Claims Director jobs in Pensacola, FL

Claims Director directs and oversees the operations of an insurance claims department to meet operational, financial, and service requirements. Establishes policies and procedures for the administration of insurance claims for personal, property, or casualty loss based on coverage, appraisal, and verifiable damage. Being a Claims Director is responsible for the strategic processing and payment of claims. Maintains up-to-date- knowledge of legislation, regulations, and industry events which pertain to insurance claims. Additionally, Claims Director provides expert guidance and consultation to staff on the most complex claims. Requires a bachelor's degree. Typically reports to top management. The Claims Director manages a departmental sub-function within a broader departmental function. Creates functional strategies and specific objectives for the sub-function and develops budgets/policies/procedures to support the functional infrastructure. To be a Claims Director typically requires 5+ years of managerial experience. Deep knowledge of the managed sub-function and solid knowledge of the overall departmental function. (Copyright 2024 Salary.com)

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Workers' Compensation Claims Director
  • LandrumHR
  • Pensacola, FL OTHER
  • Workers' Compensation Claims Director
    LandrumHR in Pensacola is looking to bring in a hardworking and reliable Workers' Compensation Claims Director who oversees the various facets of workers’ compensation claims and medical case management as indicated in the performance of the following job duties. This is an excellent opportunity for someone who is looking for steady, full-time work with a company that looks after its employees.

    What you’ll be doing:
    • Manage and lead team, providing guidance, mentorship, and support to ensure delivery of objectives.
    • Conduct periodic performance evaluations and provide constructive feedback to team members, setting goals and expectations and ensuring alignment with overall organizational objectives.
    • Responsible for PEO & WFS clients/employees reporting new injuries and directing medical care if appropriate.
    • Determines compensability of claims and coordinates medical appointments/referrals for injured employees.
    • Manages Medical and Indemnity WC claims - by maintaining rapport through phone contact, meetings, and correspondence with injured employees, physicians, adjusters, rehabilitation providers, physical and occupational therapists, and employers when needed.
    • Assists employee/employer/physician with stay or return to work efforts including work-related restrictions.
    • Prepares online First Report of Injury for respective insurance company within 2 days from report to LandrumHR.
    • Completes Wage Loss Statements.
    • Updates / maintains accurate claim information in LandrumHR CRM database, which includes correspondence, medical treatment notes, future appointments and return to work status.
    • Ensures claimants are following up with requisite medical treatment/appointments.
    • Collaborates with TPA and Carrier adjusters to facilitate the best claim outcomes.
    • Manages complex litigated claims, attends mediations, and possibly final hearings, and depositions and testifies at hearings if necessary.
    • Conducts strategic settlement planning with assigned claims adjuster and defense attorneys.
    • Obtains and Reviews Injury / Incident & Investigation Report.
    • Responsible for reviewing monthly loss run reports (PMA & Liberty Mutual) for accuracy to ensure claim closure promptly.
    • Provides updates on select open claims at monthly meetings.
    • Review Post Job Offer Medical questionnaires to identify concerns about noted limitations and job description.
    • Communicates with CFO on all settlement offers and significant incurred claim changes.
    • Collaborates with the Director of Risk Management to target client strategies based on trends, claim investigations, and onsite safety inspections/training.
    What you’ll bring to the job:
    • Minimum of an associate degree and 5 years WC claims experience or related insurance / claims management experiences.
    • If no college degree must have a minimum of 7 years of experience in WC Claims management, and knowledge of, Florida’s Workers’ Compensation Law.
    • Knowledge of OSHA regulations particularly record keeping is preferable.
    • State Workers’ Compensation Adjuster license is required.
    • Must maintain required Workers’ Compensation Adjuster CEU’s.
    • Certifications such as Associate in Claims (AIC) or Certified Workers’ Compensation Professional are preferred.
    • Ability to manage and develop a high-performing team.
    • Availability to work beyond regular business hours when necessary.
    • Availability for potential travel commitments.
    What’s in it for you:
    • Potential to showcase what you can do and potentially earn a permanent position after working 600 hours with LandrumHR
    • After meeting the qualification requirements, employees are offered: Health Insurance, Dental Insurance, Vision Insurance, Matching 401k
    LandrumHR Workforce Solutions does not discriminate based on race, color, religion, sex, national origin, age, disability, veteran status, sexual orientation, gender identity, marital status, pregnancy, genetic information or any other characteristic protected by law. It is our intention that all qualified applicants are given equal opportunity and that employment decisions be based on job-related factors.
  • 3 Days Ago

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SIU Investigator
  • Claims Investigation Agency
  • Pensacola, FL TEMPORARY,CONTRACTOR
  • Surveillance Investigators needed for South Florida. (TriCounty) Claims Investigation Agency, Inc. is a well-known and respected and continuously growing investigative company that has been in busines...
  • 23 Days Ago

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Field Roof Inspector - Panama City Beach, FL
  • Hancock Claims Consultants Technicians
  • Panama, FL CONTRACTOR
  • Hancock Claims Consultants specialize in Ladder Assist and Property Inspection Services, collaborating directly with numerous insurance agencies for efficient claims management.At Hancock, we are at t...
  • Just Posted

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Loan Protection Claims Processor
  • LandrumHR
  • Pensacola, FL OTHER
  • Loan Protection Claims Processor A well-known company in Pensacola is searching for a Loan Protection Claims Processor to evaluate, approve/disapprove, and process Loan Protection Claims and resolve c...
  • 19 Days Ago

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MedPro Claims Research Specialist lll
  • West Florida Medical Center Clinic PA
  • Pensacola, FL FULL_TIME
  • DescriptionJOB SUMMARY Under the direction of the MedPro Claims Research Supervisor, the Claims Research Specialist III is responsible for performing the duties related to insurance follow up/collecti...
  • 20 Days Ago

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Independent Insurance Claims Adjuster in Crestview, Florida
  • MileHigh Adjusters Houston Inc
  • Crestview, FL FULL_TIME
  • Exciting Opportunity for Aspiring Claims Adjusters! INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW!Are you ready to embark on a dynamic and in-demand career as an Independent Insurance Claims Adjus...
  • Just Posted

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0 Claims Director jobs found in Pensacola, FL area

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Director of Benefits
  • Revel Search
  • Pensacola, FL
  • Job Description The Director of Benefits is responsible for directing and planning the day-to-day operations of group be...
  • 4/26/2024 12:00:00 AM

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Insurance Sales Store Manager
  • Freeway Insurance Services America LLC
  • Pensacola, FL
  • Pay Range: $16 - $21/ hour Our Perks: •Unlimited/Uncapped commission •Lucrative incentive sales plans, bonuses and sales...
  • 4/26/2024 12:00:00 AM

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Insurance Follow Up Representative I- Remote
  • Baptist Health Care
  • Pensacola, FL
  • Job Description Salary Range: $13/hr-15/hr The Insurance Follow Up Rep is responsible for various tasks in the accounts ...
  • 4/26/2024 12:00:00 AM

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Clerical
  • Encore Rehabilitation
  • Lillian, AL
  • Front Office/Receptionist Job Description/Summary PRIMARY FUNCTION The Receptionist is a non-licensed worker who has com...
  • 4/25/2024 12:00:00 AM

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Work From Home Sales Agent
  • The Jernigan Agency
  • Pensacola, FL
  • This Jernigan Agency is looking for individuals interested in working remotely as sales representatives. We are hiring c...
  • 4/25/2024 12:00:00 AM

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Integrated Absence Claims Specialist
  • Lincoln Financial Group
  • Pensacola, FL
  • Lincoln Financial Group Integrated Absence Claims Specialist Salt Lake City , Utah Apply Now Alternate Locations: Phoeni...
  • 4/24/2024 12:00:00 AM

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Short Term Disability Claims Specialist
  • Lincoln Financial Group
  • Pensacola, FL
  • Lincoln Financial Group Short Term Disability Claims Specialist Salt Lake City , Utah Apply Now Alternate Locations: Sco...
  • 4/24/2024 12:00:00 AM

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Marine Claims Senior Claims Specialist Role
  • Zurich Na
  • Pensacola, FL
  • Marine Claims Senior Claims Specialist Role112521Zurich North America is hiring an Marine Claims Senior Claims Specialis...
  • 4/24/2024 12:00:00 AM

Pensacola (/ˌpɛnsəˈkoʊlə/) is the westernmost city in the Florida Panhandle, approximately 13 miles (21 km) from the border with Alabama, and the county seat of Escambia County, in the U.S. state of Florida. As of the 2010 census, the city had a total population of 51,923, down from 56,255 at the 2000 census. Pensacola is the principal city of the Pensacola metropolitan area, which had an estimated 461,227 residents in 2012. Pensacola is a sea port on Pensacola Bay, which is protected by the barrier island of Santa Rosa and connects to the Gulf of Mexico. A large United States Naval Air Statio...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Director jobs
$166,653 to $241,036
Pensacola, Florida area prices
were up 1.5% from a year ago

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