Direct Claims Jobs in Spring Hill, FL (NOW HIRING)

Who We Are
At Justworks, you'll enjoy a welcoming and casual environment, great benefits, wellness program offerings, company retreats, and the ability to interact with and learn from leaders in the startup community. We work hard and care about our most prized asset - our people.
We're helping businesses get off the ground by enabling them to focus on running their business. We solve HR issues. We're data-driven and never stop iterating. If you'd like to work in a supportive, entrepreneurial environment, are interested in building something meaningful and having fun while doing it, we'd love to hear from you.
We're united by shared goals and shared motivations at Justworks. These are best summed up in our company values, which are reflected in our product and in our team.
Our Values
If this sounds like you, you'll fit right in.
Who You Are
As a Senior Claims Manager of Workers Compensation (WC), you will work collaboratively within Justworks' Workers Compensation Team as well as cross-functionally with teams across Justworks including: Customer Success, Technology, Engineering & Product, Accounting, Business Intelligence, Onboarding, Legal, and Finance. You will carry your own caseload of complex and/or high exposure claims while providing day to day guidance and oversight to a small claims team. Operating within our PEO environment, you will serve as the first point of contact for escalations for the claims team, be a trusted resource for customer facing claim inquiries and a key contributor to process improvement initiatives.
We're helping businesses get off the ground by enabling them to focus on running their business. We're data-driven and never stop iterating. If you'd like to work in a supportive, entrepreneurial environment, are interested in building something meaningful and having fun while doing it, we'd love to hear from you.
Your Success Profile
What You Will Work On

• Supervise and support a small claims team providing daily direction, workload oversight and performance coaching.
• Manage your own active caseload of complex, litigated, and high-severity claims from First Notice of Loss through closure.
• Review coverage decisions, reserves and settlement recommendations to ensure accuracy, consistency and alignment with company guidelines.
• Serve as the primary escalation point for difficult claims, coverage disputes, or customer concerns that exceed team members authority levels.
• Conduct regular file audits and quality reviews, delivering constructive feedback to improve individual and team performance.
• Coordinate with TPAs, carriers, defense counsel, medical providers, and nurse case managers to drive timely, cost-effective claim resolutions.
• Onboard and train new claims staff, ensuring familiarity with PEO workflows, customer structures, and state-specific compliance requirements.
• Maintain current knowledge of WC statutes, filing requirements, and best practices across all jurisdictions in the company's footprint.
• Assist the Claims Director with reporting, loss trend analysis, and identifying process improvement opportunities.
• Perform other related duties as assigned

How You Will Do Your Work
As a Senior Claims Manager, Workers Compensation, how results are achieved is paramount for your success and ultimately result in our success as an organization. In this role, your foundational knowledge, skills, abilities and personal attributes are anchored in the following competencies:

• Detail-oriented - exercises extreme attention to detail; is thorough, accurate, organized, and productive and seeks to understand both the cause and effect of a situation.
• Analytical - uses a logical reasoning process to break down and work through a situation or problem to arrive at an outcome.
• Clear communication - the ability to articulate thoughts and express ideas effectively using oral, written, visual and non-verbal communication skills, as well as listening skills to gain understanding.
• Good judgment - the exercise of critical thinking, analyzing and assessing problems and implications, identifying patterns, making connections of underlying issues, understanding risks and developing mitigation strategies, and taking ownership of the outcome.
• Organizational awareness - maneuvering comfortably through complex policy, process, and people-related organizational dynamics.
• Business insight - applying knowledge of business and the marketplace to advance the organization's goals.
• Strategic mindset - anticipates future trends and implications accurately; articulates credible pictures and visions of possibilities that will create sustainable value.
• Nimble learning - actively learning through experimentation when tackling new problems, using both successes and failures as learning fodder.

In addition, all Justworkers focus on aligning their behaviors to our core values known as COGIS. It stands for :

• Camaraderie - Day to day you can be seen working together toward a higher purpose. You like to have fun. You're an active listener, treat people respectfully, and have a strong desire to know and help others.
• Openness - Your default is to be open. You're willing to share information, understand other perspectives, and consider new possibilities. You're curious, ask open questions, and are receptive to thoughts and feedback from others.
• Grit - You demonstrate grit by having the courage to commit and persevere. You're committed, earnest, and dive in to get the job done well with a positive attitude.
• Integrity - Simply put, do what you say and say what you'll do. You're honest and forthright, have a strong moral compass, and strive to match your words with your actions while leading by example.
• Simplicity - Be like Einstein: "Everything should be made as simple as possible, but no simpler."

Qualifications

• 7+ years of experience in a Third Party Claims Administration(TPA) or PEO experience in claims.
• Some experience mentoring, training or informally leading peers or junior claims associates
• Working knowledge of WC regulations in multiple states, ability to navigate jurisdictional differences confidently
• Solid reserving skills and understanding of indemnity, medical and expense components of claim financials.
• Strong organizational and communication skills; comfortable interacting directly with PEO customers and external partners.
• Proficiency with claims management systems an/or RMIS platforms
• Experience supporting Return to Work programs and managed care coordination
• Experience working cross-functionally
• Experience with vendor management
• Extremely detailed-oriented with great time management and organizational skills
• Proactive and curious with a bias for action

The base wage range for this position based in our Tampa Office is targeted at $122,000.00 to $158,000.00 per year.
#LI-Hybrid #LI-CD1
Actual compensation is based on multiple factors that are unique to each candidate, including and not limited to skill set, level of relevant experience, and specific work location. Salary ranges for positions based in other locations may differ based on the cost of labor in that location.
For more information about Justworks' Total Reward Philosophy, including all of the perks and benefits we are proud to offer our team members, please visit Total Rewards @ Justworks.
Diversity At Justworks
Justworks is committed to maintaining a workplace where diversity of identity, culture, and life experience is the norm and is celebrated authentically and respected consistently. Diversity in our work, our people, and our product drives creativity and innovation, entrepreneurial leadership and integrity, competitiveness, and collaboration throughout our business and in the market. We depend on our differences to make our team stronger, our workplace more dynamic, and our product accessible to all of our customers.
We're proud to be an equal opportunity employer open to all qualified applicants regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital or familial status, disability, pregnancy, gender identity or expression, veteran status, genetic information, or any other legally protected status. Justworks is fully dedicated to providing necessary support to candidates with disabilities who may require reasonable accommodations. We also provide reasonable accommodations to employees based on their sincerely held religious beliefs, as well as for other covered reasons consistent with applicable federal, state, and local laws. If you're in need of a reasonable accommodation, please reach out to us at accommodations@justworks.com. Your comfort and success matter to us, and we're here to ensure an inclusive experience.
Our DEIB Report