30 claims jobs found in Jacksonville, FL

The Claims Advisor is responsible for the accurate and timely review, evaluation, and adjudication of credit-related claims in accordance with contractual provisions, product guidelines, company procedures, and applicable regulatory requirements. This position primarily focuses on analyzing claim documentation, validating eligibility and coverage, interpreting contract provisions, calculating benefits, and determining claim outcomes. The Claims Advisor exercises sound judgment and attention to detail when approving, adjusting, pending, requesting additional information for, or denying claims. The role requires the ability to review financial and supporting documentation, identify discrepancies or missing information, and make accurate decisions in accordance with established guidelines and authority levels. The Claims Advisor also maintains accurate claims records, supports payment processing, and escalates complex, questionable, or potentially fraudulent claims to leadership as...

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 Senior Claims Adjuster, TPA Oversight will provide technical expertise and handle a wide variety of severity/complex claims as well as coverage litigation within Commercial Auto, Cargo, and Crane & Rigging lines of business. Additionally, they will complement the existing Specialty Claims team that supports the Underwriting unit and will provide oversight of third parties and delegated authority referrals. Minimum Qualifications: A Bachelor’s degree or the equivalent education and/or experience. 5-10 years of relevant and progressive experience handling Commercial Auto  and General Liability claims. Adjuster licenses, as mandated by specific states, are required. Primary Job Functions: Handle claims originating out of the Specialty Claims unit and provide technical oversight of Third Party Administrators (TPAs). Direct oversight of commercial auto and specialty transport claims and coverage disputes. Provide coverage, liability, and damages...

This full-time position will report to the Vice President, Specialty Claims. As a direct report to the Vice President, Specialty Claims, you should possess the ability to handle and manage a wide variety of severity/complex claims with coverage issues as well as coverage litigation within Commercial Auto and General Liability lines of business. Minimum Qualifications: A Bachelor’s degree in Business Administration, Accounting, Finance, or a related field, or the equivalent education and/or experience. 5-10 years of relevant and progressive experience handling Commercial Auto  and General Liability claims. Adjuster licenses, as mandated by specific states, are required. Primary Job Functions: Direct management of general liability claims with potential for significant severity and complexity. Direct management and oversight of commercial auto claims. Direct management of coverage disputes. Formulating claims and litigation strategies, assigning,...

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...

Underwriter, Alternatives Risk About the Role Fortegra is looking for an Underwriter, Alternative Risk to join our Alternatives Risk Product Team. This is an excellent opportunity for an insurance professional to expand upon their foundational underwriting skills while supporting a dynamic and growing specialty products portfolio. We're especially looking for someone with an inquisitive mind, someone who asks questions, digs into the details, and is genuinely curious about how the business works. You'll work closely with agents and internal partners to evaluate applications, develop competitive quotes, and help manage the full policy lifecycle. What You'll Do ●       Review and evaluate applications for coverage across Fortegra's Alternatives Risk product lines. ●       Develop quotes using established rating tools and underwriting methodology. ●       Manage quote workflows to ensure timely delivery and responsiveness to agents and...

Why Join GEICO? At GEICO, we offer a rewarding career where your ambitions are met with endless possibilities.   Every day we honor our iconic brand by offering quality coverage to millions of customers and being there when they need us most. We thrive on relentless innovation to exceed our customers' expectations while making a real impact on local communities nationwide.   Founded in 1936, GEICO is a member of the Berkshire Hathaway family of companies and one of the largest auto insurers in the United States. When you join our company, we want you to feel valued, supported, and proud to work here. That's why we offer the GEICO Pledge: Great Company, Great Culture, Great Rewards, and Great Careers. Please note: This is not a remote role; you will be required to work in the territory listed on the job posting. Experienced Auto Damage Adjuster- Jacksonville, FL Salary: $36.63-$46.80 per hour/$73,800-$94,300...

When it comes to making a meaningful difference in the lives of our customers and employees, USAble Life is always ready.  We are a diverse group of individuals working together to go the extra mile. Through our DEI initiatives, employees feel empowered to bring their talents and voice to our culture. Our passion for delivering the best products is matched only by our passion for our people. We are committed to making a meaningful difference in the lives of others which extends beyond our office walls. USAble Life has a long tradition of supporting our communities, and we’re proud of the fact that our employees share that commitment.   We have been recognized as a “Best Places to Work” in Arkansas, Florida, and Hawaii. You’ll be rewarded with opportunities for personal and professional development and opportunities for advancement.  This, coupled with our engaging culture and a comprehensive benefits package, ensures we are committed to our employees.     Check out...

The Account Service Representative (ASR) is responsible for managing the full lifecycle of new business processing and account servicing across multiple system platforms. This role requires proficiency in delivering exceptional customer service and ensuring seamless interactions with insureds, agents, accounts, and internal departments. The ASR will proactively manage and process premium and/or claims bordereaux files, while tracking detailed process results and identifying and resolving outstanding balances or errors. Additionally, the ASR will perform monthly and inception-to-date account reconciliations. This role ensures the efficient and accurate handling of claims and premiums, collaborating with various departments, and maintaining a high level of service excellence in a fast-paced, high-volume production environment. Qualifications: Minimum of 3-5 years of experience in a similar role, preferably within the insurance, finance, or business operations sector. Proven...

The Staff Accountant – Statutory Compliance and the preparation and administration of statutory filings required of an insurance company. This position is responsible for ensuring that all regulatory filings are accurately prepared, tracked, and submitted on time across multiple jurisdictions. The ideal candidate is detail-oriented, organized, and comfortable working within the regulatory requirements of the insurance industry. MINIMUM QUALIFICATIONS: Minimum 1–3 years of experience in accounting, with exposure to statutory or regulatory filing processes preferred Experience in the insurance industry strongly preferred Bachelor's degree in Accounting, Finance, or a related field a plus Familiarity with NAIC statutory accounting principles (SAP) a plus   PRIMARY JOB FUNCTIONS: Prepare, coordinate, and track all statutory filings required by state insurance departments and regulatory bodies, including annual and quarterly statements, premium tax...

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...

The Liability Coverage Counsel will serve as a key legal and technical resource within the Claims division, providing guidance on complex insurance coverage matters involving commercial liability claims. Reporting to the Chief Claims Officer, this individual will partner closely with claims professionals, underwriting, product, and other internal stakeholders to evaluate coverage, interpret policy language, manage coverage disputes, and support the effective resolution of high-exposure and litigated claims. The ideal candidate will have significant experience analyzing coverage under Commercial General Liability, Excess/Umbrella Liability, Commercial Auto Liability, and Professional Liability policies. This role requires strong legal judgment, practical business acumen, and the ability to communicate complex coverage issues clearly to both legal and non-legal audiences. Qualifications and Experience Education: Juris Doctor (JD) required from an accredited law school...

- The Commercial Surety Regional Manager is responsible for the underwriting, marketing, production, profitability, and overall management of a regional Commercial Surety portfolio. This position serves as the senior underwriting leader for the assigned territory and is accountable for achieving premium growth, underwriting profitability, agency development, and portfolio management objectives. The Regional Manager will develop and maintain strong relationships with agents, brokers, principals, indemnitors, and other business partners while exercising significant underwriting authority and ensuring compliance with company underwriting guidelines and risk appetite. The position is highly market-facing and focused on profitable business development, agency management, and underwriting execution. Key Accountabilities/Deliverables: Underwriting Leadership Serve as lead underwriter for the assigned territory. Analyze, evaluate, and approve commercial surety...

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...

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 FNOL Specialist ensures the delivery of excellent customer support through fast and accurate communication, making necessary changes to plans, coordinating with other team members and departments to resolve inquiries and issues for customers, branch representatives and managing general agents. This role combines Customer Service, FNOL reporting and administrative tasks. Minimum Qualifications: High School Diploma or equivalency required At least 3 years of customer service experience required; experience in a call center environment preferred At least 2 years of experience in a claim’s environment Experience using 3-4 systems/programs simultaneously Bi-Lingual in Spanish is a plus Primary Job Functions: Serve as the first point of contact for policyholders, managing 40-60 inbound calls per day while simultaneously handling claims administration tasks, including data entry, document processing, and managing claim files with clear, empathetic...

Client Support Specialist – Standard Commercial Lines Location: Ohio, Kentucky or Florida Employment Type: Full-Time, Hybrid, based in one of our locations Why Join Us? Build a rewarding career in the commercial insurance industry with opportunities for growth and advancement. Work in a supportive, collaborative environment focused on teamwork and exceptional client service. Take advantage of ongoing training, licensing support, and continuing education opportunities. Gain valuable experience with commercial insurance operations, carrier systems, and diverse client accounts. Develop your technical insurance expertise while expanding your professional skills and industry knowledge. Position Summary We are seeking a Client Support Specialist who provides administrative and technical support to the Commercial Lines Department by assisting with the daily processing of incoming and outgoing business activities. This position partners closely with Commercial...

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...