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Claims Risk Manager Jobs in Spring Hill, FL (NOW HIRING)

Risk Specialist

Clearwater, FL · On-site

$90K/yr

Assists in risk management activities, claims management, extensive medical record review, team member and physician interviews, Root Cause Analysis/Quality Practice Review process. * Through ...

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

Lead, support, and develop a multilayered team of managers and claims professionals * Oversee ... Risk & CrossFunctional Partnership * Establish negotiation strategies and identify claims ...

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... management, damage assessment, settlement negotiations. · Identify potential fraud. · Mange the ... Company Description North American Risk Services (NARS) is a premier third-party claims ...

... risk management, life and health, employee benefits, investment and wealth management products and ... Report directly to National Claims leader. * Development and implementation of procedures ...

... management issues. Expanding expertise is conveyed to our policyholders and agents on-site and ... Experience in architecture, claims, construction, or real estate inspection/appraising a plus

Associate in Claims (AIC), Chartered Property Casualty Underwriter (CPCU), or Associate in Risk Management (ARM) certification * 1+ years of experience with Property & Casualty platforms, including ...

Lead, support, and develop a multi-layered team of managers and claims professionals * Oversee ... Risk & Cross-Functional Partnership * Establish negotiation strategies and identify claims ...

The Casualty Claims Examiner will work alongside claims management, providing direction and ... risk mitigation. Provide authority and guidance on all bodily injury claims regarding coverage ...

Senior Examiner, Personal Umbrella Claims

Tampa, FL · Hybrid

$62K - $80K/yr

Managed claims that were attorney retained, high severity/complex exposure claims. * Experience ... Proven investigative skills to assess claims, determine liability, and mitigate risk. * Strong ...

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Claims Risk Manager information

See Spring Hill, FL salary details

$29.7K

$74.5K

$117.9K

How much do claims risk manager jobs pay per year?

As of Jun 9, 2026, the average yearly pay for claims risk manager in Spring Hill, FL is $74,541.00, according to ZipRecruiter salary data. Most workers in this role earn between $57,700.00 and $89,100.00 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 Spring Hill, FL? For Claims Risk Manager jobs in Spring Hill, FL, the most frequently searched job titles are:
What job categories do people searching Claims Risk Manager jobs in Spring Hill, FL look for? The top searched job categories for Claims Risk Manager jobs in Spring Hill, FL are:
What cities near Spring Hill, FL are hiring for Claims Risk Manager jobs? Cities near Spring Hill, FL with the most Claims Risk Manager job openings:
Risk Specialist

$90K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 10 days ago


BayCare Health System rating

7.4

Company rating: 7.4 out of 10

Based on 382 frontline employees who took The Breakroom Quiz

250th of 870 rated healthcare providers


Job description

Join the team that is revolutionizing health care - BayCare Health System
Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians. With the support of more than 30,000 team members, we promote a forward-thinking philosophy that's built on a foundation of trust, dignity, respect, responsibility, and clinical excellence.
Title: Risk Specialist
Facility: Hybrid schedule requiring travel throughout all BayCare hospital facilities as needed.
This position requires Level II screening through the Florida Care Provider Background Screening Clearinghouse, managed by the Agency for Health Care Administration (AHCA). More information can be found at https://info.flclearinghouse.com.
Responsibilities Include:
  • Supports the risk managers in loss reduction efforts by investigating and analyzing events and trends
  • Assists in the communication and education of team members.
  • Assists in risk management activities, claims management, extensive medical record review, team member and physician interviews, Root Cause Analysis/Quality Practice Review process.
  • Through education and/or experience, the Risk Specialist will demonstrate competencies required by Florida within 2 years of hire.
  • Other duties as assigned.

BayCare offers a competitive total reward package including:
  • Benefits (Medical, Dental, Vision)
  • Paid Time Off
  • Tuition Assistance
  • 401K Match and additional yearly contribution
  • Annual performance appraisals and team award bonus
  • Family resources and wellness opportunities
  • Community perks and discounts

Experience Requirements
  • Required - 2 years clinical nursing

Education Requirements
  • Required - Bachelor's in related field or Juris Doctor

Certification Requirements
  • Required - RN (Registered Nurse) or Attorney

Location: Clearwater, FL
Status: Full Time; Exempt
Shift Hours: 8:00AM - 5:00PM
Weekend Work: None
Equal Opportunity Employer Veterans/Disabled

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