14 senior claims assistant jobs found in Jacksonville

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...

National General is a part of The Allstate Corporation, which means we have the same innovative drive that keeps us a step ahead of our customers’ evolving needs. We offer home, auto and accident and health insurance, as well as other specialty niche insurance products, through a large network of independent insurance agents, as well as directly to consumers.  Job Description This job is responsible for investigating and analyzing highly complex, multi-discipline coverage and claims that have been referred to the special investigation unit (SIU) for potential fraud. This role typically handles a combination of complex attorney represented and unrepresented claims and large or significant losses and claims involving highly complex extra-contractual liability, large fire and property losses where suspicious activity has been identified. The individual performs a thorough investigation including; (1) conducting background searches, scene investigations, and clinic inspections;...

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 Claims Coordinator will support the claims team by assisting adjusters with claim processing, vendor setups, and payment-related tasks. This role is responsible for generating and distributing reports, communicating with internal teams and external partners, and verifying claims information. Additional responsibilities include preparing and managing correspondence, troubleshooting operational issues, and performing administrative tasks, ensuring collaboration across teams to advance Fortegra's claims processes. Minimum Qualifications: Associate’s Degree or equivalent work experience preferred. Minimum 3 years of relevant experience preferred. Insurance claims experience preferred. Primary Job Functions: Assist adjusters in the processing and troubleshooting of claims. Complete vendor setup, check processing and other payment-related tasks. Generate reports for internal and external distribution. Communicate effectively and timely with internal and...

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...

Provide oversight of Specialty Claims Third Party Administrators (TPAs) managing casualty, property, inland marine, excess/umbrella, and professional liability claims. Responsibilities include the leadership of TPA oversight adjusters, high-exposure case management, participation in TPA selection, audits and reviews, and assistance with onboarding and setup of new TPAs. The ideal candidate will possess experience in claims management, TPA contract negotiation, and compliance. Minimum Qualifications: A Bachelor’s degree or the equivalent education and/or experience. Candidate should have 8+ years of progressive claims management and TPA oversight experience. Adjuster licenses, as mandated by specific states, are required. Experience managing a team. Primary Job Functions: Oversee the performance of TPA operations to ensure adherence to service level agreements and claim handling guidelines. Assist with the negotiation of services, contracts and service...

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 The Senior Underwriter will focus on commercial transportation underwriting, producer management, and...

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...

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...

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 an Employee Benefits Account Manager to join our growing teams in Jacksonville and Tallahassee, FL.   The Employee Benefits Account Manager supports the maintenance, growth, and servicing of assigned employee benefits accounts by coordinating new business and renewal marketing, underwriting activities, and day-to-day client service needs. This role works closely with clients, carriers, and producers to provide benefit plan support, assist with claims and administrative issues, maintain accurate account records, and ensure timely processing of account activities. The Account Manager develops strong client relationships, applies technical knowledge of employee benefits coverages, and delivers responsive, high-quality service while supporting overall account retention and growth. How You Will...

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...

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...

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...