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Claims Risk Manager Jobs in Raleigh, NC (NOW HIRING)

Liberty Health

REGIONAL RISK MANAGER

Raleigh, NC · On-site

REGIONAL RISK MANAGER Job Summary: * Administers/Implements the Risk Management Program for all ... claims processing/investigation) risk exposures and liabilities * Serves as a liaison with ...

Duke Health

Risk Manager

Durham, NC

Investigate, evaluate and document pre-litigation occurrences and claims. Recommend resolution, and ... Provide in-service education on risk management topics, both standard basic education and complex ...

Duke Health

Risk Manager

Durham, NC · On-site

Investigate, evaluate and document pre-litigation occurrences and claims. Recommend resolution, and ... Provide in-service education on risk management topics, both standard basic education and complex ...

Duke University

Risk Manager

Durham, NC · On-site

Investigate, evaluate and document pre-litigation occurrences and claims. Recommend resolution, and ... Provide in-service education on risk management topics, both standard basic education and complex ...

Duke University

Risk Manager

Durham, NC · On-site

Investigate, evaluate and document pre-litigation occurrences and claims. Recommend resolution, and ... Provide in-service education on risk management topics, both standard basic education and complex ...

NCSU

Insurance and Risk Management Manager

Raleigh, NC · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Join us as our Insurance Risk Manager -a high-visibility role that blends strategy, leadership, and ... Manage claims, negotiate settlements, and support investigations related to liability, property ...

Circle K

Risk Management Associate

Raleigh, NC · On-site

Claims Management: * Review and enter Workers' Compensation (WC) and General Liability (GL) claims into the Risk Management Information System (RMIS). * Assign claims to appropriate adjusters and ...

DAN

Claims Director

Durham, NC · On-site

$130K/yr

This role ensures timely, accurate, and compliant claims handling while promoting exceptional customer service, effective risk management, and continuous operational improvement. The Director of ...

DAN

Claims Director

Durham, NC · Hybrid

This role ensures timely, accurate, and compliant claims handling while promoting exceptional customer service, effective risk management, and continuous operational improvement. The Director of ...

Divers Alert Network

Claims Director

Durham, NC · On-site

This role ensures timely, accurate, and compliant claims handling while promoting exceptional customer service, effective risk management, and continuous operational improvement. The Director of ...

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All JobsClaims Risk JobsClaims Risk Manager JobsClaims Risk Manager Jobs in Raleigh, NC

Claims Risk Manager information

See Raleigh, NC salary details

$34K

$85.4K

$135.1K

How much do claims risk manager jobs pay per year?

As of Aug 18, 2026, the average yearly pay for claims risk manager in Raleigh, NC is $85,408.00, according to ZipRecruiter salary data. Most workers in this role earn between $66,100.00 and $102,100.00 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 are popular job titles related to Claims Risk Manager jobs in Raleigh, NC?

For Claims Risk Manager jobs in Raleigh, NC, the most frequently searched job titles are:

What job categories do people searching Claims Risk Manager jobs in Raleigh, NC look for?

The top searched job categories for Claims Risk Manager jobs in Raleigh, NC are:

Claims Risk Manager jobs near you

REGIONAL RISK MANAGER

Liberty Health

Raleigh, NC • On-site

Full-time

Re-posted 14 days ago

Job description

There’s no place like
Liberty Healthcare Management

Come explore career opportunities with Liberty Health, a dynamic leader in the healthcare industry. Join us!

We are currently seeking an experienced:

REGIONAL RISK MANAGER
Job Summary:
  • Administers/Implements the Risk Management Program for all operating divisions of Liberty Healthcare Group (including Home care, hospice, LTC, and Senior Living)
  • Assesses operating risks involving clinical (patient care and regulatory), business (safety/WC), and legal (claims processing/investigation) risk exposures and liabilities
  • Serves as a liaison with corporate management, employees, insurance companies, and regulatory/legal agencies to minimize asset losses through the establishment of comprehensive policies, procedures, ongoing audits, best practices, and consistent quality improvement
  • Implements systems, policies, and procedures for the identification, collection, and analysis of risk-related information
  • Educates leadership, staff and business associates, and helps to define their respective roles in supporting the risk management program
  • Leads facilities, and advices departments in designing risk management programs within their own departments
  • Collects, evaluates, and maintains data concerning patient injuries and care metrics, liability claims, worker’s compensation, and other risk related data
  • Investigates and analyses root causes, patterns, or trends that could result in compensatory or sentinel events.  Helps to identify and implement corrective action where appropriate
  • Provides timely reports to Director of Risk Management on incidents, site visits, claims and claims payments
  • Works with legal counsel to coordinate investigation, processing, and defenses to claims made against the organization
  • Actively participates in facilities committees related to risk management, safety, and quality improvement
Job Requirements:
  • Registered Nurse with a bachelor’s degree or related clinical or allied health field (NP, FNP, GNP, or PA)
  • Prior experience in LTC, home care, and/or hospice environment and current certification as a nursing home administrator preferred
  • Certified Risk Manager or capable of attaining professional certification within 12 months of employment
  • A minimum of 5 years’ experience in one or more of the following fields; Risk Management, QI/QA, Healthcare Administration, Insurance investigation/Settlement.  7 years of direct risk management experience in a healthcare environment is preferred

Visit www.libertycareers.com for more information.
Background checks/drug-free workplace.
EOE.

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