We have other current jobs related to this field that you can find below

  • HVAC Commercial Service Manager

    4 days ago

    Salt Lake City, United States Commercial Mechanical Inc Full time

    Commercial Mechanical, an established and respected HVAC Service Contractor is looking for an experienced Commercial HVAC Service Manager to join our Salt Lake City team. This is a career position with full benefits and a retirement package. The Service Manager will manage the commercial HVAC service operations of the company. This includes overseeing the...

  • Complex Claims Specialist – Architect and Engineer Liability

    3 months ago

    Lake Mary, United States CNA Full time

    JOB DESCRIPTION : Essential Duties & Responsibilities: Performs a combination of duties in accordance with departmental guidelines: Manages an inventory of moderate to high complexity and exposure commercial claims by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize...

  • Complex Claims Consulting Director

    3 months ago

    Lake Mary, United States CNA Full time

    JOB DESCRIPTION : Essential Duties & Responsibilities: Performs a combination of duties in accordance with departmental guidelines: Manages an inventory of the most complex and high exposure Lawyers Professional Liability Claims by following company protocols to manage and oversee all aspects of the claim handling, including coverage determinations,...

  • Claims Examiner

    1 week ago

    Lake Mary, United States Sedgwick Full time

    Taking 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 your...

  • Claims Examiner

    2 weeks ago

    Lake Mary, United States Sedgwick Full time

    Taking 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...

  • General Liability Adjuster

    3 months ago

    Lake Mary, United States TheBest Claims Solutions Full time

    Our client is looking to add a temporary General Liability Claims Adjuster to their team. This position would be responsible for handling litigated and non-litigated general liability claims. This is a fully remote position.Required Qualifications:3+ years experience handling General Liability claimsExperience managing claims in litigationActive FL Adjusters...

  • General Liability Adjuster

    3 months ago

    Lake Mary, United States TheBest Claims Solutions Full time

    Our client is looking to add a General Liability Claims Adjuster to their team. This position would be responsible for handling both Litigated and Non-Litigated General Liability claims from inception to close. This position will be a fully remote position including benefits and PTO.Required Qualifications:3+ years experience handling General Liability...

  • Claims Trainer

    3 weeks ago

    Lake Mary, United States Frontline Insurance Full time

    Job DescriptionJob DescriptionSalary: Claims Trainer – Shape the Future of Insurance Through Training and DevelopmentAre you an experienced claims professional with a passion for teaching and mentoring others? Frontline Insurance is seeking a Claims Trainer to join our dynamic team. This hybrid role requires onsite presence, providing an exciting...

  • Claims Trainer

    1 week ago

    Lake Mary, United States Frontline Insurance Full time

    Job DescriptionJob DescriptionSalary: Claims Trainer – Shape the Future of Insurance Through Training and DevelopmentAre you an experienced claims professional with a passion for teaching and mentoring others? Frontline Insurance is seeking a Claims Trainer to join our dynamic team. This hybrid role provides an exciting opportunity to be at the forefront...

  • Claims Trainer

    4 days ago

    Lake Mary, United States Frontline Insurance Full time

    Job DescriptionJob DescriptionSalary: Claims Trainer – Shape the Future of Insurance Through Training and DevelopmentAre you an experienced claims professional with a passion for teaching and mentoring others? Frontline Insurance is seeking a Claims Trainer to join our dynamic team. This hybrid role provides an exciting opportunity to be at the forefront...

  • Claims Trainer

    2 months ago

    Lake Mary, United States Frontline Insurance Full time

    Job DescriptionJob DescriptionSalary: Join our dynamic team of innovators, creators, and problem solvers! At Frontline Insurance, we're on a mission to Make Things Better! We believe in fostering a collaborative, inclusive, and growth-oriented work environment where every team member can thrive and make a meaningful impact.At Frontline Insurance...

  • Insurance Claims Educator

    4 days ago

    Lake Mary, Florida, United States Frontline Insurance Full time

    Job OverviewClaims Trainer – Influence the Future of Insurance Through Effective TrainingAre you a seasoned claims expert with a dedication to educating and guiding others? Frontline Insurance is in search of a Claims Trainer to enhance our vibrant team. This hybrid position necessitates onsite involvement, presenting an exciting chance to lead training...

  • Insurance Claims Educator

    5 days ago

    Lake Mary, Florida, United States Frontline Insurance Full time

    Job OverviewPosition: Claims Trainer – Influence the Future of Insurance through Education and DevelopmentAre you a seasoned claims expert with a dedication to guiding and educating others? Frontline Insurance is on the lookout for a Claims Trainer to enhance our vibrant team. This hybrid position necessitates onsite involvement, offering a thrilling...

  • Complex Property Claims Adjuster

    3 months ago

    Lake Mary, United States Frontline Insurance Full time

    Job DescriptionJob DescriptionSalary: Join our dynamic team of innovators, creators, and problem solvers! At Frontline Insurance, we're on a mission to Make Things Better! We believe in fostering a collaborative, inclusive, and growth-oriented work environment where every team member can thrive and make a meaningful impact.At Frontline Insurance...

  • Senior Complex Claims Adjuster

    4 days ago

    Lake Mary, Florida, United States Frontline Insurance Full time

    Job OverviewPosition Title: Complex Claims AdjusterSalary: CompetitiveAbout Frontline Insurance:At Frontline Insurance, we pride ourselves on being a community of forward-thinkers dedicated to enhancing the insurance landscape. Our core values of Integrity, Patriotism, Family, and Creativity shape our mission to deliver exceptional service and innovative...

  • Senior Complex Claims Adjuster

    4 days ago

    Lake Mary, Florida, United States Frontline Insurance Full time

    Job OverviewPosition Title: Complex Claims AdjusterSalary: Competitive compensation packageAbout Frontline Insurance:At Frontline Insurance, we are dedicated to redefining the insurance landscape through innovation and collaboration. Our team is composed of forward-thinking professionals who are committed to excellence and driven by our core values:...

  • Complex Property Claims Adjuster

    3 weeks ago

    Lake Mary, United States Frontline Insurance Full time

    Job DescriptionJob DescriptionSalary: Complex Claims Adjuster – Elevate Your Career with Frontline Insurance!Are you ready to tackle complex challenges and make a significant impact in the insurance industry? At Frontline Insurance, we’re not just a workplace – we’re a community of innovators, creators, and problem solvers on a mission to Make Things...

  • Complex Property Claims Adjuster

    4 days ago

    Lake Mary, United States Frontline Insurance Full time

    Job DescriptionJob DescriptionSalary: Complex Claims Adjuster – Elevate Your Career with Frontline Insurance!Are you ready to tackle complex challenges and make a significant impact in the insurance industry? At Frontline Insurance, we’re not just a workplace – we’re a community of innovators, creators, and problem solvers on a mission to Make Things...

  • Senior Workers' Compensation Claims Examiner

    1 month ago

    Lake Mary, United States ICW Group Full time

    Are you looking for more than just a job? Do you want to have a voice and feel a sense of belonging? At ICW Group, we hire innovative people who consistently adapt, grow and deliver. We believe in hard work, a fun work environment, and embracing creativity that only comes about when talented people collaborate to develop solutions. Our mission is to create...

  • Senior Workers' Compensation Claims Examiner

    2 weeks ago

    Lake Mary, United States ICW Group Full time

    Are you looking for more than just a job? Do you want to have a voice and feel a sense of belonging? At ICW Group, we hire innovative people who consistently adapt, grow and deliver. We believe in hard work, a fun work environment, and embracing creativity that only comes about when talented people collaborate to develop solutions. Our mission is to create...

Commercial Claims Manager

2 months ago

Lake Mary, United States Frontline Insurance Full time
Job DescriptionJob DescriptionSalary:

SUMMARY


The Commercial Claims Manager is responsible for oversight of the claim handlers to achieve timely and effective disposition of claims in accordance with the available coverage and applicable procedures, laws and regulations are followed.

 

ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned.

 


  • Reviews detail of claims under applicable policy for commercial property losses to determine insurance coverage, effective dates, policy limits and exclusions. Identifies, monitors and resolves coverage issues, with assigned adjuster. Reviews and assigns claims to the appropriate adjuster as determined by the details of the claim as reported or when file transfer request is received.
  • Directs and controls the establishment of appropriate claim reserves to ensure that future claim costs are accurately assessed, and the company can determine its financial position.
  • Directs and manages desk adjusters’ activities. Reviews examiners reports for accuracy and determines details of loss and coverage.
  • Reviews the file with assigned adjuster inclusive of estimates of costs of repair, replacement or compensation. Reviews and approves reserves in accordance with Frontline guidelines. Compares loss claimed to policy coverage and refers claims to the director of claims if loss exceeds managers authority levels.
  • Requests additional authority level from the director of claims on a per file basis as required to fairly settle the claim if over the manager’s authority.
  • Directs and manages commercial adjuster to appropriately continue the investigation utilizing all available technologies to further investigate, document and resolve losses and coverage issues.
  • Interfaces with company clients, carrier, adjusters, or covered parties. Communicates with agents regarding status of claim.
  • Assists adjusters as needed for proper resolution of claim. Calculates settlement or payment and communicates with client, adjuster and customer. Authorizes payment or settlement of claims within provided guidelines or seeks authority from the carrier. Reviews, approves or elevates reservation of rights letters, payment explanation correspondence, denial letters, or partial denial letters, as applicable.
  • Resolves disputes regarding claims resolution. May reopen and re-evaluate claim, if necessary.
  • Participates in litigation when applicable.
  • Monitors performance, reviews open and closed claims to ensure claims have been properly handled and moved towards resolution in a timely manner.
  • Acts as an expert resource to others in the claims department regarding coverage issues, reserves, exposure, settlement value, and strategy.
  • Responsible for assisting with staffing of the claims department with qualified employees.
  • Conducts performance reviews and administers disciplinary measures, when required.
  • Provides training to and development of adjusters
  • Submits monthly management reports and prepares special reports when requested.
  • Participates in special projects or tasks as required.
  • Responds to inquiries from various state entities
  • Responds to inquiries from other departments regarding claim handling, processing and coverage issues.
  • Assists in the conducting of audits of vendors, primary and independent adjusters.


SUPERVISORY RESPONSIBILITIES   

 

Claims adjusters will report to the Commercial Claims Manager.  The Commercial Claims Manager will provide feedback to the adjusters on a regular basis regarding the status of their goals and performance.


QUALIFICATIONS


To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Strong organizational and task management skills. Strong relationship management and proven experience delivering high level if internal and external customer service. Computer proficiency with strong skills in Microsoft Office applications. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

 

EDUCATION and/or EXPERIENCE   

 

This position requires 5-7 years of commercial claims handling and 2-3 years of supervisory/management experience.

 

LANGUAGE SKILLS

Must possess the ability to read and comprehend detailed instructions, correspondence, and memos as well as write simple correspondence. Must also be able to effectively present information in one-on-one and small group situations to customers, clients, and other employees of the organization.

 

MATHEMATICAL SKILLS Must be proficient with the following: addition, subtraction, multiplication, and division in all units of measure, using whole numbers, common fractions, and decimals. 

 

REASONING ABILITY

Must be able to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form.  Must also be able to deal with problems involving several concrete variables in standardized situations.

 

CERTIFICATES, LICENSES, REGISTRATIONS

Adjuster’s licenses must be maintained in all states Frontline does business which require an adjuster’s license.

 

PHYSICAL DEMANDS

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

 

While performing the duties of this job, the employee is regularly required to sit; use hands to finger, handle, or feel; and talk or hear.  The employee frequently is required to reach with hands and arms.  The employee is occasionally required to stand and walk.  Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and ability to adjust focus.

 

WORK ENVIRONMENT

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

 

The noise level in the work environment is usually moderate.

 

NOTE:  This is not necessarily an exhaustive list of responsibilities, skills, duties, requirements, efforts or working conditions associated with the job.  While this list is intended to be an accurate reflection of the current job, Frontline Insurance reserves the right to revise the functions and duties of the job or to require that additional or different tasks be performed when circumstances change.

 

I have carefully read and understand the contents of this job description.  I understand the responsibilities and duties expected of me.  I also understand that this job description does not constitute a contract of employment nor alter my status as an at will employee.  I have the right to terminate my employment at any time and for any reason and Frontline Insurance has a similar right.

#LI-AK1

#LI-REMOTE


remote work