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

Duke Health

Liability Insurance Manager

Durham, NC · On-site

  • Medical

  • PTO

Research, evaluate, and make recommendations regarding current and state of the art trends in risk financing, loss control and claims management strategies. * Assist with professional liability ...

Duke University

Liability Insurance Manager

Durham, NC · On-site

  • Medical

  • PTO

Research, evaluate, and make recommendations regarding current and state of the art trends in risk financing, loss control and claims management strategies. * Assist with professional liability ...

Duke Health

Liability Insurance Manager

Durham, NC · On-site

  • Medical

  • PTO

Research, evaluate, and make recommendations regarding current and state of the art trends in risk financing, loss control and claims management strategies. * Assist with professional liability ...

MBP

Senior Construction Claims Analyst (Full-Time)

Raleigh, NC · On-site

$107K - $150K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Overview MBP is looking for Senior Construction Claims Analyst * in Tampa, FL, Raleigh, NC, or ... risk management, constructibility review, and/or contract administration. * Ability to relate ...

Zurich NA

Claims Call Centre Representative

Raleigh, NC · On-site

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Claims Call Centre Representative 135927 Zurich is a leading multi-line insurer that serves its ... Zurich North America is a leader in risk management, with over 150 years of expertise and coverage ...

MBP

Senior Construction Claims Analyst (Full-Time)

Raleigh, NC

$107K - $150K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

MBP is looking for Senior Construction Claims Analyst * in Tampa, FL, Raleigh, NC, or Washington DC ... risk management, constructibility review, and/or contract administration. * Ability to relate ...

Dragonfly Pond Works

Safety & Fleet Manager

Raleigh, NC · On-site

$80K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Point of contact for all safety and worker's compensation claims including injury, equipment and vehicle incidents. Compliance & Risk Management * Oversee driver qualification files and ensure all ...

Dragonfly Pond Works

Safety & Fleet Manager

Raleigh, NC · On-site

$80K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Point of contact for all safety and worker's compensation claims including injury, equipment and vehicle incidents. Compliance & Risk Management * Oversee driver qualification files and ensure all ...

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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

AVP, Claims & Regulatory Counsel

IAT Insurance Group

Raleigh, NC • On-site

Full-time

Medical, Retirement, PTO

Re-posted 12 days ago

IAT Insurance Group rating

8.7

Company rating: 8.7 out of 10

Based on 9 frontline employees who took The Breakroom Quiz

71st of 309 rated insurance

Job description

IAT Insurance Group has an immediate opening for an AVP, Claims & Regulatory Counsel in the Claims Legal Department that can be located in Naperville, Illinois; Alpharetta, Georgia, or Raleigh, North Carolina. This management role will oversee a team of in-house attorneys and support both the Property and Casualty Claims Department in the handling of extra-contractual litigation against the company arising from first-party property and third-party liability claims. Specifically, this role manages a team of attorneys tasked with overseeing litigation that has significant financial exposure under our commercial and homeowner's property policies, commercial transportation policies, and general liability policies. The role also ensures compliance with federal state, and local regulations, monitors audits and regulatory proceedings, and provides guidance to various departments concerning regulatory requirements. The ideal candidate for this role will be a highly experienced coverage attorney with a Juris Doctorate degree and extensive experience handling first-party and third-party claims and litigation on a nationwide basis.
The role works a hybrid schedule from an IAT Office in Raleigh, North Carolina, Alpharetta, Georgia, or Naperville, Illinois. The hybrid schedule reflects our values (thinking and acting like an owner, collaboration, and teamwork) as it requires working from the office with colleagues and other disciplines Monday through Wednesday, with the option of working Thursday and Friday remotely.
Key Responsibilities:
  • A dedicated legal advisor and leader managing a team of in-house attorneys tasked with overseeing litigation against the Company, providing legal guidance, coverage opinions, and strategic recommendations to first- and third-party Claims and Underwriting business units, including Homeowners, Commercial Property, Commercial Transportation, General Liability, Excess and Surplus Lines, Aviation, and Management Liability.
  • Serve as in-house counsel responsible for overseeing and driving successful outcomes for the Company in extra-contractual litigation, Declaratory Judgment actions, rescission lawsuits, and various other coverage disputes.
  • Serve as in-house counsel responsible for responding to Legal and Regulatory Matters for Property and Casualty Claims.
  • Provide legal advice and regulatory opinions to be used by Claims, Underwriting, and other internal business partners.
  • Advise Claims and Underwriting of statutory and legal developments and emerging trends impacting the insurance industry regulations and Department of Insurance mandates.
  • Team Management: Management role working in a congenial and collaborative team environment. Demonstrate agile leadership that quickly responds to dynamic changes in insurance risk management.
  • Litigation: Oversee a team of in-house attorneys and outside counsel to develop litigation strategies in defense of the Company and drive favorable outcomes in nationwide extra-contractual lawsuits.
  • Legal Advisor: Collaborate with other members of the Legal Department, internal business leaders, and insurance professionals to tackle complex legal and coverage questions. Develop creative and effective legal strategies that support business goals and initiatives.
  • Regulatory Compliance: Monitor and ensure Company compliance with federal, state, and local regulations. Stay updated on changes in laws and regulations that may affect the Company, its claims handling, and business practices.
  • Policy Development: Work in conjunction with other leaders in the Legal Department to develop, implement, and maintain compliance policies and procedures.
  • Training and Education: Develop and deliver training programs to educate employees on compliance-related topics and promote a culture of compliance within the Company.
  • Audits and Assessments: When necessary, interface with internal and external stakeholders to respond to Department of Insurance and other regulatory audits and requests for information. Oversee regulatory audits and Department of Insurance on-site meetings. Communicate any regulatory findings and directives to senior management.
  • Department of Insurance Complaints: Work collaboratively with adjusters, Managers, and Claims Leaders to ensure the Company timely and accurately responds to Department of Insurance Complaints lodged by policyholders.
  • Reporting: Prepare and present reports to senior management. Maintain accurate records of coverage, litigation and compliance activities and findings.
  • Collaboration: Collaborate with various departments, including Claims, Underwriting, HR, and Operations to ensure a cohesive approach to coverage, litigation, compliance challenges.
  • Assist Claims and other business units in their handling of claims and litigation in compliance with Claims Best Practices to ensure claim handling discipline and superior Quality Review and Audit scores, including timely coverage reviews and coverage correspondence.
  • Provide opinions and legal guidance to Property and Casualty Claims regarding coverage disputes, extra-contractual claims, declaratory judgment actions, and claims best practices requirements.
  • Manage claims systems and data for accurate and timely reporting.
  • Assist Claims Leadership by identifying litigation trends, providing legal updates and training regarding emerging policies, cases, statutes, and regulations impacting the insurance industry.
  • Perform other legal and litigation duties as assigned.

Qualifications:
Must Have:
  • Juris Doctor from an accredited law school required.
  • At least 10 years of relevant legal experience focused on Coverage and Extra-Contractual Litigation.
  • Extensive experience serving as lead counsel defending insurers, managing litigation dockets, and advising on complex claim disputes and coverage issues with sole or primary responsibility for outcomes and results.
  • Experience handling coverage disputes involving first-party property and/or third-party liability claims with an exposure of $500,000 or more including both primary and excess losses.
  • Strong understanding of regulatory requirements and compliance standards in the insurance industry.
  • Experience working in-house with an insurance company a plus.
  • Must have State Bar License that is in good standing.
  • Excellent oral and written communication skills.
  • Excellent customer service and interpersonal skills.
  • Advanced critical thinking and problem-solving skills.
  • Ability to set priorities and multitask in a fast-paced environment.
  • Ability to travel if required.
  • To qualify, applicants must be authorized to work in the United States and must not require VISA sponsorship, now or in the future, for employment purposes.

Preferred to Have:
  • Proficiency in compliance software and tools, including tools used for ISO reporting and Medicare reporting preferred.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. We maintain a drug-free workplace and participate in E-Verify.
Compensation:
Please note, that the annual gross salary range associated with this posting is $112,820 - $245,610. This range represents the anticipated low and high end of the base salary for this position. Actual salaries will vary based on factors such as a candidate's qualifications, skills, competencies, and geographical location related to this specific role. The total compensation will include a base salary, performance-based bonus opportunities, 401(K) match, profit-sharing opportunities, and more.
To view details of our full benefits, please visit https://www.iatinsurancegroup.com/careers/benefits
IAT Insurance Group is the largest private, family-owned property and casualty insurer in the U.S. Insurance Answers Together® is how we define IAT, in letter and in spirit. We work together to provide solutions for people and businesses. We collaborate internally and with our partners to provide the best possible insurance and surety options for our customers.
At IAT, we're committed to driving and building an open and supportive culture for all. Our employees propel IAT forward - driving innovation, stable partnerships and growth. That's why we continue to build an engaging workplace culture to attract and retain the best talent.
We offer comprehensive benefits like:
  • 26 PTO Days (Entry Level) + 12 Company Holidays = 38 Paid Days Off
  • 7% 401(k) Company Match and additional Profit Sharing
  • Hybrid work environment
  • Numerous training and development opportunities to assist you in furthering your career
  • Healthcare and Wellness Programs
  • Opportunity to earn performance-based bonuses
  • College Loan Assistance Support Plan
  • Educational Assistance Program
  • Mentorship Program
  • Dress for Your Day Policy

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. We maintain a drug-free workplace and participate in E-Verify.

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