Claims Management Manager at Coca-Cola Beverages Florida in Tampa, Florida

Job Description:

Claims Management Manager
Tampa, FL, USA Req #11143 Friday, May 13, 2022 Who We Are:

• Coca-Cola Beverages Florida, LLC (Coke Florida) is a family-owned independent Coca-Cola bottler that is the third largestprivately-heldand the sixth largest independent Coca-Cola bottler in the United States.


• Coke Florida sells, markets, manufactures and distributes over 600 products of The Coca-Cola Company and other partner companies including Monster Beverage Corporation and BODYARMOR.

What We Offer: Eligible full time Coke Florida Associates can participate in our Total Rewards Program which includes:

• Total Wellness Programs including health, dental and vision plans


• 401K program with healthy company match


• Supplemental Life Insurance


• Three weeks of vacation pay, and 11 company paid holidays*


• Tuition reimbursement


• Employee Assistance Programs (EAP)


• Competitive compensation

Coke Florida is looking for a Claims Manager to work out of our Tampa area office. What You Will Do: The Claims Manager oversees the claims function in the Enterprise Risk Management department, ensuring the timely and proper disposition of all claims made against Coca-Cola Beverages Florida according to company policies and procedures. Claims examination and adjudication is accomplished through a combination of third-party administrators (TPA), legal reviews, and investigations. The Claims Manager ensures that processes are efficient and effective with appropriate accountability and oversight, and resulting reporting is timely, comprehensive, and actionable, and can resolve escalated issues arising from operations and requiring coordination with other departments and functions. The Claims Manager also provides operational input to strategic decisions that affect the functional area of responsibility, including input on the development of the budget.
Roles and Responsibilities:

• Oversee the daily claims examination activities of the TPA staff, resolving or escalating issues and monitoring progress towards timely and proper disposition of claims.
• Manage the TPA contract commitments ensuring regular accountability, reporting, and resolution of performance and stewardship issues.
• Manage the physical and electronic exchange of data between TPA and CCBF ensuring timeliness and accuracy of data exchange, and efficiency of processes.
• Conduct periodic claim file audits and regular status reviews of prioritized claims ensuring acceptable process and progress to proper disposition.
• Coordinate input and participation of professionals involved in claim adjudication such as examiners, investigators, internal and external legal counsel, finance, and insurance carriers.
• Timely notification of insurance carriers and broker of evolving claims activity pursuant to insurance policy reporting requirements.
• Manage the claims sections of the risk management information system (RMIS) ensuring completeness, accuracy, timeliness, and reporting usefulness of data.
• Establish and maintain RMIS reporting cadence and content for key users, including leadership, Environmental Health & Safety, Transportation Risk Control & Compliance, and Finance.
• Provide operational input to strategic decisions, including input on the development of the functional budget, and various ad hoc claims reporting.
• Other duties as assigned.

For this role, you will need:

• At least eight years of experience in claims examination and management with demonstrated knowledge of an employer claims administration program
• Bachelors' degree of higher
• Strong analytic and process management skills
• Excellent communication skills, both written and verbal

Additional qualifications that will make you successful in the role:

• Insurance industry designations - AIC, ARM, CPCU
• Experience working with an insurance TPA
• Prior experience working with an RMIS
• Formal legal training or certification
• At least one year working as a claims manager

This job description is not an exhaustive list of all functions that the employee may be required to perform, and the employee may be required to perform additional functions. Coke Florida reserves the right to revise the job description at any time and to assign additional duties and responsibilities as needed. Employment with Coke Florida isat-will. The employee must be able to perform the essential functions of the position satisfactorily and, if requested, reasonable accommodations may be made to enable qualified individuals with disabilities to perform essential functions of their job, absent undue hardship. Coca-Cola Beverages Florida is an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity and/or expression, status as a veteran, and basis of disability or any other federal, state or local protected class.
Other details

• Job Family Commercial Leadership
• Job Function Sustainability & Risk Management
• Pay Type Salary

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• Tampa, FL, USA

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