Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Claims Operations Lead: Data, AI & Process Excellence

Fortegra

Fortegra, located in Jacksonville, FL, is seeking a Claims Operations Manager to lead a team in optimizing claims processes and ensuring outstanding performance. The successful candidate will be responsible for coaching and supporting the team while addressing complex claims effectively. With a focus on continuous improvement and the adoption of new technologies, this leadership position demands strong critical thinking and communication skills. The role offers a comprehensive benefits package, including medical, dental, vision, and 401(k) options, fostering a supportive work environment. #J-18808-Ljbffr

Vacancy posted 1 day ago
Similar jobs that could be interesting for youBased on the Claims Operations Lead: Data, AI & Process Excellence in Jacksonville, FL vacancy
  • $124k - $280k

     ...Specialty/Competency: Data, Analytics & AI Industry/Sector:...  ...enable efficient data processing and analysis. You...  ...and your commitment to excellence, contributes to the success...  ...you need to lead and deliver value at...  ...processes, and maintain operational excellence while interacting... 
    Process Excellence
    Full time
    H1b

    PwC

    Jacksonville, FL
    3 days ago
  •  ...Get AI-powered advice on this job and more exclusive...  ...is looking for a " Data/ Reporting Analyst", d...  ...to significantly reduce operational risk & enhance efficiency...  ...completeness issues of processes • Liaising with project...  ...Intelligence Analyst (Claims) - Jacksonville, FL Jacksonville... 
    Claims
    Contract work
    For contractors

    Lenmar Consulting

    Jacksonville, FL
    4 days ago
  •  ...Responsibilities The Process Improvement...  ...Corporation and its operating companies. This...  ..., process, data, and technology dimensions. Lead and support initiatives...  ...focused on claims operations and related...  ...evaluation of AI, automation, RPA...  ..., operational excellence, business... 
    Process Excellence
    Claims

    W. R. Berkley

    Jacksonville, FL
    4 days ago
  •  ...Fortegra is seeking a Claims Operations Manager in Jacksonville, Florida. The ideal candidate will lead a team of claims associates, ensuring operational expectations are met while fostering a culture of performance and accountability. Responsibilities include managing... 
    Claims

    Fortegra

    Jacksonville, FL
    4 days ago
  • $60 per hour

     ...Mindrift offers project-based AI opportunities to evaluate auto insurance claims. This involves assessing AI-generated decisions and designing test scenarios. Ideal candidates have 3+ years in auto claims adjusting, strong written English, and familiarity with U.S. state... 
    Claims
    Hourly pay
    10 hours per week

    Mind Rift

    Jacksonville, FL
    22 hours ago
  •  ...Risen Line Solutions is seeking an experienced Operations Manager to lead daily operations as the company transitions to a standalone U.S.-based systems integration firm. This role is pivotal, ensuring alignment across various functions including sales, marketing, and... 

    Planate Management Group

    Jacksonville, FL
    3 days ago
  •  ...direct report of the Regional Operations Manager (ROM), assist in...  ...customers. Work together with our Claim Team as needed. 6. Support in...  ...propose creative solutions Excellent written and verbal communication...  ...as part of the recruitment process. #J-18808-Ljbffr... 
    Claims
    Contract work
    Work experience placement
    Work at office
    Local area
    Flexible hours
    Shift work

    Yusen Logistics

    Jacksonville, FL
    4 days ago
  •  ...Citibank (Switzerland) AG in Jacksonville, Florida is seeking a KYC Operations Senior Manager Director responsible for delivering AML...  ...strategies balancing risk management and operational efficiency while championing AI-driven transformation initiatives. #J-18808-Ljbffr... 

    Citibank (Switzerland) AG

    Jacksonville, FL
    3 days ago
  • $102.46k - $175.64k

     ...seeking a PMO Manager - AIS Systems within our...  ...to drive excellence within the Systems...  ...Responsibilities Lead and develop a team...  ...collaboration to drive process improvements and...  ...liquidated damages, claims processes, and...  ...management, sales, operations, as well as customers... 
    Process Excellence
    Claims
    Permanent employment
    Local area
    Immediate start

    Siemens Mobility

    Jacksonville, FL
    4 days ago
  • $124k - $280k

     ...Specialty/Competency: Data, Analytics & AI Industry/...  ...enhance business processes. Your work will...  ...your commitment to excellence, contributes to...  ...experiences you need to lead and deliver value...  ...research, and operational efficiency -...  ...clinical notes, claims data, ADT feeds,... 
    Claims
    Full time
    H1b

    PwC

    Jacksonville, FL
    2 days ago
  • $180k - $220k

     ...Director, Data Operations COMPANY: Canoe Intelligence...  ...Operations will design and lead Canoe's data...  ...designing the team, the processes, and the operational logic...  ...that turns proprietary AI into an institutional-...  ...Drive Operational Excellence Define and own the... 
    Local area
    Work from home
    Home office
    Flexible hours

    Canoe

    Jacksonville, FL
    3 days ago
  • $85.2k - $159.3k

     ...working world. Data Protection and Privacy...  ...as dealing with claims and any queries...  ...opportunity We are operating in an increasingly...  ...you will support processes within the Ethics,...  ...Intelligence (AI) solutions in order...  ...personal information; Leading and supporting... 
    Claims
    Full time
    Work experience placement
    Summer holiday
    Local area
    Flexible hours

    EY

    Jacksonville, FL
    3 days ago
  • $45 - $55 per hour

     ...analytics professional to lead modernization efforts...  ...support business and operational priorities Translate and...  ..., reporting logic, and data transformations into Python...  ...analyzing Medicare claims, provider, or beneficiary...  ...with business process design and requirements... 
    Claims
    Hourly pay
    Work at office
    Remote work

    Ascendo Resources

    Jacksonville, FL
    4 days ago
  • $34.76k

     ...DATA ENTRY OPERATOR - 64037446 Date: Jun 11, 2026 The State Personnel System is an E-Verify...  ...provided through the electronic application process. This position requires a security...  ...educational requirements. Candidates claiming Veterans’ Preference must attach... 
    Claims
    Work at office
    Flexible hours

    My Florida Corp Defunct

    Jacksonville, FL
    22 hours ago
  •  ...requirements, analyze business processes, and provide optimal...  ...Design and develop custom Claims Framework. Extract source data from Ingestion framework transformations...  ...strategy but will also lead to personal and...  ...name a few. Elevance Health operates in a Hybrid Workforce... 
    Claims
    Temporary work
    Local area
    1 day per week

    Elevance Health

    Jacksonville, FL
    4 days ago
  •  ...supports key financial and operational projects by performing...  ...any other issues. Process Electronic Funds...  ...systems; comfort with data entry and data validation...  ...solutions company, is a leading not-for-profit health insurer...  ...businesses. We process claims and provide customer... 
    Claims
    Hourly pay
    Contract work
    For contractors
    Local area
    Immediate start
    Remote work

    WPS Health Solutions

    Jacksonville, FL
    3 days ago
  •  ...Dun & Bradstreet, we believe data has the power to create a better...  ...and roadmap for an existing AI-related product in market with...  ...Product Lifecycle Management process Understanding of market research...  ...multitask and prioritize Excellent communication and presentation... 
    Work at office
    Worldwide

    Dun & Bradstreet

    Jacksonville, FL
    14 days ago
  • $124k - $280k

     ...applications, helping clients optimise operational efficiency. These individuals...  ..., and your commitment to excellence, contributes to the success...  ...and experiences you need to lead and deliver value at this...  ...guide large projects, innovate processes, and maintain operational... 
    Process Excellence
    Full time
    H1b

    PwC

    Jacksonville, FL
    22 days ago
  •  ...Bradstreet, we believe data has the power to create...  ...Senior Product Manager will lead the strategy, development, and management of AI-native products within...  ...the product development process, collaborating with engineering...  ...prioritize. ~ Excellent communication and... 
    Work at office
    Worldwide

    Dun & Bradstreet

    Jacksonville, FL
    16 days ago
  •  ...Grainger in Jacksonville, Florida is seeking a Manager, IT Operations to lead the enterprise Service Desk organization. You will be responsible...  ...professionals. Your role includes driving operational excellence, customer experience, and workforce development while modernizing... 

    W.W. Grainger

    Jacksonville, FL
    11 hours ago
  •  ...strong technical skills in web/mobile application development and excellent English communication abilities. This part-time position...  ...fully remote work with core hours from 9 AM to 1 PM EST. You will lead client meetings, capture requirements, and ensure high-quality... 
    Part time
    Remote work

    Gorin Systems

    Jacksonville, FL
    1 day ago
  •  ...CPCU, Industry Advisor, Claims expert "15-20+ years...  ...Demonstrated success leading cross-functional initiatives...  ...frameworks for claims operations; exposure to market...  ...translating complex claims processes into technology...  ...operation efficiency, AI opportunities, and delivery... 
    Claims

    Hallmark Global Solutions Ltd

    Jacksonville, FL
    3 days ago
  •  ...Berkley is seeking a candidate for the administrative claims support role. Responsibilities include ensuring outstanding customer experiences...  ...or some college experience. This position is pivotal in maintaining smooth operations within our claims department. #J-18808-Ljbffr... 
    Claims

    Berkley

    Jacksonville, FL
    1 day ago
  •  ...Pharmacy in Jacksonville, Florida, is seeking a Pharmacy Technician to process customer bills and insurance claims. This role involves managing patient eligibility information and supporting pharmacy operations. The ideal candidate requires a Florida state pharmacy technician... 
    Claims

    Guardian Pharmacy

    Jacksonville, FL
    3 days ago
  •  ...National-General in Jacksonville, Florida, is seeking PIP Claims Adjuster Associates to investigate and confirm facts of loss for automobile accidents. Candidates will apply advanced understanding of insurance policies and handle claim investigations and negotiations.... 
    Claims
    Remote work

    National-General

    Jacksonville, FL
    4 days ago
  •  ...Accounts Representative responsible for following up on insurance claims and resolving billing inquiries. The ideal candidate should have...  ...in healthcare. This role requires proficiency in Microsoft Excel and strong critical thinking skills to manage complex account issues... 
    Claims

    River Point Behavioral Health

    Jacksonville, FL
    3 days ago
  •  ...Specialist responsible for obtaining reimbursement for various professional services. This role involves triaging invoices, resolving claims with payors, and ensuring documentation accuracy. Applicants should have experience in medical billing and knowledge of coding... 
    Claims

    University of Florida Jacksonville Healthcare

    Jacksonville, FL
    4 days ago
  • $25k

     ...connects specialists with project-based AI opportunities for leading tech companies, focused on testing,...  ...Evaluate AI-generated auto insurance claims decisions for accuracy, coverage correctness...  ...-limits, and layered endorsements in Excel or equivalent; ~ Awareness of the... 
    Claims
    Hourly pay
    Permanent employment
    Temporary work
    Part time
    Freelance
    10 hours per week

    Mindrift

    Jacksonville, FL
    1 day ago
  • $51.11k

     ...specific medical stop loss claims. Effectively mitigate...  ...loss claims and provide excellent customer service. Why...  ...are one of the nation's leading administrators of government contracts. We operate one of the most sophisticated data processing centers in the Southeast... 
    Claims
    Full time
    Contract work
    For contractors
    Work experience placement
    Local area
    Remote work
    Monday to Friday
    Shift work

    BlueCross BlueShield of South Carolina

    Jacksonville, FL
    1 day ago
  •  ...vital responsibilities in the histology department in Jacksonville, Florida. The role includes processing surgical tissues, equipment maintenance, and supporting daily operations. Candidates should be knowledgeable in various staining techniques and demonstrate the... 

    Mayo Career Site UK

    Jacksonville, FL
    3 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Claims Operations Lead: Data, AI & Process Excellence. Be the first to apply!