11 claims operations analyst jobs found in Jacksonville, FL

Job Summary The Claims Operations Analyst is responsible for supporting data-driven decision-making across claims operations through reporting, analysis, operational insights, and process optimization. Responsibilities can include, but are not limited to, developing and maintaining recurring and ad hoc reports, analyzing operational and claims data, supporting billing oversight activities, and assisting with operational workflows related to claims administration and vendor management. This role is expected to leverage reporting tools, analytics, and emerging AI-enabled technologies to improve reporting accuracy, efficiency, and visibility across the organization. The Claims Operations Analyst will partner with operational leaders and cross-functional teams to provide meaningful insights, identify trends and opportunities, and support informed business decisions through accurate and impactful reporting. Additional responsibilities may include supporting servicer maintenance...

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 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 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...

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...

About Fortegra Fortegra is a specialty insurance company and services provider headquartered in Jacksonville, Florida. We partner with distribution partners, MGAs, and program administrators to deliver insurance solutions and services. Our Finance team turns complex financial and operational data into insight that guides the business. Role Overview The Senior Manager of FP&A leads assigned planning and performance management workstreams and serves as the primary finance partner to designated businesses or functions. Reporting to the VP, FP&A, this hands-on role owns forecasts, analyzes business performance, and develops recommendations that support management decisions. The Senior Manager also reviews the Financial Analyst’s work and coaches a Leadership Development Program (LDP) participant. Key Responsibilities ·        Own assigned components of the annual operating plan, reforecast, and monthly performance reviews, including timelines, assumptions,...

Built on meritocracy, our unique company culture rewards self-starters and those who are committed to doing what is best for our customers. Join a Team Built on Relationships, Growth, and Results! Brown & Brown is seeking an experienced Commercial Lines Account Executive to join our growing team in Jacksonville, Florida. As an Account Executive, you will serve as a trusted advisor to commercial clients, partnering closely with Producers, carrier partners, and internal teams to deliver exceptional service, develop tailored insurance solutions, and drive client retention and growth. This role combines relationship management, strategic account oversight, and business development support to ensure clients receive best-in-class risk management guidance and insurance expertise. At Brown & Brown, we are a meritocracy where performance, initiative, and achievement are recognized and rewarded. We offer the entrepreneurial spirit of a local office backed by the resources,...

The Claims Assistant Manager is a key operational leader responsible for overseeing daily claims operations, employee performance, workload management, and customer service delivery across multiple lines of business. This role leads, coaches, and develops a team of claims associates while ensuring productivity, quality, service level, and compliance expectations are consistently achieved. The Assistant Manager serves as a primary escalation point for complex claims and customer concerns, drives operational efficiency through data-driven decision making, and partners with Quality, Training, and cross-functional teams to strengthen execution and improve outcomes. The ideal candidate is adaptable, resilient, analytical, and comfortable, leading through change in a fast-paced, metrics-driven environment while fostering a culture of accountability, collaboration, and continuous improvement.   Minimum Qualifications: High School diploma or equivalent required....

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 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...