ZipRecruiter

Log In

1

Claims Risk Manager Jobs in Columbus, OH (NOW HIRING)

York Risk Services

VP Care Team Operations

Dublin, OH · On-site

Partners with the care team and claims operations support teams to develop and implement process ... Leadership/management/motivational skills * Ability to operate effectively and decisively in a high ...

JRG Partners

Human Resource Manager

Lewis Center, OH · On-site

$125K/yr

Lead, handle, respond and navigate employee relations to ensure fairness and reduce the risk of ... Respond and be the point of contact for any employment claims * Assist managers in performance ...

Ethos Risk Services

Investigator

Columbus, OH · On-site

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 ...

New

Ethos Risk Services

Investigator

Columbus, OH · On-site

$25 - $35/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 ...

New

next page

Showing results 1-20

People also search for

All JobsClaims Risk Manager JobsClaims Risk Manager Jobs in Columbus, OH

Claims Risk Manager information

See Columbus, OH salary details

$33.8K

$84.9K

$134.3K

How much do claims risk manager jobs pay per year?

As of Jun 10, 2026, the average yearly pay for claims risk manager in Columbus, OH is $84,865.00, according to ZipRecruiter salary data. Most workers in this role earn between $65,700.00 and $101,400.00 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 Columbus, OH? For Claims Risk Manager jobs in Columbus, OH, the most frequently searched job titles are:
What job categories do people searching Claims Risk Manager jobs in Columbus, OH look for? The top searched job categories for Claims Risk Manager jobs in Columbus, OH are:
What cities near Columbus, OH are hiring for Claims Risk Manager jobs? Cities near Columbus, OH with the most Claims Risk Manager job openings:
Claims Risk Manager jobs near you
Infographic showing various Claims Risk Manager job openings in Columbus, OH as of June 2026, with employment types broken down into 69% Full Time, and 31% Part Time. Highlights an 92% Physical, 2% Hybrid, and 6% Remote job distribution, with an average salary of $84,865 per year, or $40.8 per hour.
Senior Director of Claims Operations

Senior Director of Claims Operations

Sidecar Health

Columbus, OH

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 20 days ago

Job description

Sidecar Health is redefining health insurance. Our mission is to make excellent healthcare affordable and accessible for everyone. We know that to accomplish this lofty mission, we need driven people who will make things happen.

The passionate people who make up Sidecar Health's team come from all over, with backgrounds as tech leaders, policy makers, healthcare professionals, and beyond. And they all have one thing in common—the desire to fix a broken system and make it more personalized, affordable, and transparent.

If you want to use your talents to transform healthcare in the United States, come join us!

The Opportunity

As Director of Claims Operations for Sidecar Health, you will own and scale the engine that delivers our core promise to members. This team is responsible for all member-facing and provider-facing claims operations, clinical programs, and claims automation strategy – powering a consumer-driven major medical insurance model that's redefining how Americans access and pay for care.

This is a high-stakes, high-opportunity role at an inflection point: we're expanding into new markets, deepening our AI-enabled automation stack, and building the claims infrastructure to support a rapidly growing membership base. You will lead a multidisciplinary team, shape the technology roadmap alongside Product and Engineering, and drive the operational excellence and compliance rigor that our members and the business depend on.

If you have a proven track record in health insurance claims leadership and a history of using AI and automation to transform operations — not just optimize them — we want to talk.

What You'll Do

Build & Lead a High-Performance Claims Operation (50%)

  • Lead and scale a multidisciplinary Claims Operations team — spanning claims adjudication, quality, operations, and clinical — to drive accurate, timely claims processing and an exceptional member experience
  • Foster a culture of metrics-driven continuous improvement, accountability, and high performance across all Claims functions
  • Develop future leaders within the team and build the bench for a growing, complex operation

Drive AI, Automation, and Operational Transformation (30%)

  • Identify, prioritize, and lead automation that meaningfully increases end-to-end auto-adjudication rate, reduces claims processing time, and improves quality / accuracy
  • Partner with Product and Engineering to shape the roadmap for claims technology —acting as a strategic voice, not just an operator
  • Lead change management efforts as the team adopts new tools, workflows, and ways of working
  • Build and maintain governance structures that support scalable, compliant, and data-informed operations

Own Claims Strategy & Business Outcomes (20%)

  • Align claims operations with Sidecar Health's broader business objectives — including continued growth, sustainable MLR, and an obsessive focus on member experience
  • Drive payment accuracy, fraud prevention, and claims spend optimization through proactive stakeholder management and cross-functional initiatives
  • Translate operational data into strategic insights and recommendations for senior leadership
  • Mitigate operational and regulatory risk while maintaining full compliance with healthcare regulations
  • Own budget development and resource allocation, ensuring alignment with organizational priorities

What You'll Bring

  • 15+ years of operations experience, including 5+ years in healthcare
  • 8+ years in senior leadership roles, leading large teams in complex environments
  • Experience operating in a high-growth, tech-enabled health insurance or benefits company preferred
  • Comfort with data — able to build and interpret operational dashboards and hold teams to metric-based goals
  • Proven ability to lead through ambiguity, manage cross-functional stakeholders, and drive change in fast-moving environments
  • Strong financial acumen — experience owning budget, headcount planning, and cost-per-claim targets
  • Demonstrated results deploying AI or automation in a claims or complex operations environment

What You'll Get

  • Competitive salary, bonus opportunity, and equity package
  • Comprehensive Medical, Dental, and Vision benefits
  • A 401k retirement plan
  • Paid vacation and company holidays
  • Opportunity to make an impact at a rapidly growing mission-driven company transforming healthcare in the U.S.

Sidecar Health is an Equal Opportunity employer committed to building a diverse team. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status or disability status.