7 claims analyst jobs found in Jacksonville, FL

Fortegra is seeking a Senior Business Analyst with strong experience in data analysis, technology projects, and enterprise systems. This role partners closely with business stakeholders, data engineers, and technology teams to gather business requirements, translate them into functional and system requirements, and support data migrations, analytics, and reporting initiatives. The ideal candidate has hands-on experience with SQL, cloud data platforms, BI tools, and modern AI-assisted analysis techniques. Key Responsibilities: Gather, analyze, and document business requirements and functional requirements from business stakeholders. Translate business requirements into system requirements, data requirements, and technical specifications. Support data migration and system implementation efforts, including data mapping, validation, reconciliation, and issue resolution. Perform SQL-based data analysis to validate requirements, support testing, and analyze system data....

Primarily responsible for providing exceptional customer service to our clients. Take incoming calls using our Web Warranty/Web Claim program. Review claims for approvals, distribution of authorizations or sending of denial letters. Helps to enforce contractual requirements impartially and expeditiously. Adjudicate, investigate and/or deny claims by verifying submitted information, coverage issued, and other pertinent information. Identify claims of a potentially fraudulent nature and refer to management for review. Monitor and process claims to meet the demands of a production environment and to adhere to established service standards. Process claims via our phone and portal systems using Web Warranty/Web Claims program Handle customer service questions or transfer call to appropriate numbers Adjudicate claims based off the terms and conditions of the service contract Follow-up with Service Providers and Technicians for required claims information Complete Claim...

Position Summary The Builders Risk Underwriter is responsible for underwriting, pricing, and managing Builders Risk insurance policies for construction projects of varying size and complexity. This role evaluates construction risks, determines appropriate coverage terms, and partners with brokers, agents, and internal stakeholders to deliver profitable growth while maintaining underwriting discipline. What will your job entail? Job Responsibilities: • Underwrite and analyze residential and commercial Builders Risk submissions, including new business, renewals, and endorsements • Evaluate construction project details such as project type, construction methods, materials, values, timelines, locations, and risk exposures • Determine appropriate pricing, terms, conditions, deductibles, and coverage structures in accordance with underwriting guidelines and authority levels • Assess risk quality using engineering reports, loss history, CAT exposure, and financial strength of...

The Senior Claims Adjuster, Property is responsible for independently reviewing, investigating, evaluating and resolving Commercial Property and Casualty, Lender Placed, and other Specialty products while maintaining effective contact with agents, insureds, and company personnel. Ensuring high quality service standards while meeting or exceeding departmental performance goals is imperative. The Senior Claims Adjuster, Property maintains appropriate reserves, identifies trends and effectively communicates covered and non-covered items, as well as accurately reviews all available coverages. Minimum Qualifications: Bachelor's degree or equivalent experience required. At least 5  years experience handling commercial property claims. Adjuster Licensing required. Primary Job Functions: Obtain and maintain all applicable state licenses as required. Provide coverage, liability and damages analysis for claims. Ability to proactively identify exposures and claim...

We are seeking a ServiceNow Engineering Leader to own and evolve a mission-critical specialty claims platform built on top of ServiceNow. This role is designed for an engineering leader with deep platform, integration, and data experience, not a traditional ServiceNow administrator. The claims platform is heavily customized and supports high-volume transactional processing, complex workflows, and deep integrations across policy administration, financial systems, and enterprise data platforms. ServiceNow CSM, App Engine, and Integration Hub are used as development and orchestration tools, not out-of-the-box solutions. This is a player/coach role. The Director sets architectural direction, owns technical standards and production outcomes, and remains hands-on with design and code when needed. The role partners closely with product management and business leaders on roadmap and backlog, and leads delivery through a combination of internal engineers and a Software Integrator (SI). A...

Foundation Risk Partners , one of the fastest growing insurance brokerage and consulting firms in the US, is adding a  Commercial Lines Account Manager to their  Foundation Risk Partners of FL team. Job Summary: The Commercial Lines Account Manager works in conjunction with the Producer and Marketing in analyzing risk exposure and providing insurance solutions to meet our client’s needs. This position regularly exercises discretion and independent judgment on accounts including but not limited to evaluating and negotiating coverage and pricing, and interpreting, and implementing company policies and procedures. The Account Manager is a subject matter expert in their field and provides a consultative, strategic approach to the execution of day-to-day customer service activities for assigned accounts and can resolve complex customer service problems. The Account Manager initiates the renewal process including preparing submission to proposing and binding coverages as...

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.    We maintain some of the lowest claim adjuster pending claim counts in the industry. Our adjusters are part of a culture that emphasizes inclusion, collaboration, innovation, and team. Our culture is one where your work is recognized and appreciated. If you want to contribute to an organization where you matter and where you can make a difference, then search no further.    The company is an equal opportunity employer. Responsibilities Carolina Casualty is looking for a talented experienced BI Adjuster who will be responsible for the...