Claims Manager Jobs in Florida

Job Title: ESIS Claims Manager - Tampa Office Company: ACE Limited/ACE INA Location: Tampa, FL Description: ACE GroupThe ACE Group of Companies is one of the worlds leading global commercial property and casualty insurance and reinsurance organizations, with 16,000 employees worldwide and offices in more than 50 countries.ACE serves the property and casualty insurance needs of businesses of all sizes in a broad range of industries. We also provide specialized insurance products—such as personal accident, supplemental health and life insurance—to individuals in select countries. Our reinsurance operations include both property and casualty and life companies.Details of this critical opening follow:Responsible for all ESIS Workers Compensation claim management activities in the State of Florida and for the Defense Base Act line of business. This individual will be directly responsible for the Tampa office. The manager will play a critical leadership role in effectively executing ESIS business strategies and plans in these jurisdictions. They will also be responsible for successful development and implementation of local business plans focusing on claims quality, customer service, staff development and expense management. Primary Duties and Responsibilities *Manages the activities of Claims Supervisors within assigned lines of business to assure swift and efficient claims services to ACE/ESIS customers.*Determines and delegates claims settlement authority to Claims Supervisors, in conjunction with Claim Vice President. Retains higher settlement authority for cases beyond the scope of subordinates and may personally settle such cases. Coordinates and handles structured settlements.*Develops and implements local operating processes and sound claims handling procedures to assure that quality claims service is rendered to all accounts. Effectively manages operations against established standards and recommends modifications or improvements to increase productivity.*Effectively manages all Florida EDI requirements within the Tampa office. Ensure compliance with jurisdictional mandates and responds effectively to jurisdictional inquiries and audits. *Maintains positive relationships with customers and producers serviced. Ensures quality and timeliness of service provided and designs and implements action plans to correct deficiencies as appropriate.*Establishes loss reserves to reflect probable financial obligations both personally and through subordinate supervisors. Reviews and modifies reserves as necessary.*Develops, manages and monitors departmental operating budget. Manages and controls expenses by ensuring adequate departmental controls and prudent protection/application of company assets.*Manages department human resources by ensuring that organization design, staff selection, performance management, reward programs and related actions are consistent with company policies, procedures and good business judgment. Interfaces with assigned Human Resources representatives to obtain required services and advice.Desired QualificationsAbility to establish and implement general business, legal, and ACE/ESIS procedures and practices, as evidenced by completion of Management and Technical Training programs and courses, completion of a business or legal related college level curriculum, or other relevant practical work experience.*Minimum of 5 to 7 years Workers Compensation claims handling experience to include multi-jurisdictional litigation experience. Strong knowledge of Florida jurisdictional requirements is preferred.*Management and planning expertise as evidenced by 2 or more years of management experience in a medium or large ACE/ESIS Claims office, or a similar organization. Management of remotes sites beneficial.*Broad knowledge of claims investigation for all lines of Property & Casualty business preferred, including knowledge of applicable legal and regulatory processes as evidenced by successful career progression in this function within ACE/ESIS, or a similar organization.*Highly effective communications and interpersonal skills to be capable of dealing with all levels of ACE/ESIS personnel, as well as producers, clients and insureds.*Willingness to travel on a regular basis.*Demonstrated creativity and self-motivation and ability to work effectively in demanding fast paced environment.ACE offers a competitive salary plus cash bonus, equity opportunities and a comprehensive benefits package including life, health, dental, vision, a generous retirement savings plan with a generous company match, disability coverage, stock purchase plan, flexible spending accounts, tuition reimbursement, and business casual dress.Sound like the right job for you? For consideration, please apply below. If you would like additional information about the ACE Group, please visit our website at www.acelimited.com

Job Title: Claims Administrator - Lake Mary *** Company: The Hartford Location: Lake Mary, FL Description: Title: Claims Administrator - Lake Mary *** Location: Florida-Lake Mary WHY JOIN THE HARTFORD? As a global leader in insurance, asset management and financial service products, we offer professionals every possibility for growth. And whether we're helping customers or building careers, we're experts at creating the kind of advantages that help people reach their goals. WHAT ARE WE LOOKING FOR? * Minimum of 2 years office experience preferred * College degree is preferred * Must have the ability to perform in a high volume work environment and a proven high level of performance and achievement * Must possess effective verbal and written skills, strong computer/automation skills and the ability to deal with both internal and external customers * Bilingual proficiency in Spanish is a plus WHAT ARE THE RESPONSIBILITIES OF THE POSITION? We are currently interviewing for future anticipated openings for Claim Administrator in Lake Mary, FL. in Q1 or Q2, 2010. This position, located in our Workers Compensation Claim office in Lake Mary, FL, is responsible for assisting the claim representatives with multiple facets of the claim process and assigning claim files to the appropriate claim level segment within the Claim Center. The incumbent will enter all exceptions to triage and assist with the filing of all state forms by jurisdiction. In addition, the candidate will be responsible for determining adjustments due and requesting medical reports. WHAT IS THE COMPENSATION OPPORTUNITY? At The Hartford, our compensation philosophy is simple: we pay competitive base salaries and reward performance. In addition, you will be eligible to participate in our comprehensive benefits program including Medical, Dental, Life and Disability Insurance, a 401K Plan, an Employee Stock Purchase Plan and more. WHAT ELSE CAN YOU TELL ME? The Hartford's Southeast Workers' Compensation Claim Center is a fast paced organization that will offer you the opportunity to join a team of dedicated Claim Professionals. We value providing exceptional customer service and superior claim handling, while providing our employees with the opportunity for growth and advancement. The Hartford offers a business casual environment and flexible work schedules. Our office is located in beautiful Lake Mary, Florida in the Colonial Town Center. We are adjacent to convenient housing and a wealth of shops and restaurants for your entertainment. An Equal Opportunity Employer "Committed to building inclusion and leveraging diversity" ***NO AGENCIES PLEASE*** HRCUSTSERV

Job Title: Insurance Claims Supervisor (2009094) Company: Bayview Asset Management Location: Coral Gables, FL Description: 2009094 Job Description This role is responsible for the supervision and direction of the Insurance Claims Department through trouble-shooting all problems and successfully enforcing the policies and procedures of the department.  Selected candidate will participate in ongoing strategic planning process with senior management team; work with other department managers in matters regarding departmental operations, procedures and personnel questions; direct the preparation of reports on specific facets of the departments operation; review departmental reporting practices to ensure conformity with investor, company and governmental requirements; review damage reports from Insurance Adjusters; determine responsibility and provide sound evidence for recovery of monetary loss; interact with attorneys, Insurance Agencies and borrowers on claim issues; train and support junior department staff; and handle special projects as assigned. Required Skills Proficiency with MS Word, Excel, and Access; The ability to meet time deadlines while working under pressure; The ability to handle simultaneous tasks and projects in a fast paced environment; Strong business writing and math skills; and Excellent follow-up skills. Required Experience High School Diploma (Associates Degree) preferred; Minimum 5 years escrow and loan servicing experience; Property Claims Adjuster experience; Adjusters License or Certification; Extensive knowledge of handling insurance claims; and Loan Closing and Tax Service Bureau experience  LPS-MSP servicing and are a plus. Job Location Coral Gables, FL, US. Position Type Full-Time/Regular

Job Title: Disputed Claims Supervisor Company: Citizens Property Insurance Corporation Location: Jacksonville, FL Description: POSITION SUMMARY:  The purpose of the position is to supervise Disputed Claims Specialists handling cases in Appraisal and Mediation.  The position will ensure attainment of objectives, productivity, adherence to company policies and procedures, and fulfillment of customer service expectations.  This position mandates completion of Fundamental Claims School, which includes obtaining an overall passing score.ESSENTIAL FUNCTIONS: THE FOLLOWING ARE THE USUAL, BASIC AND ESSENTIAL FUNCTIONS OF THE POSITION. THESE FUNCTIONS ARE NOT TO BE CONSTRUED AS AN EXHAUSTIVE LIST OF ALL RESPONSIBILITIES, DUTIES, AND SKILLS REQUIRED.• Supervises the daily activities and personnel of the Mediation and/or Appraisal Unit and assists the Disputed Claims Unit Manager to recruit, hire, train, conduct performance reviews, coach and counsel staff.• Supervises up to 75 independent adjusters.• Researches, analyzes and interprets policy language and state law as it applies to submitted claims and conducts oversight management to determine company procedural and contractual policy compliance.• Assists in establishing policy and procedure, developing strategic goals and objectives, and providing direction, support and leadership.• Develops and oversees procedures related to claims support functions in areas of claims setup, assignments, check processing and service, and expense issuance and reconciliation.• Communicates effectively with agents, policyholders, Claims Unit personnel, Underwriting, Human Resources, Accounting, and Claims Management.• Documents in a clear and concise manner all information relevant to the claim process and runs reports as required.• Keeps current on industry activity and trends and reports to upper management.• Participates in training and mentoring of strategic business partners and internal staff.• Conducts support operational reviews to evaluate and document overall effectiveness of procedures.• Develops and analyzes statistical reports.• Properly and effectively delegates responsibilities.• Evaluates claims and addresses policy coverage issues, escalating as necessary.• Works with insured and external business partners regarding the handling and/or disposition of claims and other issues.• May perform settlements and compose disposition letters for Florida Department of Financial Services Consumer Services Division.• Recognizes need for negotiation, and participates in planning strategy and negotiating within scope of authority.• Conducts Open and Closed File Reviews to evaluate and document overall operational value.• Participate in Catastrophe Response Planning• Participate in system testing.• Performs other essential duties as assigned.REQUIRED KNOWLEDGE, SKILLS, AND ABILITIES: • Ability to negotiate claims settlements directly with insured in an adversarial environment.• Strong verbal and written communication skills.• Knowledge of Claims Management Guidelines and Service Standards.• Proven ability to effectively interact with external business partners.• Ability to recognize problematic situations and put into effect creative solutions.• Computer literacy in Microsoft Word, Excel, and Outlook.• Ability to travel overnight for extended field deployments lasting up to 2 weeks.REQUIRED EDUCATION AND EXPERIENCE:•   Bachelor's degree -OR- equivalent combination of education, training and insurance claims experience â€˘ 4 years experience in personal/commercial property claims.• Active Florida Adjuster license (620) - Appointment Required within 6 months of employment.• Within 90 days of employment, must successfully complete all requirements of Citizens Fundamental Claims schools which includes an overall passing score.•   Prior experience with computerized estimating programs.• Demonstrated leadership skills.PREFERRED QUALIFICATIONS:• Two years of personal/commercial property claims supervisory experience.• Experience with Citizens ePAS and eWind systems.• Prior experience with Xactimate.• Proficiency in Microsoft Access.PHYSICAL REQUIREMENTS:  This position requires the ability to sit for long periods of time, hear and converse over the telephone, and key frequently on a computer (2 or more hours per day).  Position may require frequent overnight travel.