Claims Processing Manager jobs in Sarasota, FL

Claims Processing Manager manages the administration of health insurance claims, payment processing, billing research, and responding to inquiries. Ensures timely and proper disposition of claims in accordance with coverage amounts. Being a Claims Processing Manager trains staff on organizational policies and ensures procedures are followed at all times. Provides guidance on more complex or high-value claims. Additionally, Claims Processing Manager typically requires a bachelor's degree. Typically reports to a head of a unit/department. The Claims Processing Manager manages subordinate staff in the day-to-day performance of their jobs. True first level manager. Ensures that project/department milestones/goals are met and adhering to approved budgets. Has full authority for personnel actions. To be a Claims Processing Manager typically requires 5 years experience in the related area as an individual contributor. 1 - 3 years supervisory experience may be required. Extensive knowledge of the function and department processes. (Copyright 2024 Salary.com)

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Manager, Liability Claims
  • FCCI Services Inc.
  • Sarasota, FL FULL_TIME
  • For over 60 years, FCCI Insurance Group has built a reputation on trust and relationships. As a leading super-regional property & casualty insurer with strong financials and excellent partnerships with our independent agents, FCCI is committed to creating connections and looking for employees who share our vision. If you value loyalty, integrity, vision, excellence and service like we do, and you want a rewarding career you can be proud of, you belong at FCCI.


    We are currently seeking a Manager, Liability Claims, to manage and oversee the Commercial Claims team to ensure all assigned claims are investigated and adjusted appropriately. The team determines liability, secures information, reviews coverages, and settles claims.

    This position can be located in our Lawrenceville, GA , Lake Mary or Sarasota, FL office with a hybrid work schedule available (3 days in office and 2 days from home). Remote will be considered for candidates not in close proximity to one of our office locations, (in states we write business).

    What you will do:

    • Manage a Commercial Litigation team that primarily handles complex and/or litigated Auto and GL claims in Florida and Georgia.
    • Determine work objectives and planning workloads and deadlines for team. Review procedures; workflows and time utilization: identifies potential volume or workflow issues and/or areas where efficiency can be improved and implements changes. Advise user departments of policy or procedural changes.
    • Investigations may include applicable field work such as meetings, inspections, assessing damages and documenting physical evidence.
    • Documents a plan of action, strategy and future exposure. Sets and maintains an appropriate diary schedule as specified in our claims company guidelines.
    • Directs attendance at mediations for those cases within authority and any other duties related to the effective handling of claims. Implements strategies to expeditiously close files and manages claims to a conclusion in the most effective manner possible.
    • Selects, contracts with, and works with independent adjusters and miscellaneous vendors in an attempt to handle claims effectively and contain expenses.
    • Manage exposures and ensure that reserves are appropriate at the case level for assigned team.
    • Support staff management of litigated cases with focus on adherence to guidelines, effective defense, and cost containment.

    In exchange for your talents, FCCI offers competitive salaries and an excellent benefits package.


    FCCI values the contributions of a diverse workforce.

    We're committed to being fair and equitable to all employees and applicants for employment. FCCI prohibits discrimination on the basis of race, color, sex, age, marital status, religion, national origin, sexual orientation, handicap, disability and other legally protected classifications.

    Please apply via our website at www.fcci-group.com.

    Experience

    Required
    • Bachelor’s degree (preferred); NOTE - Relevant, progressively responsible work experience may be substituted on a year for year basis for the required education
    • Six or more years of commercial liability experience with two years in a leadership role
    • Experience handling complex litigated claims in Florida and Georgia.
    • Strong working knowledge of insurance claim procedures, rules, systems, and regulations.
    • Strong working knowledge of claim file management techniques and processes.
    • Strong working understanding of the judicial and legal systems.
    • Knowledge of medical terminology.
    • Excellent communication, negotiation, interpersonal and organizational skills.
    • Ability to analyze, define and solve problems; the use of good judgment and decision-making.
    • Ability to interpret and explain insurance policy coverage as applicable to the area of claims handling.
    • Current, active Adjusters License in assigned jurisdiction(s).
    • AIC, CPCU or AEI designation(s), or equivalent experience or experience
  • 20 Days Ago

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Claims Associate
  • Ajax Paving Industries
  • Venice, FL OTHER
  • Application Instructions: Apply online at: https://www.ajaxpaving.com/florida/employment-fl.html Please complete the entire online application, sign and date the relevant sections, and then submit. Yo...
  • 30 Days Ago

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Processing Clerk II
  • Sarasota County
  • Sarasota, FL FULL_TIME
  • PURPOSE: This is an essential position responsible for performing a complete range of essential administrative duties for the Court Processing division. The ideal candidate requires diligence for anal...
  • 16 Days Ago

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Submission Processing - Coins Cataloger
  • Certified Collectibles Group
  • Sarasota, FL FULL_TIME
  • Submission Processing - Coins Cataloger (Starting at $16.00) Certified Collectibles Group (CCG) is a multi-divisional global organization that specializes in the third-party expert authentication, gra...
  • 16 Days Ago

S
Processing Clerk II
  • Sarasota County Clerk and Comptroller
  • Sarasota, FL FULL_TIME
  • PURPOSE: This is an essential position responsible for performing a complete range of essential administrative duties for the Court Processing division. The ideal candidate requires diligence for anal...
  • 16 Days Ago

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Certified Sterile Processing Tech
  • Doctors Same Day Surgery
  • Sarasota, FL FULL_TIME
  • Introduction Do you want to join an organization that invests in you as a Certified Sterile Processing Tech? At Doctors Same Day Surgery, you come first. HCA Healthcare has committed up to $300 millio...
  • 18 Days Ago

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0 Claims Processing Manager jobs found in Sarasota, FL area

Sarasota (/ˌsærəˈsoʊtə/) is a city in Sarasota County on the southwestern coast of the U.S. state of Florida. The area is renowned for its cultural and environmental amenities, beaches, resorts, and the Sarasota School of Architecture. The city is at the southern end of the Tampa Bay Area, north of Fort Myers and Punta Gorda. Its official limits include Sarasota Bay and several barrier islands between the bay and the Gulf of Mexico. According to the U.S. Census Bureau, in 2013 Sarasota had a population of 53,326. In 1986 it became designated as a certified local government. Sarasota is a prin...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Processing Manager jobs
$90,327 to $116,664
Sarasota, Florida area prices
were up 1.5% from a year ago

Claims Processing Manager in Austin, TX
These claims management platforms are often not well integrated with peripheral systems, which also results in more human involvement and an increased cost per transaction.
January 26, 2020
Claims Processing Manager in Topeka, KS
The claims have to be handled timely to ensure quick settlement leading to customer satisfaction.
January 12, 2020
Managers can review workflow queues and see what is in each processor’s queue.
January 13, 2020
Claims Processing Manager in Youngstown, OH
A common duty in this position is reviewing insurance policies after clients have submitted claims, in order to determine coverage.
December 11, 2019