19 claims processor 1 jobs found in Jacksonville, FL

Position Summary Working in a high volume, multi-tasked, goal oriented, team environment, this position is responsible for processing all types of business transactions related to Builders Risk insurance. Specialists handle incoming and outbound calls while providing high quality, elite customer service. What will your job entail? Job Responsibilities: •Handle incoming and outbound calls based on learned skill sets within required standards. •Process business transactions for Builders Risk and JH Ferguson policies. •Utilize company systems to enter all transactions while maintaining production and quality standards. •Ensure all problems, processing and inquiries are handled efficiently within established time frames. •Work in partnership with stakeholders and US Assure’s corporate vision and mission. •Participate in knowledge transfer within team through one-on-one, on-the-job training and mentoring to others. •Educate agents on product offerings and coverage options...

The CareIQ Service Coordinator provides administrative customer service and file management assistance to claimants, providers, claims professionals, and case managers regarding new and ongoing ancillary healthcare services. Utilizing proprietary systems and knowledge from training, a CareIQ Service Coordinator will provide excellent telephonic and written customer service to both inbound and outbound customers. This role operates with a high focus on accuracy, urgency and communication to ensure that services are completed on schedule and without interruption. This is a remote role. Candidates must live in Eastern or Central standard time zones, Shift for this role will be 12:00 PM - 9:00 PM EST. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Provide telephonic customer service in an inbound and outbound high-volume call-center environment Complete accurate data review and entry Able to learn and operate corporate proprietary systems Request and review treatment...

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 CCIC is seeking an experienced data and analytics leader to serve as VP, Data & Analytics — a newly created,...

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...

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.    The company is an equal employment opportunity employer. Responsibilities The Chief Financial Officer (CFO) will serve as a key member of the executive leadership team, overseeing all financial operations for a growing commercial auto insurance company headquartered in Jacksonville, FL. This role is responsible for ensuring the financial health, regulatory compliance, and strategic growth of the organization through expert leadership in financial reporting, reinsurance management, billing operations, budgeting, planning, financial analysis, and credit...

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...

Position Summary The call team Marketing Representative plays an essential role in engaging and building relationships with the MGU's broad customer base in a high-volume calling environment. Over the phone and via email, you’ll develop and strengthen relationships with insurance professionals, generate and qualify leads, and identify decision-makers and opportunities. In this position you are empowered to drive policy submissions and premium by promoting events, digital content, products and policy features. Using focused listening, a personalized approach and consistent follow-up, you’ll communicate this MGU's key value propositions, overcome objections and move agents through the marketing funnel. What will your job entail? Hybrid role out of Jacksonville, FL.   Job Responsibilities ·  Make outbound calls to educate and motivate insurance professionals to sell builders risk ·  Communicate US Assure’s offerings, including resources, programs,...

By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve. Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Claims Adjuster - Liability (REMOTE - Prefer to be in Jacksonville, FL; BI/Lit Experience) Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world’s best brands?   Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture.  Deliver innovative customer-facing solutions to clients who represent virtually every industry and...

Our Account Managers are the liaisons between our clients and the rest of the organization, exclusively focused on the success and profitability of our partnerships, while ensuring the best experience for our clients and mutual customers. Account Managers accomplish this through delivering on their core objectives and responsibilities. In addition, they are responsible for ensuring the Sales team has the tools and resources needed to achieve current and future revenue targets. A successful Account Manager is: Empathetic – deeply understand the goals, drivers, and needs of others. Service-oriented – ready to go the extra mile for their clients. Strategic – doesn't get trapped in the weeds, understands the bigger picture. Proactive – does not wait to act but is in charge. Minimum Qualifications: Bachelor’s Degree or equivalent work experience At least 3-years’ experience in an Account Management, Client Success, or Relationship Management environment...

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...

Built on meritocracy, our unique company culture rewards self-starters and those who are committed to doing what is best for our customers. Brown & Brown   is   seeking  a Commercial Lines Account Coordinator   to join our growing team in   Jacksonville, FL!       The Commercial Lines Account Coordinator will be responsible for providing administrative support to our commercial lines team, ensuring that client accounts are managed effectively and efficiently. This role requires strong organizational skills, attention to detail, and the ability to communicate effectively with clients and colleagues.     How You Will Contribute:     Process certificates of insurance / evidence of property—daily and renewals. Process changes endorsements and monthly reports. Issue Auto ID cards. Prepare policies for delivery. Order loss runs and prepare loss summaries. Order Motor Vehicle Reports. Assist with claim data entry....

Responsible for providing professional customer service to insureds and accounts while adjudicating credit protection and debt cancellation claims. Allocates time between claim adjudication and claims customer service, reviewing submitted information, coverage, and documentation in a timely manner. Minimum Qualifications: High School Diploma or equivalent. 2 years’ experience in claims and/or other related claims processes. Customer Service training is imperative since we communicate verbally on the phone and in written correspondence. Fraud Awareness training and Claims Experience required.   Insurance Certifications, designations or licenses preferred, not required. Primary Job Functions: Enter and adjudicate claims by reviewing documentation and determining appropriate action (pay, pend, or deny) in accordance with policy provisions, exclusions, and eligibility criteria. Dynamically allocating time between claim adjudication and inbound...

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...

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 Directs the Property and Casualty actuarial functions of the organization. Oversees the monitoring, evaluating,...

Position Summary Working in a high volume, multi-tasked, goal oriented, team environment, this position is responsible for processing all types of business transactions related to Billing our Builders Risk insurance products. Specialists handle incoming and outbound calls while providing high quality, elite customer service. What will your job entail? Job Responsibilities: •Handle incoming and outbound calls based on learned skill sets within required standards. •Process business transactions for Billing and Agency commission transactions. •Utilize company systems to enter all transactions while maintaining production and quality standards. •Ensure all problems, processing and inquiries are handled efficiently within established time frames. •Work in partnership with stakeholders and US Assure’s corporate vision and mission. •Participate in knowledge transfer within team through one-on-one, on-the-job training and mentoring to others. •Educate agents on commission...

The Business Relationship Manager is responsible for building and maintaining positive relationships with internal and external customers, understanding the complex nature of the company’s business and products offered, and aligning business and system requirements for receipt and processing of bordereau files for sales/cancels and/or claims.  Complete processing reconciliations to include research and resolution of differences and applying and tracking receivables.  The Business Relationship Manager pro-actively manages the overall operational relationship with MGA’s/customers/accounts and is a trusted partner working directly with our Sales, Underwriting, and Financial teams.  Minimum Qualifications: Bachelor’s Degree in Accounting and/or Business, Computer Science, Information Systems or equivalent work experience. At least 3 years of experience in account management, client relations, or operation support within insurance, finance or related industry. Primary Job...

The Vehicle Service Contract Specialist will handle incoming claim calls and determine coverage in accordance with contract terms. They will review repair shop diagnoses and estimates to evaluate coverage and determine if inspections are necessary. Additionally, they will provide exceptional customer service throughout the claims process. Minimum Qualifications: High School Diploma or Equivalency required. 2 plus years of experience repairing as vehicle technician and /or service department.  Industry certification a plus. (Factory training and ASE’s certification). Communicate claim decisions—approval or denial—clearly to customers, along with next steps. For covered repairs, obtain and review estimates to facilitate timely payment authorization. Verify accuracy of labor times and parts pricing within repair estimates. Negotiate scope of work and pricing with repair facilities when needed. Meet service level agreements (SLAs) for call handling and claim...

The Advisor, Commercial Risk sells new accounts and renews existing accounts in keeping with firm and individual goals. Advisors build and maintain relationships with clients, prospects, the service team, insurance company partners, and centers of influence while identifying and soliciting sales prospects. PRIMARY RESPONSIBILITIES: Presents proposals in a professional manner, reviewing coverages in detail to ensure understanding. Communicates with clients, prospects, insurance company partners, and service team in an articulate and effective manner. Finalizes the sale and collects necessary documents, applications, etc., and briefs the service team on the policy sale. Develops prospects by becoming involved in community affiliations, attending insurance company partner hosted seminars, building and maintaining relationships with industry contacts, engaging in networking events and through referrals from current accounts. Develops information and recommendations for...

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...