claims adjuster associate - wc Jobs in Tampa

claims adjuster associate - wc

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fraud protection specialist

claims advocate

M.E. Wilson Company

<div>
 
 
 Job Description
 
 
 
 At ME Wilson, our
 
 Claims Advocate
 
 position offers a refreshing alternative. Instead of managing claims files and fielding calls from claimants, you'll serve as a strategic partner and trusted advisor to our commercial clients. You'll guide them through the claims process, collaborate with carriers, and ensure issues are resolved with clarity and professionalism.
 
 
 This role is perfect for a seasoned adjuster who&rsquo;s ready to leverage their experience in a collaborative, client-facing environment, while stepping away from the pressures of high-volume claims handling. The ideal candidate has extensive experience in claims adjusting and a strong understanding of Auto Bodily Injury Liability claims.
 
 
 
 
 
 
 Key Responsibilities
 
 
 
 &bull; Review and analyze carrier handling, investigation, reserves, and resolution strategies for assigned claims
 
 
 &bull; Facilitate and maintain proactive communication between clients and carrier adjusters
 
 
 &bull; Lead and participate in claim reviews, conference calls, and client meetings
 
 
 &bull; Prepare detailed periodic status reports for clients and producers
 
 
 &bull; Counsel clients on the insurance claims and litigation processes
 
 
 &bull; Provide clients with claims resources, education, and support materials
 
 
 &bull; Review and advise on clients&rsquo; internal claim investigation procedures
 
 
 &bull; Advocate for clients in claim disputes or coverage issues with carriers
 
 
 
 
 
 
 Desired Skills and Experience
 
 
 
 &bull; Associate or bachelor&rsquo;s degree required
 
 
 &bull;
 
 Minimum of 7 years of experience
 
 as a licensed commercial adjuster, specifically in
 
 Auto Bodily Injury Liability
 
 
 
 &bull; Ability to work independently and manage multiple cases effectively
 
 
 &bull; Strong verbal and written communication skills
 
 
 &bull; Excellent organizational skills and keen attention to detail
 
 
 &bull; Proven ability to prioritize tasks and meet critical deadlines
 
 
 
 
 
 
 Physical Requirements:
 
 
 <ul>
 <li>
 Prolonged periods of sitting at a desk and working on a computer.
 </li>
 </ul>
 
 
 
 
 
 Benefits &amp; Perks
 
 
 
 We value our employees and are committed to providing a comprehensive benefits package that supports your well-being and work-life balance, here&rsquo;s what we offer:
 
 
 
 
 
 
 Health &amp; Wellness
 
 
 <ul>
 <li>
 Medical, Dental, and Vision Insurance
 </li>
 <li>
 Employer-Sponsored Life Insurance
 </li>
 <li>
 Long-Term Disability &amp; Employer Sponsored Short-Term
 </li>
 </ul>
 
 
 Financial Benefits
 
 
 <ul>
 <li>
 401(k) with Company Match
 </li>
 </ul>
 
 
 Work-Life Balance
 
 
 <ul>
 <li>
 Generous Paid Time Off (Starts at 4 Weeks)
 </li>
 <li>
 Additional
 
 Volunteer PTO
 
 to Give Back to Your Community
 </li>
 </ul>
 
 
 
 
 
 EEOC Statement:
 
 
 
 ME Wilson is an equal employment opportunity firm and strives to comply with all laws prohibiting discrimination based on race, color, religion, age, sex (including sexual orientation and gender identity), national origin or ancestry, disability, military status, marital status, and any other category protected by federal, state, or local laws. All such discrimination is unlawful, and all persons involved in the operations of the firm are prohibited from engaging in this conduct.
 
</div>

Claims Advocate

Slide Insurance

<div><div>Slide Insurance - Fun. Innovation Driven. Fueled by Passion, Purpose and Technology.

At Slide, you will not only be part of a successful team, but you will also be a part of our Slide Vibe/award winning culture where collaboration and innovation are expected, recognized and awarded!</div>
<div>
As Director of Claims, you'll provide strategic leadership and operational oversight for our homeowners claims organization. You'll shape claims strategy, lead high‑performing teams, and ensure exceptional outcomes across complex, high‑exposure claims in a fast‑growing environment.</div>
<div></div>
<div><div>What You'll Do</div>
<div>
<div>Strategic &amp; Operational Leadership
<ul>
<li>Lead, support, and develop a multi‑layered team of managers and claims professionals</li>
<li>Oversee overall claims inventory, including investigation, coverage, evaluation, resolution, and litigation management</li>
<li>Set claim handling standards, performance expectations, and resolution strategies across the organization</li>
<li>Direct handling of the most complex and high‑severity claims, including mediations and trials</li>
</ul>
Litigation, Risk &amp; Cross‑Functional Partnership
<ul>
<li>Establish negotiation strategies and identify claims appropriate for trial</li>
<li>Select, retain, and oversee defense counsel on litigated matters</li>
<li>Partner closely with Underwriting on trends, case law, and statutory impacts to product lines</li>
<li>Support underwriting decisions through policy and submission reviews, as needed</li>
<li>Stay current on legislation, regulations, and industry developments impacting claims</li>
</ul>
Talent Development &amp; Continuous Improvement
<ul>
<li>Provide executive‑level leadership, coaching, and structured performance feedback</li>
<li>Drive training initiatives in partnership with Training &amp; Auditing to elevate claims capability</li>
<li>Champion best practices, analytics‑driven decision‑making, and operational excellence across claims</li></ul> 


What You Bring

<div><ul><li>Bachelor's degree or equivalent relevant experience</li>
<li>8+ years of P&amp;C homeowners claims experience</li>
<li>4+ years of senior leadership experience managing claims leaders and large teams</li>
<li>Active Florida 6‑20 Resident All Lines Adjuster License</li>
<li>Deep expertise in Florida insurance law and good‑faith claims handling</li>
<li>Proven success overseeing complex claims, litigation strategy, mediations, and trials</li>
<li>Strong people‑leader with the ability to mentor, influence, and scale high‑performing teams</li>
<li>Data‑driven, analytical approach with excellent organizational and prioritization skills</li>
<li>Exceptional written, verbal, and executive‑level communication skills</li>
<li>Proficiency with Microsoft 365 tools (Teams, SharePoint, Excel, PowerPoint, Outlook)</li>
<li>Commitment to living and leading Slide's Core Values</li>
</ul>
</div></div></div></div><div>What Slide offers to you:

The Slide Vibe - An opportunity to be a part of a fun and innovation-driven culture fueled by Passion, Purpose and Technology! Slide offers many opportunities to collaborate and innovate across the company and departments, as well as get to know other Sliders. From coffee chats, to clubs, to social events - we plan it, so all Sliders feel included and Enjoy their Journey.

Benefits - Created using Slider feedback, Slide offers a comprehensive and affordable benefits package to cover all aspects of health...Physical, Emotional, Financial, Social and Professional. A Lifestyle Spending Account is set up for each Slider and Slide contributes to it monthly for use on any benefit that individually suits you - Health Your Way! 


2023, 2024 &amp; 2025 BEST PLACE TO WORK - Tampa Bay Business Journal

2024 &amp; 2025 TOP WORKPLACE - Tampa Bay Times &amp; USA Today</div></div>

Director of Claims

FIRST ACCEPTANCE INSURANCE

<div>Auto Liability Specialist II 

This Auto Liability Specialist II position reports into either Tampa, FL or Nashville, TN, with the potential to work remotely full time. As an Auto Liability Specialist II, you will be responsible for the investigation, evaluation, negotiation, disposition, and settlement of Auto Liability claims to determine coverage and legal liability and resolve damages. Assigned claims may involve Single-vehicle or multiple-vehicle losses, uninsured/underinsured PD motorist claims, and complex coverage issues requiring direct involvement in property damage claim handling with minimal supervision. Exceptional evaluation and judgment skills are required to develop all potential exposures in the file and to properly set expense and indemnity reserves. Protecting our Insured and the Company&rsquo;s financial exposures is critical.

Essential Job Functions
<ul>
<li>Plan and conduct investigations (including but not limited to interviewing parties involved, collecting and evaluating documentation and securing evidence and protecting the chain-of-custody, determining inspection needs, ordering police reports, scene investigation, taking witness statements, reviewing material damage photos, etc.) to analyze coverage, determine liability, compensability, and extent of damages</li>
<li>Assume responsibility for property damage claims, including attorney-represented and non-represented parties, for both first- and third-party claimants</li>
<li>Demonstrates high investigation, analysis, evaluation, and negotiation skills. This includes accurately reviewing and interpreting auto policy provisions to resolve complex coverage investigations appropriately.</li>
<li>Adherence to proper procedures related to the inspection and evaluation of property damage claims and the ability to make recommendations for the disposition of claims beyond an individual&rsquo;s settlement authority</li>
<li>Evaluate policy coverage contact insureds, claimants, attorneys, and body shops while determining and establishing reserve requirements</li>
<li>Compile information for decision-making with a discussion of the claims committee where appropriate</li>
<li>Respond timely and appropriately to all settlement demands</li>
<li>Keep internal and external customers advised of file status and other matters, as required</li>
<li>Evaluate claims for potential fraud and work with Special Investigations Unit, as required</li>
<li>Assess actual damages associated with claims and conduct negotiations to settle claims</li>
<li>Determine if subrogation exists and take steps necessary to initiate recovery efforts</li>
<li>Performs other duties as assigned</li>
</ul>
Desired Qualifications
<ul>
<li>Possesses strong customer service skills and behaviors</li>
<li>Makes decisions in an informed, confident, and timely manner</li>
<li>Possesses strong organizational and time management skills</li>
<li>Ability to negotiate skillfully in difficult situations with both internal and external groups</li>
<li>Demonstrates strong written and verbal communication skills, promotes and facilitates free and open communication</li>
<li>Thinks critically and anticipates, recognizes, identifies, and develops solutions to problems promptly</li>
<li>Easily adapts to new or different changing situations, requirements, or priorities</li>
<li>Cultivates an environment of teamwork and collaboration</li>
<li>Must have or secure and maintain appropriate state adjuster license(s) and continuing education credits</li>
</ul><ul><li>Minimum of two (2) years of property claims handling experience</li>
</ul><ul><li>High school diploma or equivalent</li>
<li>College Degree preferred or equivalent experience</li>
</ul>
PHYSICAL DEMANDS:

The physical demands described here represent those that an employee must meet to perform the essential functions of this job successfully. Reasonable accommodations may be made to enable individuals with disabilities to perform these functions.

While performing the duties of this job, the employee is regularly required to do manual tasks, which may include using hands to finger and handling controls. Tasks may also require the ability to talk or hear. The employee will frequently sit, bend, and reach with hands and arms and is occasionally required to stand and walk. The employee must frequently lift and/or move up to ten pounds. Specific vision abilities required by this job include close vision, color vision, and the ability to adjust focus. Other abilities include breathing, protecting oneself, and possessing the capacity to learn, concentrate, think, and read. Oftentimes, the employee communicates and interacts with others while working.

To perform this job successfully, an individual must be able to satisfactorily perform each essential duty. The requirements listed represent the required knowledge, skill, and/or ability. Reasonable accommodation may be made to enable individuals with disabilities to perform essential functions.

This job description in no way states or implies that these are the only duties to be performed by the employee(s) incumbent in this position. Employee(s) will be required to follow any other job-related instructions and perform any other job-related duties requested by anyone authorized to give instructions or assignments.

#LI-REMOTE</div>

Auto Liability Specialist II

Crawford & Company

<div><div>We&rsquo;re Hiring: Sr. Claim Examiner &ndash; WC (Remote)
Ready to take on high‑stakes claims and make a real impact&mdash;from anywhere? We&rsquo;re seeking an experienced Claims Adjuster who excels at handling advanced, large‑loss, and complex cases, with the independence to make sound decisions and the expertise to deliver fair, timely outcomes.<h3 class="jobSectionHeader">
What You&rsquo;ll Do</h3><ul><li>️ Review coverage, determine liability, and drive fair resolutions</li></ul>
 Secure critical information and arrange property damage appraisals 
 Set reserves using strong judgment and analytical expertise 
 Partner with supervisors and defense attorneys to prepare cases for litigation 
 Mentor and train new team members
If you thrive in fast‑paced environments, love solving complex problems, and value the flexibility of a fully remote role, this opportunity is for you.
 Take the next step and bring your expertise to a team that truly values it!</div><ul>
<li>Interprets and makes decisions using independent judgment on more complex and unusual policy coverages and determines if coverages apply to claims submitted.</li>
<li>Manages all aspects of investigative activity on complex claims. Directs the discovery and litigation strategy with legal counsel.</li>
<li>Analyzes claims activity and prepares reports for clients/carriers and management.</li>
<li>Establish reserves, using independent judgment and expertise and authorizes payments within scope of authority, settling claims in the most cost effective manner and ensuring timely issuance of disbursements.</li>
<li>Settles claims promptly and equitably and issues company drafts in payments for claims within authority limits.</li>
<li>Develops subrogation and third party recovery potential and follows reclaim procedures.</li>
<li>Analyzes claims activities and prepares reports for clients, carriers and/or management. Participates in claim reviews.</li>
</ul><ul><li>Bachelor's degree or equivalent experience required. Industry designations preferred but not required (IIA, AIC, AEI and/or CPCU)..</li>
<li>Technical claims investigations/settling experience with 4-8 years experience in Claims or similar organization.</li>
<li>Ability to work independently while assimilating various technical subjects..</li>
<li>Strong written and oral communication, negotiation and presentation skills.</li>
<li>Advanced analytical and problem solving skills, with the ability to manage and prioritize multiple projects.</li>
<li>Effective advanced interpersonal skills to effectively interact with all levels of internal and external clients.</li>
<li>Workers Compensation (WC) Adjuster License required according to jurisdictional requirements</li>
</ul>
#LI-ET1
Why Crawford?
 
 
Because a claim is more than a number &mdash; it&rsquo;s a person, a child, a friend. It&rsquo;s anyone who looks to Crawford on their worst days. And by helping to restore their lives, we are helping to restore our community &ndash; one claim at a time.
 
 
At Crawford, employees are empowered to grow, emboldened to act and inspired to innovate. Our industry-leading team pioneers new solutions for the industries and customers we serve. We&rsquo;re looking for the next generation of leaders to take this journey with us.
 
 
We hail from more than 70 countries and speak dozens of languages, reflecting the global fabric of the audience we serve. Though our reach is vast, we proudly operate as One Crawford: united in purpose, vision and values. Learn more at www.crawco.com.
 
 
When you accept a job with Crawford, you become a part of the One Crawford family.
 
 
Our total compensation plans provide each of our employees with far more than just a great salary
 
<ul><li>Pay and incentive plans that recognize performance excellence</li>
<li>Benefit programs that empower financial, physical, and mental wellness</li>
<li>Training programs that promote continuous learning and career progression while enhancing job performance</li>
<li>Sustainability programs that give back to the communities in which we live and work</li>
<li>A culture of respect, collaboration, entrepreneurial spirit and inclusion</li>
</ul>Crawford &amp; Company participates in E-Verify and is an Equal Opportunity Employer. M/F/D/V Crawford &amp; Company is not accepting unsolicited assistance from search firms for this employment opportunity. All resumes submitted by search firms to any employee at Crawford via-email, the Internet or in any form and/or method without a valid written Statement of Work in place for this position from Crawford HR/Recruitment will be deemed the sole property of Crawford. No fee will be paid in the event the candidate is hired by Crawford as a result of the referral or through other means.</div>

Sr Claim Examiner- WC

USAA

<div>
 
 Why USAA?
 
 
 
 At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families.
 
 
 Embrace a fulfilling career at USAA, where our core values &ndash; honesty, integrity, loyalty and service &ndash; define how we treat each other and our members. Be part of what truly makes us special and impactful.
 
 
 
 The Opportunity
 
 
 
 We offer a flexible work environment that requires an individual to be in the office 3 days per week,
 
 after completing 6 months in office
 
 . This position is based in our Tampa, FL locations only. Relocation assistance is not available for this position.
 
 
 
 Start Date:
 
 June 15th
 
 
 
 Hours
 
 : 9:00am &ndash; 5:30pm ET
 
 
 
 As a dedicated Auto Adjuster you will manage file ownership including investigation, taking statements, reviewing policy and coverages, determination of liability, setting and managing services throughout life of the claim while providing excellent service.
 
 
 
 Within defined guidelines and framework, responsible to adjust moderately complex auto insurance claims presented by or against our members to include the end-to-end claims process and settling claims in compliance with state laws and regulations. Accountable for delivering best in class service, through setting appropriate expectations, proactive communications, advice, and empathy.
 
 
 
 What You&rsquo;ll Do
 
 
 
 <ul>
 <li>
 Investigates liability and applies appropriate coverage, evaluates, negotiates, and settles moderately complex auto claims.
 </li>
 <li>
 Negotiates liability for comparative negligence (claimant or adverse carrier).
 </li>
 <li>
 Identifies coverage concerns, reviews prior loss history, determines, and builds Special Investigation Unit (SIU) referrals, when appropriate.
 </li>
 <li>
 Interacts with multiple parties to gather information needed to determine liability (police reports, recorded statements, witness statements).
 </li>
 <li>
 Resolves claims through proactive problem solving and decision making, within authority guidelines and under moderate supervision, overcoming obstacles, and effectively prioritizing the workload.
 </li>
 <li>
 Clearly documents thought process including damage evaluation, investigation, negotiation, and settlement decisions
 </li>
 <li>
 Collaborates and sets expectations with external and internal business partners to facilitate claims resolution.
 </li>
 <li>
 Supports members, business partners, and claimants, through use of varying communication channels to include utilization of digital tools to drive timely and effective resolutions through outstanding service.
 </li>
 <li>
 Applies developing knowledge of P&amp;C insurance industry products, services, to include P&amp;C insurance policy contracts, coverages and internal claims handling process and procedures.
 </li>
 <li>
 Applies intermediate knowledge of Auto Physical Damage to adjust claims.
 </li>
 <li>
 Supports workload surges and catastrophe (CAT) response operations as needed, including mandatory on-call dates and potential evening, weekend, and/or holiday work outside normal work hours.
 </li>
 <li>
 May be assigned CAT deployment travel with minimal notice during designated CATs.
 </li>
 <li>
 Works various types of claims, including ones of higher complexity, and may be assigned additional work outside normal duties as needed.
 </li>
 <li>
 Ensure risks associated with business activities are effectively identified, measured, monitored, and controlled in accordance with risk and compliance policies and procedures.
 
 
 </li>
 </ul>
 
 What You Have
 
 
 
 <ul>
 <li>
 High School Diploma or General Equivalency Diploma.
 </li>
 <li>
 1 year of customer service experience.
 </li>
 <li>
 Progressive experience handling low complexity auto non injury liability claims.
 </li>
 <li>
 Acquisition and maintenance of insurance adjuster license within 90 days and 3 attempts.
 </li>
 <li>
 Developing knowledge and understanding of auto claims contracts as well as application of case law and state laws and regulations.
 </li>
 <li>
 Proven negotiation, investigation, communication, and conflict resolution skills.
 </li>
 <li>
 Proficient in prioritizing and multi-tasking, including navigating through multiple business applications.
 </li>
 <li>
 Successful completion of a job-related assessment may be required.
 
 
 </li>
 </ul>
 
 What Sets You Apart
 
 
 
 <ul>
 <li>
 One or more years of auto liability claims experience managing claims from initial contact through resolution.
 </li>
 <li>
 Minimum one year of experience managing a pending inventory with demonstrated organization and prioritization skills.
 </li>
 <li>
 Proven experience with comparative negligence and shared liability determinations.
 </li>
 <li>
 At least two years of customer service experience, demonstrating strong communication and problem-solving.
 </li>
 <li>
 Strong analytical and communication skills with the ability to interpret policy language, assess coverages, and make sound decisions.
 </li>
 <li>
 Proficiency with Guidewire or similar claims management systems.
 </li>
 <li>
 Bachelor&rsquo;s degree or industry designation (e.g., AIC, CPCU).
 </li>
 <li>
 Military experience through service or as a military spouse.
 
 
 </li>
 </ul>
 The above description reflects the details considered necessary to describe the principal functions of the job and should not be construed as a detailed description of all the work requirements that may be performed in the job.
 
 
 
 What We Offer
 
 
 
 
 Compensation
 
 : The salary range for this position is:
 
 $51,370 - $86,680.
 
 
 
 
 USAA does not provide visa sponsorship for this role. Please do not apply for this role if at any time (now or in the future) you will need immigration support (i.e., H-1B, TN, STEM OPT Training Plans, etc.).
 
 
 
 
 Compensation:
 
 USAA has an effective process for assessing market data and establishing ranges to ensure we remain competitive. You are paid within the salary range based on your experience and market data of the position. The actual salary for this role may vary by location.
 
 
 Employees may be eligible for pay incentives based on overall corporate and individual performance and at the discretion of the USAA Board of Directors.
 
 
 The above description reflects the details considered necessary to describe the principal functions of the job and should not be construed as a detailed description of all the work requirements that may be performed in the job.
 
 
 
 Benefits:
 
 At USAA our employees enjoy best-in-class benefits to support their physical, financial, and emotional wellness. These benefits include comprehensive medical, dental and vision plans, 401(k), pension, life insurance, parental benefits, adoption assistance, paid time off program with paid holidays plus 16 paid volunteer hours, and various wellness programs. Additionally, our career path planning and continuing education assists employees with their professional goals.
 
 
 For more details on our outstanding benefits, visit our benefits page on USAAjobs.com
 
 
 
 Applications for this position are accepted on an ongoing basis, this posting will remain open until the position is filled. Thus, interested candidates are encouraged to apply the same day they view this posting.
 
 
 
 
 USAA is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
 
</div>

Auto Adjuster (Mid-Level) – Non-Injury

Coke Florida

Who We Are: 
<ul>
<li>Coca-Cola Beverages Florida, LLC (Coke Florida) is a family-owned independent Coca-Cola bottler that is the third largest privately-held and the sixth largest independent Coca-Cola bottler in the United States.</li>
<li>Coke Florida sells, markets, manufactures and distributes over 600 products of The Coca-Cola Company and other partner companies including Monster Beverage Corporation and BODYARMOR.</li>
<li>In 2025, for the 4th year in a row, Coke Florida was named as a US Best Managed Company by Deloitte Private and The Wall Street Journal. This program recognizes outstanding U.S. private companies and the achievements of their management teams in four key areas: strategy, ability to execute, corporate culture, and governance/financial performance.</li>
</ul>
What We Offer: 
Eligible full time Coke Florida Associates can participate in our Total Rewards Program which includes:
 <ul>
<li>Total Wellness Programs including health, dental and vision plans</li>
<li>401K program with healthy company match</li>
<li>Supplemental Life Insurance</li>
<li>Three weeks of vacation pay, and 10 company paid holidays*</li>
<li>Tuition reimbursement</li>
<li>Employee Assistance Programs (EAP)</li>
<li>Competitive compensation</li>
</ul>
Coke Florida is searching for a Workers’ Compensation Claims Manager to work out of our Tampa HQ office.
 
What you'll do: 
Coca-Cola Beverages Florida is seeking an experienced Workers’ Compensation Claims Manager to serve as a key leader within the Enterprise Risk Management team. This role is intended for a seasoned workers’ compensation professional who can independently manage complex and high-exposure claims, exercise sound judgment within delegated authority, and proactively drive outcomes aligned with Coke Florida’s operational, financial, and employee-focused objectives.
 Under the general direction of the Director of Enterprise Risk Management and the Senior Manager of Enterprise Risk Management, the Claims Manager is accountable for end-to-end oversight of Coke Florida’s Workers’ Compensation claims program. The role operates with a high degree of autonomy and is expected to make timely, well-reasoned decisions while coordinating with internal partners, third-party administrators, medical providers, defense counsel, and leadership.
 
Roles and Responsibilities: 
<ul>
<li>Owns the management of Workers’ Compensation claims from intake through resolution, including investigation, compensability determination, medical and indemnity management, reserving, negotiation, and settlement</li>
<li>Exercises independent judgment and decision-making authority on claims within the established Chart of Authority; escalates appropriately when warranted</li>
<li>Serves as the primary internal subject matter expert for Workers’ Compensation claims and related regulatory requirements</li>
<li>Directs and oversees Third Party Administrators, nurse case managers, medical providers, and defense counsel to ensure effective, compliant, and cost-efficient claim handling while allowing the appropriated claim adjudication processes</li>
<li>Conducts regular audits of Workers’ Compensation claim files, including compensability decisions, medical management, reserving accuracy, litigation strategy, and statutory compliance</li>
<li>Actively manages claim diaries and documentation within the RMIS system, ensuring data accuracy, reporting integrity, and regulatory compliance</li>
<li>Leads oversight and administration of the Return-to-Work (RTW) program in partnership with HR, Safety, and Operations</li>
<li>Partners with internal managers and supervisors on injury reporting, accident investigation, root cause analysis, and corrective action planning</li>
<li>Provides technical direction and authority on complex, litigated, or high-exposure Workers’ Compensation claims</li>
<li>Prepares, analyzes, and presents Workers’ Compensation reports, loss trends, and performance metrics for leadership and business units</li>
<li>Identifies trends, emerging risks, and opportunities to reduce claim frequency, severity, duration, and overall cost of Workers’ Compensation</li>
<li>Develops, tracks, and reports key performance indicators to evaluate claim outcomes, TPA performance, RTW effectiveness, and overall program results</li>
<li>Works closely with internal stakeholders including Operations, Human Resources, Legal, Safety, and the broader Enterprise Risk Management team to ensure aligned decision-making, consistent claim strategy, and proactive injury prevention and risk mitigation efforts</li>
</ul>
Skills and Education Required: 
<ul>
<li>Bachelor’s degree and/or equivalent combination of education and significant relevant experience</li>
<li>Minimum of 5 years of progressive Workers’ Compensation claims management experience, preferably in a large, self-insured or complex operational environment</li>
<li>Comprehensive knowledge of Workers’ Compensation statutes, claims administration, medical management, and litigation processes</li>
<li>Demonstrated ability to independently manage complex, litigated, and high-exposure Workers’ Compensation claims</li>
<li>Travel based on business needs</li>
</ul>
Additional skills that will strengthen your candidacy: 
<ul>
<li>Proven ability to operate independently while collaborating effectively within a small, high-performing team</li>
<li>Strong understanding of Workers’ Compensation legal and regulatory requirements</li>
<li>Experience managing a workers' compensation program for a private employer</li>
<li>Excellent analytical, negotiation, and problem-solving skills</li>
<li>Strong communication skills with the ability to influence internal and external stakeholders</li>
<li>High attention to detail with consistent follow-through</li>
<li>Ability to organize, document, and control both digital and physical claim records</li>
<li>Customer-focused mindset balanced with cost control and risk discipline</li>
</ul>
This job description is not an exhaustive list of all functions that the employee may be required to perform, and the employee may be required to perform additional functions. Coke Florida reserves the right to revise the job description at any time and to assign additional duties and responsibilities as needed.
 
Employment with Coke Florida is at-will. The employee must be able to perform the essential functions of the position satisfactorily and, if requested, reasonable accommodations may be made to enable qualified individuals with disabilities to perform essential functions of their job, absent undue hardship.
 
Coca-Cola Beverages Florida is an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity and/or expression, status as a veteran, and basis of disability or any other federal, state or local protected class.

Workers’ Compensation Claims Manager

Safepoint MGA, LLC

<div>Safepoint Insurance is an admitted Property and Casualty Insurance carrier. We are based in Temple Terrace, FL. Our Claims Department is growing and we are looking for self-motivated professionals ready to support our organization.
Job Title: Claims Service Representative - Bilingual Preferred
Job Location: Office in Tampa (on Gunn Hwy) 
The Claims Service Representative provides prompt, effective and courteous handling of all inquiries to policy holders and claimants with special emphasis on complying with appropriate guidelines. Complete assigned administrative tasks related to the claims process function. 
Duties and responsibilities<ul><li>
Direct customer and vendor inquiry calls</li><li>
Conduct First Notice of Loss calls and corresponding documentation</li><li>
Monitor Phone Queue for proper coverage and escalate calls when needed</li><li>
Obtain police and fire reports and other reports subject to public information requests</li><li>
Responsible for dispatching examiner assignment to IA or expert</li><li>
Responsible for organizing, scanning and dispatch of incoming and outgoing correspondence such as mail, fax, and emails</li><li>
Responsible for claims projects as assigned</li><li>
Maintain accurate and complete files, updating the claims system daily</li><li>
Print, verify, and mail checks and letters daily</li><li>
Monitor claims inbox for Incoming e-mails, and distribute and file as appropriate</li><li>
Monitor new incoming claims and assign them to appropriate desk or field adjuster</li><li>
Pay invoices and update spreadsheets and claims system</li><li>
Other tasks and projects as may be assigned</li></ul> 
Essential Functions<ul><li>
Use telephone and computer systems to communicate with and service customers</li><li>
Use computer system to update claim files daily</li><li>
Ability to take and direct at least 30 &ndash; 50 phone calls per day</li><li>
Ability to print and physically mail correspondence</li><li>
Ability to work independently in a fast-paced office environment; meet deadlines and manage changing priorities effectively</li></ul> 
Qualifications<ul><li>
College degree or related experience</li><li>
2 years of customer service experience analyzing and solving customer problems</li><li>
Florida All-Lines Adjuster's license (6-20) strongly preferred; ability to obtain license required</li><li>
Proficiency with Microsoft Office products required</li><li>
Ability to use systems such as Policy Port, CMS, Unisoft.</li><li>
Bilingual in English and Spanish preferred</li><li>
Excellent communication skills and ability to interact on a professional level with internal and external personnel and partners</li></ul> 
Licensing requirements
Please note that most organizations overseeing Property and Casualty licensure requirements, including the Florida Department of Financial Services, require individuals to answer background questions about criminal history and undergo fingerprinting as part of the licensing process. Obtaining applicable licensure is a requirement for this position. 
 
Physical requirements
While performing the duties of this job, the employee is regularly required to talk or hear. The employee frequently is required to stand; walk; use hands to type, handle or feel; and reach with hands and arms. 
Working conditions
This job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, copiers, filing cabinets and fax machines. 
Compensation and Benefits
We recognize that talented professionals are attracted to companies that provide a great place to work, combined with a comprehensive and competitive pay and benefits package, along with opportunities for personal growth and job advancement. For this reason we are pleased to provide:<ul><li>
Market Competitive Wages commensurate with experience</li><li>
Prof. Development and Educational Assistance Programs</li><li>
Safe Harbor 401K Plan with Immediate Vesting and an Automatic Company Contribution</li><li>
Paid Time-Off (Discretionary, PTO, Parental Leave, and others)</li><li>
Company Paid Holidays</li><li>
Health Insurance</li><li>
Dental Insurance</li><li>
Vision Insurance</li><li>
Short and Long Term Disability Insurance (company paid)</li><li>
Flexible Spending Accounts with Company Contribution</li><li>
Health Savings Accounts with Company Contribution</li><li>
Employee Life and AD&amp;D Insurance</li><li>
Dependent Life and AD&amp;D Insurance</li><li>
Company paid AAA Membership</li><li>
Company paid Identity Theft Protection</li><li>
Other Ancillary Insurance Benefit Programs</li><li>
And more&hellip;</li></ul>
Safepoint Insurance is an equal employment opportunity employer. We adhere to a policy of making employment decisions without regard to race, color, religion, sex, sexual orientation, national origin, citizenship, age or disability. We assure you that your opportunity for employment with Safepoint depends solely on your qualifications. 

FTAR7DAyn6</div>

Claims Customer Service Representative

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