Claims Processing Manager jobs in Jacksonville, 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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Claims Manager
  • Berkley
  • Jacksonville, FL OTHER
  • Company Details

     

    Carolina Casualty is a member company of W. R. Berkley Corporation, an insurance holding company that is among the largest commercial lines insurance writers in the United States. We specialize in liability, physical damage, cargo and other insurance solutions for the commercial auto markets including trucking, public transportation and others. 

     

    We maintain some of the lowest claim adjuster pending claim counts in the industry. Our adjusters are part of a culture that emphasizes inclusion, collaboration, innovation, and team. Our culture is one where your work is recognized and appreciated. If you want to contribute to an organization where you matter and where you can make a difference, then search no further.

    Responsibilities

    Carolina Casualty Insurance company is looking for an experienced Commercial Bodily Injury Claims Manager.  The Commercial Bodily Injury Claims Manager is responsible for providing leadership and expertise to a team of bodily injury/liability claims adjusters. This position will also help answer coverage questions and solve problems, develop technical training and development plans, work with our customers to provide an excellent customer experience, and participate in projects to help the department improve and evolve. If you are an experienced Claims Manager, this opportunity is for you!

     

    Our team is comprised of “A” level talent and innovative thinkers. You will be part of a highly collaborative team of talented and focused professionals. Join a group that enjoys working together, trusts each other, and takes pride in our hard-earned success.

    • Shape the future strategy of the department as part of the claims leadership team.
    • Monitors workload assignments for commercial bodily injury claims personnel
    • Recommends staffing plans to the AVP – Claims and participates in the hiring of new commercial bodily injury claims personnel based on business needs
    • Knowledge of evaluating injury exposures
    • Ability to function in a fast-paced work environment and tolerate stress
    • Demonstrated success exercising independent decision making, problem solving and effective negotiation skills
    • Excellent oral and written communication skills
    • Work with the claims adjusters to solve problems and get the best outcomes of the claim.
    • Collaborate with other departments, including actuary and underwriting, individual claims, Best Practices and trends.
    • Develop the team’s expertise in claim handling procedures in accordance with Best Practices.
    • Manage the department’s inventory of claims to include:
      • Ensuring team conducts thorough investigations to determine coverage and liability
      • Ensuring proper reserves are set for exposures to the Company
      • Ensuring appropriate evaluation, negotiation, and settlement claims within authority levels.
      • Ensuring Identification and pursuit of recovery opportunities (salvage, subrogation, etc.).
      • Ensuring appropriate and thorough litigation process
    • Develop team in negotiation and settlement skills.
    • Conduct research on industry trends and keeping apprised of laws in Federal, State and Local jurisdictions.
    • Develop training programs and procedures, and conduct department-specific training.
    • Review and streamline claims processes, including automating tasks as needed.
    • Work with direct reports on career development and aspirations.
    • Conduct performance reviews and give constructive and positive feedback to direct reports.
    • Recruit and retain team members to the claim’s organization.
    • Speak with customers when added expertise is needed or issues arise that need extra assistance.
    • Serve as a point of contact and knowledge source for all internal departments, and for our clients.
    • Ensure the claim team maintains a high level of Customer Service to customers. Ability to step in to manage individual claims if needed or to gain a better understanding of processes.

     

    Qualifications

     

    • Bachelor's Degree
    • 8 years of commercial auto/bodily injury claim experience
    • 1 years management experience

    The Company is an equal employment opportunity employer 

    Additional Company Details

    We do not accept any unsolicited resumes from external recruiting agencies or firms. The company offers a competitive compensation plan and robust benefits package for full time regular employees. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment.

    Sponsorship Details

    Sponsorship not Offered for this Role
  • 1 Month Ago

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Risk Claims Senior Manager
  • Acosta Group
  • Jacksonville, FL FULL_TIME
  • **Risk Claims Senior Manager** **Description** The Sr\. Casualty Risk Analyst will assist the Director of Risk Management in the implementation of the corporation’s property and casualty risk manageme...
  • 6 Days Ago

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SIU Investigator
  • Claims Investigation Agency
  • Jacksonville, FL CONTRACTOR,TEMPORARY
  • 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...
  • 22 Days Ago

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Jr Systems Analyst
  • Claims Recovery Financial Services
  • Jacksonville, FL FULL_TIME
  • Job Title: Jr. Systems Analyst Department: Information Technology Reports To: President FLSA Status: Exempt Position Summary An individual in this role will serve as the bridge between operational nee...
  • 1 Month Ago

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Field Technician
  • Hancock Claims Consultants
  • Brunswick, GA CONTRACTOR
  • CLIMB to New Heights… And live the_ American Dream. _Become part of something bigger by contracting with the nation’s top provider of roof and property inspection services working with insurance carri...
  • 1 Month Ago

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Volvo Accessory Installer
  • International Auto Processing LLC
  • Brunswick, GA FULL_TIME
  • At International Auto Processing, LLC the Volvo Accessory Installer will drive vehicles from the staging area into the Production Shop, perform accessory installations and clean each work area at the ...
  • 17 Days Ago

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0 Claims Processing Manager jobs found in Jacksonville, FL area

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Program Coordinator
  • Allegis Global Solutions
  • Jacksonville, FL
  • Working at Allegis Global Solutions (AGS) is more than just a job. Its a career. Its a community of people who invest in...
  • 4/26/2024 12:00:00 AM

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Seasonal- Summer Camp Director
  • City of Jacksonville, FL
  • Jacksonville, FL
  • Salary: $18.00 Hourly Location : Jacksonville, FL Job Type: Seasonal Job Number: 2024-05796 Department: PARKS, RECREATIO...
  • 4/26/2024 12:00:00 AM

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Operations Manager- Fire Alarm/Low Voltage
  • Sciens Building Solutions
  • Jacksonville, FL
  • THE POSITION IN A NUTSHELL SciensBuilding Solutions is seeking an Operations Manager who is a positive change agent and ...
  • 4/26/2024 12:00:00 AM

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Installation Process Manager
  • Mellick Group, LLC
  • Jacksonville, FL
  • Job Type Full-time Description Our Vision: "We aspire to be the trusted partner in every homeowner's journey towards a s...
  • 4/25/2024 12:00:00 AM

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EQ Middle Office Manager, Operations - Vice President
  • Deutsche Bank
  • Jacksonville, FL
  • Job Description:Job Title EQ Middle Office Manager, OperationsCorporate Title Vice PresidentLocation Jacksonville, FLOve...
  • 4/24/2024 12:00:00 AM

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Project Manager - Strategic Data Centers NA
  • Cummins
  • Jacksonville, FL
  • Project Manager - Strategic Data Centers NA Description Description - External Project Manager Our culture believes in P...
  • 4/24/2024 12:00:00 AM

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Program Nurse Manager
  • Partnership for Child Health
  • Jacksonville, FL
  • Job Description Job Description The Program Nurse Manager assumes responsibility to ensure the smooth and efficient deli...
  • 4/22/2024 12:00:00 AM

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Manager of Facility Operations
  • AEG
  • Jacksonville, FL
  • About the Jacksonville Jaguars The Jacksonville Jaguars are a professional football team and a member of the National Fo...
  • 4/22/2024 12:00:00 AM

Jacksonville is the most populous city in Florida, the most populous city in the southeastern United States and the largest city by area in the contiguous United States. It is the seat of Duval County, with which the city government consolidated in 1968. Consolidation gave Jacksonville its great size and placed most of its metropolitan population within the city limits. As of 2017 Jacksonville's population was estimated to be 892,062. The Jacksonville metropolitan area has a population of 1,523,615 and is the fourth largest in Florida. Jacksonville is centered on the banks of the St. Johns ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Processing Manager jobs
$89,853 to $116,050
Jacksonville, 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