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
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$300k - $320k
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- Vice President Project Controls Executive (Systems) Position at MTA Construction & Development JOB TITLE: Vice President, Project Controls... ...escalated items related to cost estimates, schedules, change orders, claims, time extension requests, and disputes. Evaluates actual...ClaimsContract workFor contractorsFor subcontractorWork at officeRemote workWeekend workAfternoon shift1 day per week
$90k - $200k
...for the high quality of its work. Kroll is looking for a Vice President to support our Expert Services team. As a Vice President you... ...engagement teams in the development and evaluation of damages claims and other financial calculations Organize and analyze large...ClaimsTemporary work$170k - $180k
...brands. The VP - Brand Management will report to the Executive Vice President Authentic responsible for the overall management and growth... ...offers and interview requests being sent by individuals falsely claiming to represent Authentic. These scams are often initiated via...ClaimsFull timeWork at officeImmediate startWorldwide$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... ...client and contractor negotiations to resolve contract changes and claims • Participate in client or 3rd party reconciliations •...ClaimsFull timeContract workFor contractorsLocal areaRelocation packageFlexible hours$200k - $250k
Most companies claim to have the best people. We say to them, "Keep dreaming." Our people are second to none. They set us apart with... ...top global Merchandise Agency to work for. The Divisional Vice President for Sales is a senior leadership role responsible for overseeing...ClaimsSummer workWork at officeLocal areaImmediate startRemote workRelocation1 day per week$175k - $185k
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...Description Summary Job Description Summary: SCS is seeking a Vice President ("VP") to join the New York office. As a part of a client relationship... ...reasonable accommodations, you may be barred from filing a claim under the provisions of the Workers’ Compensation Act of the...ClaimsWork at officeLocal area- ...WIN, Soma Capital, and Pioneer Fund. About the Role As Tint’s Vice President of Operations, you’ll have the unique opportunity to shape the... ...performing operations team Lead the following areas: Customer Support, Claims, Agency Operations, and Legal & Compliance Develop and...ClaimsLocal areaRemote workHome officeVisa sponsorshipFlexible hours
- ...Associate Vice President of Revenue Cycle About the Company Leading hospice, palliative & home health care provider Industry Hospital... ...staff, and ensuring the timely and accurate submission of claims across various payers. The role also requires close...Claims
$152k - $190k
Position Summary The Senior Claims Advocacy Specialist is responsible for developing and implementing claim analysis and advocacy strategies. The role serves as a subject matter expert on complex issues and collaborates with internal stakeholders to innovate solutions...ClaimsFull timeWork experience placement- Vice President Clinical Practice Sagility combines industry‑leading technology and transformation‑driven BPM services with decades of healthcare... ..., member engagement, provider solutions, payment integrity, claims cost containment, and analytics. Sagility has more than 25,000...ClaimsTemporary workWork experience placementCurrently hiringWork from homeFlexible hoursShift work
- ...relationships on transparency and empathy, and our data-led approach reaches consumers, investors, and the wider industry to help our partners claim meaningful ground in their categories. We're a bicoastal team with a global reach. Our retention rate sits among the highest in the...ClaimsWeekly payFull timeSummer workInternshipWork at officeImmediate startRemote workWork from homeFlexible hours
$165k - $195k
...platform—built on its proprietary Health Fabric™—unifies clinical, claims, financial, and social data into a single, scalable source of... ...that drive measurable growth. Position Overview The Vice President, Payer Growth is responsible for generating new business and expanding...ClaimsContract workTemporary workWork experience placement$167.02k - $208.77k
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