  • Valid driver's license required.

Company Culture and Values
At MEM Insurance, we are committed to our vision, mission, and values. We foster a culture of collaboration, integrity, and innovation. Our team is passionate about delivering exceptional service to our customers while supporting each other's growth and success. We believe in accountability, continuous learning, and creating an environment where employees feel valued and empowered.
Connection and Belonging
MEM Insurance is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We believe that varied perspectives drive innovation and strengthen our ability to serve our customers and communities.
Total Rewards Overview
  • Health Plans: Medical, Dental, and Vision
    Includes fertility benefits, fully paid preventative care, and adult orthodontia.
  • Employer-Paid Life and Disability Benefits:
    Life Insurance (3x base salary), AD&D, Short and Long-term Disability.
  • Wellness and Recognition Program: Employer-paid incentives for employees and spouses.
  • Flexible Spending Account and Dependent Care options
  • Health Savings Account: Generous employer contribution.
  • Time Away from Work:
    Generous PTO, 11 Holidays + 4 Early Releases, 16 Hours Volunteer Time Off, 20 Days Paid Parental Leave, Marriage, Bereavement, and Jury Duty leave.
  • Employee Assistance Programs
  • 401k Retirement Plan: Employer match and profit sharing.
  • Adoption Assistance and Tuition Assistance

Notice Regarding Use of Artificial Intelligence
MEM may use artificial intelligence (AI) tools to more efficiently facilitate and assist in decisions involving recruitment, hiring, promotion, renewal of employment, selection for training or apprenticeship, discharge, discipline, tenure, or the terms, privileges, or conditions of employment. Any such use of AI tools will comply with all applicable laws.

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