Medical Claims Manager Jobs in Boca Raton, FL (NOW HIRING)

Description

Who We Are (The Honest Version)

We've been at this since 2007, right here in Plantation, Florida, building one of the leading personal auto insurers in the state - working alongside thousands of agents to make insurance feel less like paperwork and more like a promise we actually keep.

We run on four things: humility, accountability, common sense, and enjoying the ride. That's not a poster in the break room, it's just how the place works. We take care of our customers seriously, we take care of each other seriously, and we don't take ourselves too seriously in the process.

We also believe good claims work happens when people actually talk to each other - in person, ideally. So we build our team in-office first; if you don't live near Plantation, we'll set you up remote instead. Either way, you're part of the team, not on an island.

What We Offer (Yes, It's Real)

• Healthcare: 100% employer-paid medical insurance as well as dental, and vision, with free preventative care.
• Retirement: 401(k) with a company match.
• Wellness: Wellness programs, including real mental health support.
• Growth: Career development and training, built around collaboration, not competition.
• Salary: Starts in the low $60's and goes up to $100,000, based on qualifications.

The Role

You'll be the calm, competent voice our customers hear when they have an auto insurance claim. You'll guide them through the claims process from first call to final resolution - investigating coverage, working disputes, and keeping attorneys, medical providers, and everyone else moving in the same direction.

This isn't a script-reading job. You'll use judgment, document your reasoning, and own the outcome, start to finish.

What You'll Actually Do

• The Investigating Stuff: Investigate, evaluate, and resolve claims - including the ones that aren't simple.
• The Coverage Stuff: Review policies to confirm coverage and work through the issues that come with it.
• The People Stuff: Manage customer interactions with professionalism and accuracy, even when the conversation is hard.
• The Paper-Trail Stuff: Respond to demands, requests, and questions with communication clear enough to keep everyone involved informed clearly..
• The Collaboration Stuff: Work with attorneys, medical providers, and other stakeholders. Claims generally do not close in a vacuum. Teamwork gets the job done.
• The Record-Keeping Stuff: Maintain detailed, timely records. Future you will thank present you.
• The "Please Don't Let Us Get Sued" Stuff: Stay compliant with federal and state laws and company regulations, every time..

How We Roll

• Adapt: We embrace change and keep improving, instead of defending "how it's always been done."
• Collaborate: We work transparently and respectfully - collaboration isn't a value we hang on the wall, it's how we actually get claims closed.
• Engage: We stay curious and committed to the people we serve, customers and teammates alike.
• Be Data-Driven: We use what the numbers tell us, not just what feels right.

Requirements

What You Bring to the Table

• Education: A bachelor's degree, or a high school diploma plus 2+ years of relevant experience - we care what you can do more than which box you checked.
• Licensing: An active Florida 6-20 All Lines Adjuster License (or the ability to get one quickly at our expense). This one's non-negotiable.
• Language: Fluency in Spanish and English, written and spoken - This one is also non-negotiable. When a customer asks us to serve them, they deserve to be understood in their language.
• Skills: Strong analytical, problem-solving, and communication skills, plus solid Microsoft Office proficiency.
• Experience: Time in a high-volume, customer-facing environment where time management and attention to detail aren't optional.
• Mindset: Self-motivated, team-oriented, and adaptable. Be ready to work. We look for personalities appropriate to a team that actually leans on each other.

Where You'll Work

We're primarily an in-office team in Plantation, Florida, because we think collaboration works best when it's easy to share ideas and challenges. That said, we know great adjusters don't all live down the street - if you're not geographically close to us, we'll offer the role remote, with a real dedicated workspace and the same expectations either way: bring your "A" game each day, communicate, and make the team better.