Self-Funded Claims Manager

Amwins•Tampa, FL

8d•Hybrid

About The Position

Amwins Self-Funded is looking for a Claims Manager to lead and support a dedicated claims team, strengthen day-to-day operations, and help deliver exceptional service to our clients and partners. This role is primarily in-office, with the opportunity to work from home up to two days per week after completing training. At Amwins, we believe people do their best work when they feel supported, valued, and empowered to grow. We are proud to offer a workplace where team members can build strong relationships, contribute ideas, and make a meaningful impact.

Requirements

2+ years of management experience with a passion for leading, coaching, and developing others.
Proficient in Microsoft Office programs, including Excel, Outlook, SharePoint, and Teams.
Proven ability to manage time effectively, prioritize workload, and meet deadlines.
Strong team skills and the ability to work cooperatively and respectfully with staff members and business partners.
Strong organizational and multitasking skills.
Ability to communicate clearly, professionally, and thoughtfully with internal and external partners.
Strong attention to detail, follow-through, and a demonstrated sense of urgency.
A supportive, solutions-oriented approach with a commitment to helping the team and business succeed.

Nice To Haves

Bachelor's degree or 3–5+ years of experience working in Group Benefits.
3–5 years of claims or production-environment experience preferred.

Responsibilities

Leads the day-to-day operations and supports the success of assigned Claims team members. Responsibilities may include staffing recommendations, promotions, performance evaluations, and disciplinary actions, as applicable.
Supports assigned team member performance through regular feedback, accountability conversations, training, and technical coaching. Partners with the assigned Claims Lead to provide targeted coaching and process guidance.
Partners with the Claims Quality team to use centralized audit findings in support of team development, performance management, and operational oversight. Reviews QA reports on a defined cadence to monitor team-level quality trends and requests escalated or graduated audit coverage with the QA Claims Manager for team members who may benefit from additional support.
Oversees the master list of groups/cases for the Claims Department, including all contractual claims service parameters.
Manages client account assignments based on team and individual workload volume, when applicable.
Manages and oversees the filing process for Stop Loss Claims within the Claims Department.
Serves as a trusted resource on complex claim submissions, providing oversight and support for high-priority claims. Provides guidance on team claim submissions, correspondence, and processes.
Conducts claim reviews and processes reimbursement filing and reporting to Stop Loss carriers, when applicable or needed.
Manages and produces monthly claims reporting and notifications to Stop Loss carriers, when applicable or needed.
Supports the development and implementation of policies, procedures, and process improvements that strengthen Claims operations.
Collaborates with the Director of Claims to support consistent, high-quality service delivery for clients.
Builds positive, collaborative relationships with internal departments and team members to support a strong client service experience.
Builds positive, collaborative relationships with external partners, including carriers, brokers/consultants, and administrators, to support responsive and effective client service.
Partners with Claims Trainer(s) to identify department-wide or team-wide skill gaps, coordinate helpful training programs, and support team member participation and development.
Other duties and projects as assigned.