Claims Director
2 weeks ago
Basic Function:
The Claims Director serves as a front-line Manager, pivotal in achieving team objectives by nurturing and leading a team of dedicated claims professionals and a paralegal. This role demands a blend of adept technical claims handling, effective people management, and strong leadership capabilities. The Claims Director provides managerial support, guidance, and mentorship to their team while driving employee engagement, performance, and growth.
General Duties and Responsibilities:
Cultivate employee engagement and foster the development of adjusters, claims attorneys, and paralegals.
Drive Key Performance Indicators (KPIs) and adherence to Best Practices through managerial diary and file audits.
Review coverage analyses drafted by the team and lead litigation management efforts.
Identify and address key issues and trends, providing solutions to senior claims management.
Allocate incoming claims and ensure efficient management of cash flow needs for claim payments.
Collaborate with Finance to manage claim reserves and regularly update reinsurers on claim developments.
Oversee First Notice of Loss processes and participate in refining claims operations.
Coordinate with stakeholders to update guidelines and participate in presentations to Membership.
Prepare monthly, quarterly, and annual reports for claims activity.
Education, Knowledge, Skills, and Experience:
10+ years of Claims handling experience with a JD from an ABA accredited law school.
5+ years of Claims Management experience demonstrating leadership and people management skills.
Expert knowledge of Claims handling practices including coverage analysis, litigation management, and negotiation.
Excellent analytical, critical thinking, verbal, and written communication skills.
Strong rapport-building and relationship effectiveness skills.
Additional Factors Considered:
Subject matter expertise and demonstrated efforts to advance product innovation and improve Claims processes.
Technical leadership abilities with a proactive approach to addressing challenges.
Must be located in Tampa area. This is an in person position Tuesday - Friday.
Salary Range: $200K - $210K - annually, plus bonus.
#J-18808-Ljbffr
-
Director, Claims Operations
4 weeks ago
Tampa, United States USAA Full time**Why USAA?**: Let’s do something that really matters. At USAA, we have an important mission: facilitating the financial security of millions of U.S. military members and their families. Not all of our employees served in our nation’s military, but we all share in the mission to give back to those who did. We’re working as one to build a great...
-
Client Services
1 week ago
Tampa, United States Sedgwick Claims Management Services Full timeTaking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It's an opportunity to do something meaningful, each and every day. It's having support...
-
General/Property Claims Adjuster
5 days ago
Tampa, FL, United States USAA Full timeWhy USAA? At USAA, we have an important mission: facilitating the financial security of millions of U.S. military members and their families. Not all of our employees served in our nation’s military, but we all share in the mission to give back to those who did. USAA is seeking an experienced Property General Field Adjuster within Tampa, FL/Orlando, FL or...
-
Tampa, United States ATI Restoration LLC Full timeATI Restoration, LLC.(ATI) is expanding and growing! We are adding to our team and have an immediate opening for a **Project Director with Program and/or Construction **experience in our Tampa, FL location. The Project Director estimates, bids, and monitors the progress of water, fire, smoke and other losses, serving as the key link with clients and...
-
Tampa, United States Cigna Full timeInclude oversight of regulatory compliance, monitoring and influencing legislation, state fee schedules, state EDI reporting, WC PBM licensure and transparency reporting, client and industry communications, compliance practices, controls, audits and Workers Compensation, Director, Compliance, Worker, Compensation, Claims Manager, Administrative, Insurance
-
Lead Director, Medicaid Provider Data Operations
3 weeks ago
Tampa, United States CVS Pharmacy, Inc. Full timeYou will oversee Medicaid provider data operations related to claim pends, new business implementations and provider data accuracy improvements initiatives. Looking for talent that can:-Build and develop strong functional operation management team th Operations, Director, Data, Operation, Lead, Project Management, Manufacturing, Retail
-
PBM Pricing Strategy Director
2 weeks ago
Tampa, United States Elevance Health Full timeElevance Health PBM Pricing Strategy Director Tampa , Florida Apply Now Location: Elevance Health supports a hybrid workplace model (virtual and in-office) with PulsePoint sites used for collaboration, community, and connection. This includes remote work and 1-2 days in office per week. The PBM Pricing Strategy Director is responsible for the analysis and...
-
Director Call Center
1 month ago
Tampa, United States Marpai Health Full timeJob DescriptionJob DescriptionThe Director Call Center reports to the Vice President Operations and is responsible for overseeing all layers within the Customer Service department. The Director Call Center is responsible for ensuring that Marpai Call Center meets all objectives and key results (OKRs). The Director is responsible for ensuring call center...
-
Tampa, Florida, United States The Cigna Group Full timeThe job profile for this position is Operations Director, which is a Band 5 Management Career Track Role.Excited to grow your career?We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see is right for you, we...
-
Health Benefits Executive Director
4 days ago
Tampa, United States Elevance Health Full timeElevance Health Health Benefits Executive Director Tampa , Florida Apply Now Location: This position will work a hybrid model (remote and office). Must reside within 50 miles/1 hour commute of an Elevance Health location. The Health Benefits Executive Director is responsible for leading the development and implementation of complex product strategies for...
-
Client Services
1 week ago
Tampa, United States Sedgwick Full timeTaking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It’s an opportunity to do something meaningful, each and every day. It’s having support for...
-
Client Manager, Commercial Risk-BKS Partners
5 days ago
Tampa, United States BRP Group, Inc. Full timeBKS Partners is an award-winning entrepreneur-led and inspired insurance brokerage firm delivering expertly crafted Commercial Insurance and Risk Management, Private Insurance and Risk Management, Employee Benefits and Benefit Administration, Asset and Income Protection, and Risk Mitigation strategies to clients wherever their passions and businesses take...
-
Tampa, United States Cigna Full timeProvides primary leadership for Workers Compensation Compliance. Provides direction for and is responsible for the output of multiple disciplines within Compliance. Implements and ensures compliance with all state, federal, and state of jurisdiction laws and regulations pertaining to Workers Compensation, Auto and PIP, including remediation for findings of...
-
Client Manager, Commercial Risk-BKS Partners
4 days ago
Tampa, United States Baldwin Risk Partners Full timeBKS Partners is an award-winning entrepreneur-led and inspired insurance brokerage firm delivering expertly crafted Commercial Insurance and Risk Management, Private Insurance and Risk Management, Employee Benefits and Benefit Administration, Asset and Income Protection, and Risk Mitigation strategies to clients wherever their passions and businesses take...
-
Tampa, United States Cigna Full timeProvides primary leadership for Workers Compensation Compliance. Provides direction for and is responsible for the output of multiple disciplines within Compliance. Implements and ensures compliance with all state, federal, and state of jurisdiction laws and regulations pertaining to Workers Compensation, Auto and PIP, including remediation for findings...
-
Tampa, United States Cigna Full timeJob DescriptionProvides primary leadership for Workers Compensation Compliance. Provides direction for and is responsible for the output of multiple disciplines within Compliance. Implements and ensures compliance with all state, federal, and state of jurisdiction laws and regulations pertaining to Workers Compensation, Auto and PIP, including remediation...
-
Client Manager, Commercial Risk-BKS Partners
4 days ago
Tampa, United States Baldwin Risk Partners Full timeBKS Partners is an award-winning entrepreneur-led and inspired insurance brokerage firm delivering expertly crafted Commercial Insurance and Risk Management, Private Insurance and Risk Management, Employee Benefits and Benefit Administration, Asset and Income Protection, and Risk Mitigation strategies to clients wherever their passions and businesses take...
-
Client Services
2 weeks ago
Tampa, United States Sedgwick Full timeTaking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It’s an opportunity to do something meaningful, each and every day. It’s having support for...
-
Client Service Representative
4 weeks ago
Tampa, United States Lazy Days RV Full timeAbout Lazydays: Lazydays is a leading retailer of recreational vehicles, offering a diverse range of RVs and related services. As a recognized industry leader, we are committed to providing exceptional experiences for our customers, driven by a passion for adventure and the great outdoors. We operate 25 dealerships nationwide and are headquartered in Tampa,...
-
Director, Pharmacy
1 week ago
Tampa, United States CareNu Full timeIt's inspiring to work with a company where people truly BELIEVE in what they're doing! When you become part of the CareNu Team, you'll realize it's more than a job. It's a mission. We're committed to providing groundbreaking solutions for our clients' unique needs offering a wide variety of compassionate healthcare choices. Our employees make all the...