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Manager Claims

4 months ago

Jacksonville, United States Fortegra Full time

The Claims Manager is responsible for leading and managing the Claims Operations, which may encompass Property and Casualty, Lender Placed, and other Specialty products. This role involves developing and maintaining procedures and guidelines to achieve the company's objectives effectively and efficiently. The Claims Manager will review, direct, monitor, mentor, and address issues related to the skills, knowledge, training, and development of associates, helping them meet their career and company goals. Additionally, the role requires collaboration with the Compliance department on new regulations, the Special Investigations Unit (SIU) on fraud investigations, and the IT department on changes and developments relevant to the Claims Operations.

Minimum Qualifications:

  • Degree in Business Administration, Management or closely related field or equivalent work experience.
  • 7 to 10 years' professional experience in claims field, property experience preferred.
  • Management and supervision of claims teams experience.
  • LOMA and/or HIAA education preferred.
  • 220, 520 or 620 license preferred.
Primary Job Functions:
  • Direct the activities of the Claims Administration area by managing, overseeing, supervising, analyzing and coordinating associates and functions to meet set standards.
  • Plan, recommend, and promote policies that will support the company and department objectives.
  • Manage communication and coordination of service between units, associates, insureds, agents, policyholders, and departments.
  • Evaluate and monitor workflow by communicating effectively with supervisors and associates of all levels to analyze needs and identify problem areas.
  • Monitor and develop associates to their highest potential.
  • Investigate and pursue the use of technology, research, analyze, document and communicate problems with system data and/or data entry process. Manage the development and updating of new and existing programs to streamline and implement new strategies for claims adjudication utilizing industry best practices.
  • Prioritize workload and coordinate projects to meet time demands.
  • Document procedures and assign tasks to department, supervisor or associates.
  • Maintain an understanding of related state and federal laws, state rates, state and company limits, state and company underwriting guidelines and claims production standards.
  • Improve efficiencies; suggest changes in procedures and report trends and problems.
  • Interview and evaluate applicants for employment and maintain a working knowledge of HR rules and regulations as they relate.
  • Develop and maintain Desk Manual documentation in approved format.
  • Develop and maintain Disaster Recovery documentation.
The above cited duties and responsibilities describe the general nature and level of work performed by people assigned to the job. They are not intended to be an exhaustive list of all the duties and responsibilities that an incumbent may be expected or asked to perform.

Periodic Job Functions:
  • Work on project teams.
  • Serve as disaster recovery team captain for Claims Department.
  • Work with legal on DOI complaints.
  • Interview and select qualified applicants for employment.
  • Complete annual performance reviews; provide recommendation for increase in salary.
  • Assist in development and implementation of new programs as needed.
  • Other duties as assigned.
Skills & Competencies Required:
  • Refining skill sets.
  • Proven track record of keeping promises to Fortegra team.
  • Execution leadership.
  • Proven track record of leading a team to improved performance for customers and Fortegra.


Additional Information:

Full benefit package including medical, dental, life, vision, company paid short/long term disability, 401(k), tuition assistance and more.