Vice President of Claims Adjudication
Confidential
Vice President of Claims Adjudication
About the Company
Premier cost-effective commercial insurance provider
Industry
Insurance
Type
Privately Held, VC-backed
Founded
2017
Employees
201-500
Funding
$200+ million
Categories
- Insurance
- Financial Services
- Insurance
- InsurTech
- Small and Medium Businesses
Specialties
- insurance
- insuretech
- workers' compensation
- and small business insurance
- small business insurance
- and commercial auto
About the Role
The Company is seeking a Vice President of Claims Adjudication to play a pivotal role in the design and execution of its claims strategy and programs. The successful candidate will be responsible for leading the claims adjudication function, with a focus on delivering optimal claim outcomes and exceptional customer experiences. This leadership role involves strategic planning, fostering relationships both internally and externally, and ensuring that the claims adjudication operations align with the broader claims strategy. The VP will also be accountable for the financial and performance aspects of the claims adjudication operation, driving continuous improvement, and leading innovation and technology initiatives to enhance the claims process. Applicants must have a minimum of 15 years' experience in workers' compensation claims, field claims operations, and claims adjudication, with at least 10 years in a people management role. The role requires an individual with a strong industry leadership track record, expert knowledge of managing disputed and litigated claims across multiple jurisdictions, and a data-driven approach to claims management. The ideal candidate will have a proven ability to contribute strategic insights, inspire and influence others, and foster a culture of open communication, continuous improvement, and innovation. Superior communication skills and the ability to represent the organization as a claims subject matter expert are essential. Experience in crisis communication and managing high-stakes stakeholder relationships is also a key requirement.
Hiring Manager Title
Chief Claims Officer
Functions
- Operations
$200k - $260k
...and entrepreneurs who are driven by core values and operating principles that guide every decision we make. As the Vice President of Claims Adjudication, reporting to the Chief Claims Officer, your purpose will be to collaborate in the design and execution of Pie's claims...ClaimsWork experience placementRemote work- MetroPlusHealth in New York, NY seeks a Claims Examiner I to handle data entry and system adjudication of provider claims, ensuring accurate and timely disposition within guidelines. The role requires attention to detail, knowledge of CPT/ ICD-p, and revenue codes, with...Claims
$225k - $250k
...makes a real difference. Job Description Vice President, Casualty AI Product Innovation is... ...capabilities designed to transform and automate adjudication, enhance fraud/waste/abuse detection,... ...and unstructured medical and claims data. Operational Excellence: lead the...ClaimsFull timePart timeLocal areaRemote workFlexible hours- ...Aon Corporation in Miami or New York is seeking a Vice President, Insurance, Claims & Strategy to oversee complex D&O and cyber claims, support renewals, and guide risk management across a global portfolio. The role involves coordinating across legal, finance, operations...Claims
$250k - $260k
...more than 1,900 restructuring transactions with aggregate debt claims in excess of $4 trillion. With nearly 300 dedicated... ...and positions of all parties in interest. Job DescriptionA Vice President in Financial Restructuring will work on a variety of transactions...ClaimsFull timeWork experience placementWorldwide$250k - $340k
Job DescriptionPlymouth Rock is seeking a dynamic senior leader to serve as Vice President of Casualty Claims. This is a high-impact executive role with broad ownership of our Casualty Claims organization, spanning Bodily Injury, No-Fault (PIP), Medical Bill Review, and...Claims- ...MLabs is seeking an ambitious, hands-on Head of Claims to redesign and scale its global claims function. This role blends operational, technical, and strategic leadership to treat claims as a product and drive AI-enabled improvements across auto, property, travel, renters...Claims
- ...athletic and wellness events Incredibly generous rewards; US Associates receive a Rolex for their 10 year anniversary! The Senior Cyber Claims Advocate is a senior technical leader responsible for delivering strategic oversight, advanced claims advocacy, and consistent...Claims
- ...you are interested in joining us here at the Amynta Group! Vice President, US tax Review and underwrite Tax opportunities Conduct... ...underwriting file completion upon binding of risks. Review claims and provide any necessary support related thereto to the...Claims
$230k - $250k
...Toronto, Mexico City, London, and Shanghai.What You’ll DoThe Vice President, Corporate Financial Planning & Analysis will lead the Company... ...and interview requests being sent by individuals falsely claiming to represent Authentic. These scams are often initiated via email...ClaimsImmediate startWorldwide- ...Senior Vice President, Head of Claims Intake About the Company Insurance claims operations leader focused on efficient intake, reporting, and client relations. Industry Insurance Type Privately Held About the Role The Company is seeking an SVP,...Claims
- ...Vice President, Strategic Solutions & Delivery About the Company Innovative provider of cost containment technology & case management... ...responsibilities include serving as a thought leader in casualty operations, claims modernization, and AI-enabled business processes, as well as...Claims
$130k - $140k
...Assistant Vice President, Personal Lines ClaimsAt HUB International, we're more than just an insurance brokerage firm — we're a thriving community... ...are looking for an Assistant Vice President, Personal Lines Claims to join our Claims team on a hybrid work schedule.Position...ClaimsWork at officeLocal area$270k - $300k
...partnering with a leading global P&C insurance carrier to appoint a Vice President of Product Development . This is a high-impact leadership role... ...-functional collaboration across underwriting, actuarial, claims, legal, compliance, IT, and distribution. You will ensure...Claims- ...We are seeking a highly strategic and experienced Vice President of Human Resources to lead our organization's human capital initiatives for... ...management, benefits administration, workers' compensation claims, and retirement plans using HR systems like Oracle HCM or SAP...Claims
$150k - $175k
## Assistant Vice President, Complex CasualtyApplyremote type: Fully On-sitelocations: New York City, New York: Garden City, New York: Alpharetta... ...team** to handle severity bodily injury and property damage claims. The candidate will be responsible for handling a pending of...ClaimsFull timeWork at officeFlexible hours- Firstsource Solutions Limited is seeking a remote Claims Examiner to analyze documents and adjudicate claims in line with client specifications. You will determine pay/deny decisions and route items for any missing information, ensuring adherence to TAT and SLA while coordinating...ClaimsRemote job
$143k - $213k
...WSP is currently initiating a search for a full-time Assistant Vice President, Estimating to be based out of our One Penn Office and will... ...client and contractor negotiations to resolve contract changes and claims• Participate in client or 3rd party reconciliations• Perform...ClaimsFull timeContract workFor contractorsLocal areaRelocation packageFlexible hours- ...business to $100M+ in annual revenue You will report directly to the President with functional head direct reports across growth, digital... ...conversion performanceExperience scaling paid acquisition in a claims‑sensitive or regulated consumer category, with real judgment on...Claims
- ...About the Role The Vice President of Revenue Cycle Management at Purpose Home Health Parent is a strategic leadership position responsible... ...revenue cycle including patient registration, billing, coding, claims submission, payment posting, and collections. Develop and execute...Claims
$16.5 - $22.2 per hour
A healthcare provider in the United States is seeking a Claims Processor responsible for evaluating and adjudicating claims. This role requires strong communication skills and the ability to navigate multiple systems. Candidates should have a high school diploma and at...ClaimsHourly payWork at office- ...Assistant Vice President Assistant Vice President Assisting Managing Directors/VPs in underwriting R&W opportunities Review submission... ...product offerings, and potential new product offerings Review claims and provide any necessary support related thereto to the...Claims
- Sompo Holdings, Inc. is seeking an Assistant Vice President for its Complex Casualty team to manage high-exposure bodily injury and property damage claims. The role emphasizes technical claims skills, strong analytical abilities, and collaboration with underwriting and...ClaimsWork at office
- Wellcove is seeking a Claims Adjudicator to manage outbound calls and adjudicate US health claims. You will review medical reports, calculate claim amounts, and determine action per guidelines to resolve denied or underpaid claims. You will work remotely, requiring strong...ClaimsRemote job
$260k - $275k
...bespoke products and world class service — both pre- and post-claims. Ascot exists to solve our clients’ brightest tomorrow, through... ...: Reporting to the U.S. Chief Claims Officer, the Senior Vice President, Claims Strategy, Operations & Alternative Risk will serve as...ClaimsFull timeTemporary workLocal areaFlexible hours$280k - $320k
...strategiesOversee tenant-related disputes, including defaults, enforcement actions, and negotiated resolutionsManage litigation and claims involving tenants and property operations, including coordination with outside counselAdvise on property management legal issues...ClaimsFull timeTemporary workSummer workWork at officeLocal areaWorldwide- ...Vice President of Technology Operations About the Company Innovative healthcare technology (HealthTech) company specializing in prescription... ...Specialties optimized access to supplemental networks claim cost repricer healthcare cost containment pharmacy cost...Claims
- ...Vice President, U.S. Commercial Underwriting About the Company Recognized provider of investment capital & risk solutions for litigation... .... This includes quickly evaluating the merits of legal claims, assessing and pricing risks, and negotiating financing deals....Claims
- ...Vice President of General Liability Claims About the Company Fast-growing organization providing innovative claims solutions Industry Insurance Type Privately Held, VC-backed Founded 2022 Employees 501-1000 Funding $26-$50 million Categories...Claims
- Centivo is seeking a Claims Adjustor to join our team remotely in the United States. You will adjudicate and process healthcare claims for self-funded employer groups, reviewing edits and ensuring benefits align with SPD and client funds. Responsibilities include routing...ClaimsRemote job
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