Strategic Risk & Initiatives Specialist - Claims
Jobtailor
Independently lead complex, sensitive, and long-term strategic initiatives supporting Enterprise Fraud Claims and Disputes Improve processes, modernize platforms, strengthen operating methodologies, mitigate risk, and enhance customer and colleague experiences Partner with subject matter experts and leaders across the organization to define success measures and translate business needs into actionable requirements Assess business, operational, regulatory, and execution risks; identify dependencies and tradeoffs; and support prioritization and decision‑making Support compliance reviews and audits by partnering with auditors, gathering documentation and evidence, and representing business line processes, decisions, and interests Evaluate how proposed solutions affect claims operations, fraud prevention, customer service, colleagues, and regulatory expectations Partner across Product Enablement, Technology, Claims Intake, Customer Service, Fraud Prevention, strategic leads, peers, and leadership stakeholders to move initiatives from concept through implementation Identify opportunities to apply AI, automation, business logic, modeling, and governance capabilities within claims and fraud initiatives Contribute recommendations related to modernization, re-platforming, workflow design, operating models, and future‑state business processes Requirements Bachelor’s degree, or equivalent work experience Typically 8 or more years of experience in regulatory compliance activities Demonstrated experience independently leading large-scale, complex, or long‑term strategic initiatives Practical experience applying AI, automation, business rules or logic, modeling, model governance, or related capabilities to business initiatives Experience supporting audits, partnering with auditors, gathering documentation and evidence, and representing business line interests Strong business acumen, risk awareness, stakeholder management, and cross‑functional collaboration skills Experience translating business needs into requirements, recommendations, operating processes, or implementation plans Agile experience is helpful but not required This role does not support any form of visa sponsorship Requires working from one of the posted U.S. Bank locations three (3) or more days per week Applicants must be able to comply with U.S. Bank policies and procedures including the Code of Ethics and Business Conduct and related workplace conduct and safety policies Core Competencies Demonstrates expertise in leading complex strategic initiatives, regulatory compliance, and risk management while effectively translating business needs into actionable requirements. Proficient in applying AI, automation, and business logic to enhance operational processes and customer experiences. Highest‑signal resume keywords Regulatory Compliance Strategic Initiative Leadership AI Application Stakeholder Management Cross‑Functional Collaboration Hard Skills Regulatory Compliance Activities AI Application Automation Business Logic Model Governance Workflow Design Process Improvement Risk Assessment Audit Support Requirements Translation Soft Skills Business Acumen Risk Awareness Stakeholder Management Cross‑Functional Collaboration Industry Keywords Enterprise Fraud Claims Disputes Operational Risk Customer Experience Compliance Reviews Audit Documentation Future‑State Business Processes Claims Operations Governance Capabilities Agile Experience #J-18808-Ljbffr Jobtailor
- Responsibilities Lead high-priority, long-term strategic initiatives supporting claims modernization, platform transformation, policy changes, customer... ...Assess business, operational, regulatory, and execution risks; identify dependencies and tradeoffs; and support prioritization...ClaimsWork experience placementVisa sponsorship3 days per week
- Bank of America is seeking a Claims Strategy Manager to lead strategic initiatives across Consumer and Small Business Claims, partnering with Client Protection... .... You’ll drive data-driven solutions balancing risk, return, and customer outcomes, while promoting innovation...Claims
- U.S. Bank is seeking an experienced regulatory compliance leader to drive long‑term strategic initiatives within claims, platform modernization, and policy changes. The role focuses on improving customer experience and ensuring alignment with complex business priorities...Claims
- ...Vice President, Strategic Solutions & Delivery About the Company... ...leader in casualty operations, claims modernization, and AI-enabled... ...in casualty insurance, risk solutions, claims technology,... ...and business transformation initiatives, particularly those involving...Claims
- ...supplier management professional to oversee the claims supplier portfolio. The role focuses on optimizing value, cost, and risk while ensuring compliance and accurate... ..., and SLA adherence, supporting audits and strategic initiatives. #J-18808-Ljbffr Sentry Insurance GroupClaimsContract work
$190k - $230k
...with underwriting, product, and claims teams to drive profitable... ...improve profitability, growth, and risk selection. Manage projects... ..., growth, rate adequacy, and strategic business outcomes. Lead,... ...portfolio management, and growth initiatives. Define pricing standards,...ClaimsTemporary workWork at officeRemote work3 days per week- An established industry player is seeking a Risk Compliance Consultant to join their dynamic team in Phoenix. This role involves... ...with clients at all organizational levels to deliver strategic initiatives focused on compliance, risk management, and information security...
$143.62k - $229.79k
...As a Consulting Actuary -ACA Risk Adjustment, you will play a pivotal... ...strategies and actuarial initiatives for business segments,... ...work Provide proactive and strategic thought leadership of ways to... ...organizations, and internet sites claiming to represent Blue Cross and Blue...ClaimsLocal area$157.03k - $240.14k
...Senior Solutions Engineer for our Enterprise Strategic Accounts team, you will serve as the... ...with operational staff as it relates to initiatives that affect the Solutions Engineering... ...investigation of any complaint or discrimination claim.The "Know Your Rights" Poster is...ClaimsFull timeWork at office- ...Data Risk Analyst Location : Phoenix , AZ JD: The Risk Adjustment Analyst serves as a data and strategic specialist who tracks health plan performance and financial risk By using... ...clean and consolidate financial claims pharmacy enrollment and premium datasets...Claims
$49.43k - $107.1k
...Provides analyst support for Molina enterprise risk adjustment predictive analytics... ...reporting related to managed care data including claims, pharmacy, lab and related financial data... ...the ability to connect data insights to strategic goals. Ability to communicate complex...ClaimsRemote jobWork experience placementWork at office- ...ergonomic, and slip-fall assessments. The role also promotes EMC’s risk control capabilities through agency visits and industry... ...Provides consultation to policyholders regarding their operations, claims trends, and recommendations for improvement related to insured coverages...ClaimsTemporary workWork at officeLocal areaRemote work
$69.32k - $95.31k
...operations. This role combines strategic sourcing, supplier management... ...of supply to mitigate risk and support business continuity... ...Support supplier audits, quality claims coordination, and resolution... ...reduction and cost avoidance initiatives through supplier negotiations...ClaimsFull timeContract work- ...business practices, and proactive risk management. The legal team... ...manage complex environmental claims and disputes across multiple jurisdictions... ...and enforcement matters from initial investigation through... ...operational initiatives, and strategic business projects. Develop...Claims
$100.2k - $164.1k
...Senior Construction Specialties Risk Engineering ConsultantZurich is currently looking... ...support to customers, underwriters and the claims department by identifying improvement... ...Qualifications: We select team players who are strategic thinkers, creative, confident and self-...ClaimsTemporary workApprenticeshipWork at officeRemote workWork from home$146.25k - $223.66k
The Impact You Will Have: As a Strategic Account Director for QTS, you will be responsible for driving and achieving sales goals by managing... ...in the investigation of any complaint or discrimination claim.The "Know Your Rights" Poster is included here:Know Your Rights...ClaimsFull timeTemporary work- ...agency, I began my career in State Farm’s Claims Department, which gave me a deep... ...adaptable, motivated, and ready to take initiative — a team player who is eager to learn, loves... ...necessary support and reassurance. As a strategic and emotionally intelligent resource to...ClaimsCasual workWork at officeLocal areaFlexible hours
$127.31k - $243.34k
...Opportunity As a dedicated Bank Credit Risk Analyst Senior, you will have a strong... ...managed portfolio and translates results into strategic solutions with the delivery of credit... ...development and implementation of key initiatives. Utilize analytically derived...Full timeH1bWork at officeRemote workHome office$91k - $202.8k
...the company’s success. As a(n) Technology Risk Advisor within PNC's Technology... ...the Line of Business. This role provides strategic leadership for the identification, measurement... ...developments, technology modernization initiatives, and regulatory changes to identify emerging...Full timeTemporary workPart timeWork experience placementWork at office$85k - $95k
...consistent execution of HR initiatives in the areas of performance... ...content and resources Provide strategic HR guidance and serve as primary... ...worker’s compensation claims, identifying and implementing... ...experience as a generalist, specialist, analyst, or business partner...ClaimsLocal areaImmediate startRemote workHome officeFlexible hours$200k - $235k
...oversight, treasury, tax, insurance and risk, IT, and M&A integration About the... ...decisions, fleet investment, and other strategic initiatives Treasury, Cash & Capital Structure Own... ...coverage reviews, certificates of insurance, claims management, and loss control...ClaimsTemporary workLocal areaRemote work$150k - $170k
...Director of RCM, you will serve as the strategic architect and operational leader of revenue... ...posting, insurance verification, and claims management.Performance & Metric Optimization... ...expected during onboarding and the initial transformation periodReady to lead the future...ClaimsFull timeLocal areaRemote work- ...ABOUT THIS OPPORTUNITY If you’re a strategic, detail-oriented risk professional who thrives on... ...program — from insurance strategy and claims oversight to safety alignment and contract... ...and data-driven risk reduction initiatives with Safety and Operations. Leadership...ClaimsWeekly payContract workFor contractorsApprenticeshipFor subcontractorInternshipH1bLocal areaVisa sponsorshipWork visa
- Summary The Commercial Strategic Procurement Manager (CSPM) leads commercial execution for major... ...projects, ensuring value protection, risk mitigation, and continuity from contract... ...and resolution of commercial changes and claims in coordination with Legal and Project Management...ClaimsContract work
- ...in complex injury matters. The role calls for a strategic advocate who can independently drive cases from initial evaluation through verdict while delivering exceptional... ..., and trial execution for high-exposure injury claims.• Demonstrate a proven ability to secure...Claims
- ...and portfolio trends Improve portfolio risk, profitability, performance forecasting,... ...complex data into actionable insights and strategic recommendations Identify and communicate... ..., and Operations teams on strategic initiatives and large-scale programs Develop scalable...Day shift
- ...About The Role The Global Governance, Risk, and Compliance (GRC) team is looking for... ...compliance-focused function into a proactive, strategic security partnership. Architect and... ...Ordinance, Los Angeles Fair Chance Initiative for Hiring Ordinance, and any other state...Hourly payContract workWork at officeLocal areaRemote workFlexible hours
$43k - $47.5k
...agent meet their clients' life insurance needs, supporting strategic initiatives designed to enhance our operating environment, or educating... ...including management, quality control, training, underwriting and claims Pay Transparency Salary Range: $43,000-$47,500...ClaimsFull timeWork at officeLocal areaRemote workMonday to FridayFlexible hoursShift work- Strategic Staffing Solutions in Phoenix, AZ is seeking a Senior Auto Claims Adjuster to investigate, evaluate, negotiate, and resolve auto insurance claims from FNOL to closure. You will handle liability investigations, coverage analysis, bodily injury, property damage,...ClaimsRemote jobMonday to Friday
$43k - $47.5k
...agent meet their clients’ life insurance needs, supporting strategic initiatives designed to enhance our operating environment, or educating... ...including management, quality control, training, underwriting and claims. Pay Transparency Salary Range: $43,000-$47,500 Overtime...ClaimsFull timeWork at officeLocal areaMonday to FridayFlexible hoursShift work
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