Claims Operations Leader

Frontline Insurance Managers Inc.; Florida; On-site; USD 90,000 - 130,000; Full time

Job summary

Frontline Insurance Managers Inc. in Lake Mary, FL is seeking a seasoned Claims Manager to oversee the claims process, lead a team of adjusters and examiners, and ensure efficient, compliant claim resolutions.

You will analyze trends, guide complex settlements, and coordinate with legal, underwriting and service teams to improve outcomes. The role demands expertise in insurance operations, strong leadership, and proficiency with claims software and MS Office.

Qualifications

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

Responsibilities

• Supervise and mentor a team of claims adjusters and examiners to ensure timely and accurate processing of claims.
• 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 areas for process improvement.
• Collaborate with legal, underwriting, and customer service teams to resolve disputes and enhance 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 KPIs for senior management.

Skills

Leadership

Communication

Negotiation

Analytical thinking

Regulatory knowledge

Education

Bachelor’s degree in Business, Insurance, Risk Management, or related field

CPCU certification

AIC certification

Tools

Claims management software

Microsoft Office

Job description

Frontline Insurance Managers Inc. in Lake Mary, FL is seeking a seasoned Claims Manager to oversee the claims process, lead a team of adjusters and examiners, and ensure efficient, compliant claim resolutions.

You will analyze trends, guide complex settlements, and coordinate with legal, underwriting and service teams to improve outcomes. The role demands expertise in insurance operations, strong leadership, and proficiency with claims software and MS Office.