Claims Manager

Frontline Insurance Managers Inc. • Lake Mary, FL

2d

About The Position

The Claims Manager oversees the claims process within an insurance or risk management organization, ensuring claims are handled efficiently, accurately, and in compliance with company policies and regulatory requirements. The role leads a team of claims adjusters and examiners, providing guidance and support to optimize claim resolution and customer satisfaction. The manager analyzes claim trends, develops risk-mitigation strategies, and collaborates with other departments to improve operational workflows. They also address complex or escalated claims, negotiate settlements, and work to ensure fair outcomes. The position supports the integrity and effectiveness of the claims function and contributes to the organization's financial health and reputation.

The Claims Manager uses leadership and communication skills to guide and motivate the team, analytical skills to identify trends and potential fraud, and negotiation skills to resolve complex claims. The role also uses claims management software and data analysis tools to streamline workflows and prepare reports, while applying knowledge of insurance policies and regulatory requirements to maintain compliance.

Requirements

• Bachelor’s degree in Business, Insurance, Risk Management, or a related field.
• At least 5 years of experience in claims handling or insurance operations, including at least 2 years in a supervisory or management role.
• Strong knowledge of insurance policies, claims processes, and relevant United States regulatory requirements.
• Proficiency in claims management software and Microsoft Office Suite.
• Excellent communication, negotiation, and leadership skills.

Nice To Haves

• Professional certifications such as Chartered Property Casualty Underwriter (CPCU) or Associate in Claims (AIC).
• Experience managing claims in specialized lines such as property, casualty, or workers’ compensation.
• Familiarity with data analytics tools and techniques for claims trend analysis.
• Demonstrated success in process improvement initiatives within claims operations.
• Experience working in a multi-state or national insurance environment.

Responsibilities

• Supervise and mentor claims adjusters and examiners to ensure timely and accurate claims processing.
• Review and approve complex or high-value claims and provide guidance on resolution strategies.
• Develop and implement claims handling procedures and best practices to improve efficiency and compliance.
• Analyze claims data to identify trends, potential fraud, and opportunities for process improvement.
• Collaborate with legal, underwriting, and customer service teams to resolve disputes and enhance the customer experience.
• Manage relationships with external vendors, such as investigators and medical consultants, to support claim evaluations.
• Prepare regular reports on claims activity, outcomes, and key performance indicators for senior management.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager