9 claim operations associate jobs found in Jacksonville

The Vice President, Operations leads the financial integration of new MGA and MGU programs across P&C and Consumer lines businesses. This role owns the financial control framework — billing setup, premium accounting, receivables, and reconciliation — for every new program launched, while driving the finance and technology transformation initiatives that modernize how Fortegra scales its programs business. This role combines executive-level program delivery with deep financial operations oversight and a forward-looking technology transformation mandate. The VP owns billing and premium accounting setup, drives receivables and reconciliation frameworks, and leads the modernization of operations and finance systems underpinning Fortegra's programs business. The VP serves as the senior cross-functional leader aligning Operations, Finance, Technology, Compliance, Underwriting, and Legal to execute program launches efficiently, compliantly, and on a scalable, future-ready...

The Training Specialist is responsible for designing, developing, coordinating, and facilitating training programs that support employee onboarding, performance improvement, process changes, and ongoing professional development. This role partners with business leaders and subject matter experts (SMEs) to create engaging learning experiences that improve employee knowledge, skills, and performance while ensuring consistency across the organization. Minimum Qualifications: High School Diploma or equivalent. 2–5 years of experience in training, learning and development, instructional design, customer service, claims, operations, or related fields. Experience facilitating both virtual and classroom-based training. Experience creating training materials and learning content. Primary Job Functions: Facilitate instructor-led, virtual, and blended learning programs. Conduct new hire onboarding and departmental training sessions. Deliver refresher...

Fortegra is building AI-enabled systems for commercial insurance. Our document-intelligence software processes emails, scanned PDFs, policy packets, loss runs, and spreadsheets with inconsistent layouts. It identifies what was received, extracts and reconciles relevant facts, preserves links to the source, and presents the results for review and action. Current work includes underwriting submission triage and audits of issued policy packets. Reliability is central to this work. A field can look plausible and still be wrong. A parser can misread a page without raising an error, or a workflow can omit a document entirely. We need to find those failures, understand their impact, and keep the system dependable as document formats, models, prompts, and parsing tools change. We're hiring an engineer to build and improve these production systems. You'll work closely with the technical lead for applied AI on architecture, data representation, and model choices. You'll take bounded...

The Director of Credit Claims is a critical leadership position responsible for ensuring that the company's credit claims operation delivers technically sound claims decisions, disciplined financial outcomes, regulatory compliance, exceptional service, and actionable intelligence back to the business. The position requires an experienced claims leader who can operate effectively at both the strategic executive level and the technical claim-file level, while building a high-performing organization capable of managing complex and evolving credit-related risks. The Director of Credit Claims is responsible for the strategic leadership, management, and performance of the company's credit claims operation. This position provides direction and oversight for the investigation, evaluation, resolution, and management of credit-related claims while ensuring claims are handled accurately, efficiently, consistently, and in accordance with policy provisions, regulatory requirements, company...

Job Summary The Vice President, Complex Claims provides executive leadership for Fortegra's Complex Claims function, overseeing the handling, strategic direction, coverage analysis, litigation oversight, and resolution of the Company's highest-severity, major loss, and high-value litigated claims. This role serves as the senior technical and legal claims resource, providing strategic leadership through close collaboration with cross-functional business leaders and external partners, including outside counsel, TPAs, and expert vendors, to optimize claim outcomes, protect the Company's financial interests, identify emerging risks and loss trends, support underwriting profitability, and ensure timely, fair, and compliant claim resolution. Leading the Complex Claims function, the Vice President is responsible for its overall performance, strategic direction, reserving philosophy, litigation management, and operational excellence while driving continuous improvement across...

The Claims Advisor is responsible for delivering professional and responsive customer service while reviewing and processing claims accurately and efficiently. This role evaluates submitted documentation, policy coverage, and eligibility information to adjudicate, pend, investigate, approve, adjust, or deny claims in accordance with contractual provisions, company guidelines, and regulatory requirements. The Claims Advisor applies strong attention to detail and sound decision-making skills to ensure accurate claim outcomes, identify potentially fraudulent activity for leadership review, and maintain productivity and service standards in a fast-paced environment. This position may process various claim types. Qualifications: High School diploma or equivalent; associate's or bachelor's degree preferred. Minimum 2–4 years of experience in claims processing, insurance, financial services, healthcare administration, customer service, or a related field preferred. Strong...

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...

We are seeking a highly motivated and customer-focused Account Manager to serve as the primary liaison between clients and internal departments throughout the implementation and ongoing management of warranty and protection product programs. This role combines account management, project coordination, and customer relationship management to ensure successful program launches, exceptional client experiences, and continued growth of existing partnerships. The ideal candidate will possess strong communication and analytical skills, experience in the warranty or service contract industry, and the ability to manage multiple projects simultaneously. This individual will work closely with Sales, Operations, Product, Compliance, IT, Claims, and Finance teams to facilitate seamless onboarding, support revenue growth initiatives, and identify opportunities to expand product offerings within existing accounts. Minimum Qualifications: Bachelor’s Degree or 10+ years of equivalent work...

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...