Claims Manager

Frontline Insurance Managers • Lake Mary, FL

18d

About The Position

The Claims Manager oversees the claims process to ensure claims are handled efficiently, accurately, and in compliance with company policies and regulatory requirements. The role leads and supports claims adjusters and examiners, optimizes claim resolution and customer satisfaction, analyzes claims trends, develops risk-mitigation strategies, and collaborates with other departments to improve operational workflows. The Claims Manager also serves as a key contact for complex or escalated claims, negotiating settlements and working toward fair outcomes. The position helps protect the integrity and effectiveness of the claims function and contributes to the organization’s financial health and reputation.

The role requires a bachelor’s degree in Business, Insurance, Risk Management, or a related field, at least five years of experience in claims handling or insurance operations, including at least two years in a supervisory or management role, and strong knowledge of U.S. insurance policies, claims processes, and regulatory requirements. Proficiency with claims management software and Microsoft Office Suite, along with excellent communication, negotiation, and leadership skills, is required.

Requirements

• Bachelor’s degree in Business, Insurance, Risk Management, or a related field.
• At least five years of experience in claims handling or insurance operations.
• At least two years of experience in a supervisory or management role.
• Strong knowledge of insurance policies, claims processes, and relevant regulatory requirements in the United States.
• 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, providing 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 customer experience.
• Manage relationships with external vendors, including 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