What are the responsibilities and job description for the Claims Manager position at Heritage Insurance?
Claims Manager
Full-Time | On-Site
Location: Sunrise, FL
Requisition ID: 1291
Position Overview
The Claims Manager is a key leadership role responsible for overseeing the investigation, evaluation, and resolution of property claims while developing and supporting a high-performing claims team. This role drives operational excellence, regulatory compliance, loss control, and customer satisfaction, and plays a critical part in catastrophe preparedness and response. If you’re a hands-on leader who thrives in a fast-paced environment and enjoys mentoring talent while managing complex claims, this role offers both impact and visibility.
Key Responsibilities
- Lead, coach, and directly supervise internal and external property claims professionals to ensure compliance with company procedures, policy language, and regulatory requirements.
- Review incoming property claims and assign cases based on complexity, adjuster expertise, and workload.
- Provide guidance, oversight, and settlement authority to claims staff, including oversight of large-loss and complex claims.
- Conduct open and closed file reviews to assess quality, accuracy, timeliness, and overall operational effectiveness.
- Personally manage high-exposure or complex claims, including negotiations and settlement discussions.
- Prepare and review settlement evaluations and recommendations.
- Manage loss costs, reserves, and loss adjustment expenses to support financial performance and profitability.
- Analyze reports and performance data to identify trends, risks, and opportunities for improvement; communicate insights to leadership.
- Collaborate with policyholders, independent adjusters, attorneys, vendors, and other internal and external stakeholders.
- Identify complex claim scenarios and develop strategic resolution plans.
- Research, interpret, and apply policy language, state laws, and regulatory requirements.
- Attend mediations, settlement conferences, and legal proceedings as needed.
- Support catastrophe planning and response efforts, including extended hours during CAT events when required.
- Participate in system testing, process improvement initiatives, and departmental projects.
- Contribute to department policies, procedures, strategic planning, and goal setting.
- Partner closely with Claims leadership, Underwriting, Finance/Accounting, Human Resources, agents, and external partners.
- Recruit, interview, onboard, mentor, and develop claims staff, fostering a culture of accountability, quality service, and continuous improvement.
- Ensure ongoing compliance with all federal and state regulations, company policies, and ethical standards.
- Travel, including overnight travel, may be required.
Qualifications
- Associate’s Degree required; Bachelor’s Degree preferred (or equivalent combination of education and directly related experience).
- Active Florida 6-20 Adjuster License required.
- Minimum of 4 years of supervisory experience leading personal and/or commercial property claims professionals.
- Extensive knowledge of property claims handling, best practices, and legal terminology.
- Proven experience training, coaching, and developing claims staff.
- Strong understanding of insurance operations and cross-functional collaboration.
- Hands-on experience with Xactimate, XactAnalysis, and XactNet.
- Proficiency in Microsoft Office; experience with internet-based research tools preferred.
- Customer-focused leader with excellent communication and relationship-building skills.
- Analytical, results-driven professional with strong problem-solving and decision-making abilities.
- Ability to work independently in a fast-paced, deadline-driven environment with shifting priorities.
- Highly organized, detail-oriented, and collaborative leadership style.
Equal Employment Opportunity
We are an Equal Opportunity Employer committed to fostering a diverse and inclusive workplace. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, or any other legally protected status.