11 claim operations analyst jobs found in Jacksonville, FL

The next part of your journey is right around the corner — with The Standard. A genuine desire to make a difference in the lives of others is the foundation for everything we do. With a customer-first mindset and an intentional focus on building strong teams, we’ve been able to uphold our legacy of financial stability while investing in new, innovative technologies that support the needs of our customers. Our high-performance culture focused on operational excellence thrives thanks to remarkable people united by compassion and a customer-first commitment. Are you ready to make a difference? Job Summary This role is responsible for adjudicating and processing supplemental insurance claims from intake through final payment. The position focuses on gathering and analyzing claim information, verifying eligibility, making accurate benefit decisions, and ensuring timely, precise payments. You’ll manage each claim end‑to‑end while delivering responsive, compassionate...

The Doctors Company is seeking an experienced Vice President of Underwriting to join our team. This is a hybrid opportunity based in our Jacksonville, FL office.   Qualifications: Bachelor’s degree or equivalent, preferably in Business or Economics. RPLU or CPCU designation, or progress in obtaining such a designation, is preferred. Eight (8) or more years Insurance management or supervisory experience, with emphasis on working with multiple staff and business teams, including underwriting and product development. Ten (10) or more years Commercial general liability or professional liability insurance underwriting, claims and/or product development experience with insurance or contract law strongly preferred. Responsibilities Leadership Development & Staff Management Develop and communicate regional, department, and individual staff plans that support corporate priorities. Discuss performance expectations for each role and identify any staff...

Provide oversight of Specialty Claims Third Party Administrators (TPAs) managing casualty, property, inland marine, excess/umbrella, and professional liability claims. Responsibilities include the leadership of TPA oversight adjusters, high-exposure case management, participation in TPA selection, audits and reviews, and assistance with onboarding and setup of new TPAs. The ideal candidate will possess experience in claims management, TPA contract negotiation, and compliance. Minimum Qualifications: A Bachelor’s degree or the equivalent education and/or experience. Candidate should have 8+ years of progressive claims management and TPA oversight experience. Adjuster licenses, as mandated by specific states, are required. Experience managing a team. Primary Job Functions: Oversee the performance of TPA operations to ensure adherence to service level agreements and claim handling guidelines. Assist with the negotiation of services, contracts and service...

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.    Join Carolina Casualty, where innovation meets purpose.   Carolina Casualty is a proud member of W. R. Berkley Corporation, one of the largest commercial lines insurers in the country. What sets us apart is not just our size, but how we work and who we are.   We specialize in liability, physical damage, cargo, and other insurance solutions for the commercial auto market, including trucking and public transportation industries that keep America moving. Our team tackles real, complex challenges for the people and businesses that make that possible every day.   At CCIC, we...

The Credit Claims Examiner is responsible for delivering exceptional customer service while accurately adjudicating Credit Protection and Debt Cancellation claims. This role reviews claim documentation, determines coverage eligibility, and communicates claim decisions in accordance with policy provisions, regulatory requirements, and company guidelines The position requires balancing claim adjudication with inbound customer service responsibilities based on business needs while maintaining quality, productivity, and compliance standards. Minimum Qualifications: High School Diploma or equivalent. Minimum 2 years’ experience in claims and/or other related claims processes. Experience reviewing documentation and making coverage or eligibility determinations preferred. Strong customer service experience with the ability to effectively communicate verbally and in writing. Experience handling confidential information while maintaining accuracy and...

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.    Join Carolina Casualty, where innovation meets purpose.   Carolina Casualty is a proud member of W. R. Berkley Corporation, one of the largest commercial lines insurers in the country. What sets us apart is not just our size, but how we work and who we are.   We specialize in liability, physical damage, cargo, and other insurance solutions for the commercial auto market, including trucking and public transportation industries that keep America moving. Our team tackles real, complex challenges for the people and businesses that make that possible every day.   At CCIC, we live...

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.    Join Carolina Casualty, where innovation meets purpose.   Carolina Casualty is a proud member of W. R. Berkley Corporation, one of the largest commercial lines insurers in the country. What sets us apart is not just our size, but how we work and who we are.   We specialize in liability, physical damage, cargo, and other insurance solutions for the commercial auto market, including trucking and public transportation industries that keep America moving. Our team tackles real, complex challenges for the people and businesses that make that possible every day.   At CCIC, we live...

About the Role We are seeking an experienced insurance attorney to serve as trusted legal advisor to the business on insurance product innovation, design, coverage, product research, and specialty insurance matters across Fortegra’s admitted, surplus lines, and warranty/service contract businesses. This role will partner closely with Underwriting, Product, Regulatory, Reinsurance, Operations and business leadership to advise on complex risk issues, craft and interpret policy and contract language, assess claim and coverage positions, and support the development, distribution and administration of insurance and warranty products. This is a hands-on insurance and warranty product development and legal construct-focused role for an attorney who understands how insurance products work in practice — from policy language, exclusions, and coverage determinations to state insurance considerations, product structures, claims disputes, and specialty program operations. The ideal...

Company Details "Our Company provides a state of predictability which allows brokers and agents to act with confidence." Founded in 1967, W. R. Berkley Corporation has grown from a small investment management firm into one of the largest commercial lines property and casualty insurers in the United States. Along the way, we’ve been listed on the New York Stock Exchange, become a Fortune 500 Company, joined the S&P 500, and seen our gross written premiums exceed $10 billion. Today the Berkley brand comprises more than 60+ businesses worldwide and is divided into two segments: Insurance and Reinsurance and Monoline Excess.   The Company is an equal employment opportunity employer. Responsibilities The Process Improvement Manager is responsible for assessing, analyzing, designing, and supporting the execution of enterprise process optimization initiatives across W. R. Berkley Corporation and its operating companies....

Company Details "Our Company provides a state of predictability which allows brokers and agents to act with confidence." Founded in 1967, W. R. Berkley Corporation has grown from a small investment management firm into one of the largest commercial lines property and casualty insurers in the United States. Along the way, we’ve been listed on the New York Stock Exchange, become a Fortune 500 Company, joined the S&P 500, and seen our gross written premiums exceed $10 billion. Today the Berkley brand comprises more than 60+ businesses worldwide and is divided into two segments: Insurance and Reinsurance and Monoline Excess.   The Company is an equal employment opportunity employer. Responsibilities The Process Improvement Analyst is responsible for assessing, analyzing, designing, and supporting the execution of enterprise process optimization initiatives across W. R. Berkley Corporation and its operating companies....

We are seeking a hands-on ServiceNow Claims Lead Engineer to serve as the technical subject matter expert (SME)  for a highly customized specialty claims platform built on ServiceNow. This role is focused on architecture, design, and hands-on development , working closely with engineering leadership, product stakeholders, and a Software Integrator (SI) to deliver scalable, high-quality solutions. The platform leverages ServiceNow Customer Service Management (CSM), App Engine, and Integration Hub  with extensive scripted customizations and complex integrations across policy administration, financial systems, and enterprise data platforms . This role is ideal for someone who enjoys building and evolving complex platforms , staying close to the code, and acting as the go-to technical authority  for ServiceNow architecture and implementation.   Key Responsibilities: Platform Architecture & Technical Ownership Serve as the ServiceNow technical authority...