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Manager, Claims Operations

Lead the development of a streamlined claims adjudication process using AI tools
Tampa, Florida, United States
Senior
4 days ago
Florida Staffing

Florida Staffing

A government portal providing access to various state employment resources and job listings for residents of Florida.

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Manager of Claims Operations

As a Manager of Claims Operations, your primary responsibility will be to lead a NYL Direct Life Claims team to ensure accurate, timely claim adjudication in compliance with regulations and company standards. You will provide coaching and development to staff, foster service excellence for insureds and beneficiaries, and drive process improvements to enhance efficiency and protect company interests.

Team Leadership and Development – Supervise, coach, and develop claims examiners to support professional growth and ensure high performance.

Claims Management – Oversee accurate and timely adjudication of life claims in compliance with NYL guidelines, state regulations, and service standards.

Regulatory & Compliance Oversight – Ensure all claim practices adhere to regulatory requirements and protect the company's interests.

Service Excellence – Maintain high-quality service delivery for insureds and beneficiaries by meeting established service standards.

Process & Productivity Improvement – Recommend and implement policies, procedures, and process enhancements to improve efficiency and reduce costs.

You're an experienced leader with a strong background in life insurance and have a deep understanding of regulatory and compliance requirements. You bring proven expertise in coaching and developing teams, ensuring accurate and timely adjudication of claims while maintaining high service standards for insureds and beneficiaries. You use strong problem-solving and decision-making skills, excel at handling escalations, remove barriers to resolution, and collaborate across departments. You are process-minded, can recommend and implement operational improvements that enhance efficiency, protect the company's interests, and reduce costs while fostering a culture of growth and accountability.

In-depth knowledge of life insurance regulations, compliance requirements, and industry standards.

Proven ability to coach, mentor, and develop associates to drive performance and career growth.

Strong problem-solving and decision-making skills.

Excellent organizational and time management abilities to oversee daily workflows and meet service standards.

Effective communication and collaboration skills for cross-departmental issue resolution and team engagement.

Process improvement mindset with the ability to recommend and implement operational efficiencies.

Experience with the Fineos claims platform.

Experienced user of AI and Gen AI tools.

Salary Range: [[cust_salaryRangePosting]] Overtime eligible: [[customString6]] Discretionary bonus eligible: [[cust_merit]] Sales bonus eligible: [[stockPackage]] Actual base salary will be determined based on several factors but not limited to individual's experience, skills, qualifications, and job location. Additionally, employees are eligible for an annual discretionary bonus. In addition to base salary, employees may also be eligible to participate in an incentive program.

At New York Life, our 180-year legacy of purpose and integrity fuels our future. As we evolve into a more technology-, data-, and AI-enabled organization, we remain grounded in the values that drive lasting impact. Our diverse business portfolio creates opportunities to make a difference across industries and communities—inviting bold thinking, collaborative problem-solving, and purpose-driven innovation. Here, you'll find the rare balance of long-standing stability and forward momentum, supported by an inclusive team that honors tradition while embracing progress. As a Fortune 100 mutual company, we offer a place to grow your skills, contribute to meaningful work, and deliver solutions that matter. Your ideas drive what's next, and your growth powers it.

We provide a full package of benefits for employees – and have unique offerings for a modern workforce, including leave programs, adoption assistance, and student loan repayment programs. Based on feedback from our employees, we continue to refine and add benefits to our offering, so that you can flourish both inside and outside of work.

At New York Life, fostering an inclusive workplace is fundamental to who we are and how we serve our communities. We have a longstanding commitment to creating an environment where individuals can contribute their best and succeed together. This foundation is rooted in our core values of humanity and integrity, ensuring that every employee feels valued and supported. By embracing a broad range of perspectives and experiences, we achieve greater success and fulfill our promise of providing financial security and peace of mind to families across all communities.

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Manager, Claims Operations
Tampa, Florida, United States
Operations
About Florida Staffing
A government portal providing access to various state employment resources and job listings for residents of Florida.