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

SPC Mechanical Corporation

PROJECT MANAGER

Wendell, NC · On-site

Risk Management: Identify potential risks and uncertainties that may impact the project's success ... Manage claims and disputes that may arise during the project. * Customer and End-User Management:

Towne Bank

Risk Advisor - Surety

Raleigh, NC · Hybrid

About Us Towne Insurance is a nationally recognized top insurance and risk management firm ... claims, finance agreements, certificates, and other customer requests are handled in an accurate ...

Towne Bank

Risk Advisor - Commercial Lines

Raleigh, NC · Hybrid

About Us Towne Insurance is a nationally recognized top insurance and risk management firm ... claims, finance agreements, certificates and other customer requests are handled in an accurate and ...

TowneBank

Risk Advisor - Commercial Lines

Raleigh, NC · Hybrid

About Us Towne Insurance is a nationally recognized top insurance and risk management firm ... claims, finance agreements, certificates and other customer requests are handled in an accurate and ...

Ethos Risk Services

Investigator

Garner, NC · On-site

$30 - $40/hr

Ethos Risk Services is a leading insurance claims investigation and medical management company, specializing in surveillance and fraud detection. At the forefront, we provide accurate data and ...

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Ethos Risk Services

Investigator

Garner, NC

Ethos Risk Services is a leading insurance claims investigation and medical management company, specializing in surveillance and fraud detection. At the forefront, we provide accurate data and ...

Ethos Risk Services

Investigator

Garner, NC · On-site

$30 - $40/hr

Ethos Risk Services is a leading insurance claims investigation and medical management company, specializing in surveillance and fraud detection. At the forefront, we provide accurate data and ...

TowneBank

Risk Advisor - Surety

Raleigh, NC · On-site

About Us Towne Insurance is a nationally recognized top insurance and risk management firm ... claims, finance agreements, certificates, and other customer requests are handled in an accurate ...

TowneBank

Risk Advisor - Commercial Lines

Raleigh, NC · On-site

About Us Towne Insurance is a nationally recognized top insurance and risk management firm ... claims, finance agreements, certificates and other customer requests are handled in an accurate and ...

Sedgwick

Principal Data Scientist

Raleigh, NC · On-site

Lead the design and development of advanced statistical and machine learning models that improve claims outcomes, operational efficiency, and risk management. * Serve as the technical authority for ...

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All 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 Jul 3, 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.

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, and why are they important?

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 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
PROJECT MANAGER

PROJECT MANAGER

SPC Mechanical Corporation

Wendell, NC • On-site

Full-time

Posted 13 days ago

SPC Mechanical rating

5.7

Company rating: 5.7 out of 10

Based on 6 frontline employees who took The Breakroom Quiz

Job description

Job Summary:
Oversee all aspects of a mechanical construction project from inception to completion by ensuring the successful planning, execution, and completion of construction projects while managing risks, costs, quality, and Customer expectations. Leadership, communication, and problem-solving skills are essential for navigating the complexities of mechanical construction projects and delivering results that exceed client expectations.
Responsibilities:
  • Workflow Fluidity: Ensure the project elements move smoothly through the workflow. Foresee and remove any bottlenecks. This involves collaborating with Internal SPC Departments, vendors, and subcontractors to establish project goals and objectives.
  • Project Planning: Collaborate with the Precon Manager to develop comprehensive project plans that outline the scope, schedule, budget, and resources required for successful project execution. This involves collaborating with Internal SPC functions, designers, and subcontractors to establish project goals and objectives.
  • Budgeting and Cost Management: Manage project budgets, track expenses, and control costs throughout the project lifecycle. Work closely with preconstruction and the scheduler to ensure that the project remains within budget constraints. Accurately project cost-at-completion through formalized monthly Job reviews.
  • Scheduling and Time Management: In collaboration with the Schedule Manager, create detailed project schedules using scheduling software (e.g., Primavera P6, Microsoft Project) that outline the sequence of mechanical construction activities, milestones, and deadlines. Coordinate with project teams to ensure timely completion of project milestones.
  • Resource Allocation: Coordinate with project teams to allocate resources, including labor, materials, equipment, and subcontractors, to specific tasks based on project requirements and schedules. Ensure that resources are effectively utilized to meet project objectives.
  • Risk Management: Identify potential risks and uncertainties that may impact the project's success and develop strategies to mitigate them. This includes conducting risk assessments, implementing risk mitigation measures, and establishing contingency plans to address unforeseen challenges.
  • Claim Prevention: Create and maintain proper records and documentation to properly protect SPC's right to claim and prevent claims from being brought forth against SPC.
  • Quality Control and Assurance: Ensure that construction work meets quality standards and specifications. This involves conducting regular inspections, reviewing workmanship, and addressing any deficiencies or non-compliance issues. Work closely with quality field forces and subcontractors to maintain high-quality standards throughout the project.
  • Contract Administration: Oversee the administration of contracts with clients, subcontractors, and suppliers. This includes negotiating contract terms, reviewing contract documents, and ensuring compliance with legal and regulatory requirements. Manage claims and disputes that may arise during the project.
  • Customer and End-User Management: Communicate project status, updates, and milestones to customers and internal teams. Manage customer expectations and address their concerns and feedback. Foster positive relationships with customers to ensure their support throughout the project lifecycle.
  • Change Management: In Collaboration with the Change Manager, evaluate and assess proposed changes to project scope, schedule, and other requirements. Document change requests, assess their impact on the project, and obtain approval. Implement approved changes and communicate updates to project teams and customers
  • Documentation and Reporting: Maintain accurate and up-to-date project documentation, including plans, schedules, progress reports, and meeting minutes. Document lessons learned and best practices for future reference and continuous improvement.
  • Closure and Evaluation: Ensure the successful completion and closure of projects, including final deliverables, documentation, and handover to stakeholders. Conduct post-project reviews to evaluate project performance, identify lessons learned, and document key insights. Celebrate project successes and recognize team members' contributions.
  • Communication: Effective communication is essential in construction project management. Be the primary point of contact for all project stakeholders, including clients, upper management, design teams, contractors, and regulatory agencies. Provide regular updates, address concerns, and facilitate collaboration to ensure that everyone is aligned and working towards common goals.
  • Safety Management: Create and maintain a safe working environment for all project personnel. This involves implementing safety policies and procedures, conducting regular safety inspections, and providing safety training for workers. They also ensure compliance with occupational health and safety regulations to prevent accidents and injuries on the job site.
Qualifications:
  • Experience managing complex construction workflows and removing bottlenecks
  • Ability to collaborate with internal departments, vendors, and subcontractors
  • Skilled in developing comprehensive project plans with defined scope, schedule, and budget
  • Proficient in budgeting, cost tracking, and forecasting cost-at-completion
  • Knowledge of scheduling tools such as Primavera P6 and Microsoft Project
  • Capable of coordinating labor, materials, equipment, and subcontractors
  • Strong risk assessment and mitigation planning skills
  • Ability to maintain documentation to support and prevent claims
  • Experience conducting inspections and enforcing quality standards
  • Proficient in contract negotiation, review, and compliance management
  • Effective communication with clients, internal teams, and stakeholders
  • Ability to manage scope changes and implement approved modifications
  • Skilled in maintaining accurate project documentation and reporting
  • Experience conducting post-project evaluations and capturing lessons learned
  • Strong interpersonal and leadership skills for stakeholder coordination
  • Knowledge of safety regulations and ability to implement safety protocols

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

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