Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

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
Confidential
Vacancy posted 2 days ago
Similar jobs that could be interesting for youBased on the Vice President of Claims Adjudication in Houston, TX vacancy
  • $171.6k - $338.3k

     ...insurers deliver better customer experience while enabling claim professionals to adjudicate claims more effectively and accurately. This is a great...  ...shape and improve the products in the portfolio. The Vice President, Sales Executive requires a commercially driven... 
    Claims
    Local area

    Deloitte

    Houston, TX
    7 days ago
  • $21 per hour

     ...We are seeking a Pharmacy Adjudication Specialist at our Specialty pharmacy in Houston, TX. This will be a Full-Time position. This position...  ...The Pharmacy Adjudication Specialist will adjudicate pharmacy claims, review claim responses for accuracy. ensure prescription... 
    Claims
    Full time
    Temporary work
    Work experience placement
    Relocation package
    Flexible hours
    Shift work

    Onco360

    Houston, TX
    10 hours ago
  •  ...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

    Confidential

    Houston, TX
    10 hours ago
  •  ...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

    Confidential

    Houston, TX
    10 hours ago
  • $137.5k - $164.93k

     ...products and services designed to meet the unique coverage and claims-handling needs of businesses. The Argo entities are wholly-...  ...subsidiaries of Clearbrook Group Holdings Inc.Job DescriptionAssistant Vice President, Inland Marine Claims, Argo GroupAt Argo Group, we invite you... 
    Claims
    Full time
    Temporary work
    For contractors
    Local area

    Argo Group

    Houston, TX
    3 days ago
  •  ...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

    Confidential

    Houston, TX
    2 days ago
  •  ...Vice President, Risk & Insurance About the Company Nationally recognized commercial construction organization with diverse portfolio...  ...risk strategy, with a strong background in complex construction claims environments and a proven track record of managing... 
    Claims

    Confidential

    Houston, TX
    1 day ago
  • Texas Children’s Health Plan is seeking a Claims Examiner to process and adjudicate claims for reimbursement to providers based on established procedures. You will review and research claims, ensuring adherence to guidelines and timeliness. Ideal candidates have a high... 
    Claims

    Texas Children's Hospital

    Bellaire, TX
    1 day ago
  •  ...Vice President, Health Economics About the Company Acclaimed provider of employer-based health services Industry Health, Wellness...  ...of a function dedicated to translating clinical and claims data into actionable insights. The successful candidate will be... 
    Claims

    Confidential

    Houston, TX
    10 hours ago
  •  ...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

    Confidential

    Houston, TX
    1 day ago
  •  ...Senior Vice President, Benefits About the Company Global risk management firm helping clients navigate complex risks with creative solutions...  ...specialty wholesale strategic risk analytics claims advocacy bermuda market access intermediaries group captives... 
    Claims

    Confidential

    Houston, TX
    1 day ago
  •  ...Vice President of Reinsurance Operations About the Company Nationally recognized insurance company Industry Insurance Type...  ...operational leadership in areas such as treaty administration, claims handling, accounting and reporting, and reinsurance analytics.... 
    Claims
    Contract work

    Confidential

    Houston, TX
    4 days ago
  •  ...Associate Vice President, Commutations About the Company Globally recognized insurance group specializing in innovative capital release...  ...and reinsurance, with a preference for a background in claims. The role requires a high level of autonomy, strong communication... 
    Claims

    Confidential

    Houston, TX
    2 days ago
  • $100k - $160k

     ...hospitality sectors. We offer comprehensive risk management solutions, utilizing market-leading technologies to enhance underwriting, claims handling, and policy servicing. Our founder owns companies within these industries, providing us with a vast network and real-world... 
    Claims
    Full time
    Relocation
    Shift work

    Benchmark Insurance Group & Rise Group

    Houston, TX
    17 days ago
  • $120k - $150k

    Make your make in Claims TechnologyAt AIG, technology is at the heart of everything we do, from underwriting risks to processing claims. The Information Technology team equips our colleagues with the latest tools to complete their work efficiently and with the highest... 
    Claims
    Full time
    Work at office

    American International Group (AIG)

    Houston, TX
    7 days ago
  • $88.1k - $220.2k

     ...support the continued enhancement and delivery of our Capitation Adjudication platform. This role is ideal for someone who has worked...  ...understands the operational realities of payer administration, claims processing, and capitation management.The successful candidate... 
    Claims
    Full time
    Part time
    Immediate start
    Worldwide

    IQVIA

    Houston, TX
    3 days ago
  • $104.7k - $151.8k

     ...Assistant Vice President, Primary Casualty Broker The National Casualty Practice is a premier team of casualty brokerage professionals...  ...structure and placement strategy. Strong ability to analyze risk, claims, exposure, financial, and market data to develop actionable... 
    Claims
    Full time
    Temporary work
    Part time
    Work at office
    Local area
    3 days per week

    AON

    Houston, TX
    1 day ago
  •  ...the Role Sedgwick is seeking a seasoned and highly effective Vice President, IT Internal Audit to help lead and advance the Company’s...  ...this or other roles. Sedgwick is the world’s leading risk and claims administration partner, which helps clients thrive by navigating... 
    Claims
    Local area
    Remote work

    Sedgwick

    Houston, TX
    1 day ago
  •  ...and avoidance of uncontrolled obligations. Support collection of overdue receivables, resolution of debit notes and commercial claims, and mitigation of credit or payment-security risk. Escalate gaps between account commitments and company capacity, investment,... 
    Claims
    Permanent employment
    Contract work
    Local area

    MICROVAST INC

    Houston, TX
    4 days ago
  •  ...service organizations with material customer and cost accountability. Demonstrated experience managing critical incidents, warranty claims, field-service networks, spare parts and cross-functional corrective actions. Experience in batteries, electric vehicles, energy... 
    Claims
    Permanent employment
    Contract work
    For contractors
    Local area
    Immediate start
    Remote work

    MICROVAST INC

    Houston, TX
    4 days ago
  • $300k

     ...About the Position The company is seeking two newly created Vice President of Operations roles, one focused on public-sector work, one on...  ...contracts, estimating, project controls, change management, claims, and risk ~ Experience with both self-performed and subcontracted... 
    Claims
    Contract work
    Temporary work
    For contractors
    For subcontractor
    Relocation package

    Kimmel and Associates

    Houston, TX
    4 days ago
  •  ...Help homeowners navigate the insurance claims process after storm damage, providing guidance and support every step of the way. In this role, you’ll work closely with clients, insurance adjusters, and internal teams to ensure claims are handled efficiently, accurately... 
    Claims

    Apollo Roofing

    Houston, TX
    4 days ago
  • $126.1k - $168.13k

    A leading title insurance company based in Houston is seeking a Senior Claims Counsel to manage title insurance and escrow claims. The role emphasizes complex legal analysis, negotiation, and litigation. Ideal candidates should have a law degree, be licensed to practice... 
    Claims

    First American

    Houston, TX
    2 days ago
  •  ...established and growing law firm is seeking a skilled and dedicated attorney with significant experience in first-party homeowner property claims to join its dynamic team. The ideal candidate will bring a strong background in representing policyholders in disputes with... 
    Claims
    Full time

    Affinity Executive Search

    Houston, TX
    6 days ago
  •  ...accommodation or an alternative application process. Entry Level Claims Examiner (Dental, Vision & Hearing) FT Hourly Full-Time...  ...documentation received and provide timely follow-ups for claims being adjudicated. Process and resolve insurance claims in accordance to claim... 
    Claims
    Hourly pay
    Full time
    Contract work
    Temporary work
    Work at office
    Immediate start
    Flexible hours

    ManhattanLife Insurance & Annuity Company

    Houston, TX
    1 day ago
  •  ...Experience Required: 3-6 years in civil litigation, insurance defense, or catastrophic injury Qualifications ~ Insurance claim adjustments processing ~ Law ~ Mid-level ~ Legal timekeeping ~3 years ~ Legal motion preparation ~ Doctor of... 
    Claims

    Teksky LLC

    Houston, TX
    4 days ago
  • $102k - $168k

     ...ESIS®, Inc., a Chubb company, provides claim and risk management services to a wide variety of commercial clients. ESIS’ innovative best-in-class approach to program design, integration, and achievement of results aligns with the needs and expectations of our clients... 
    Claims
    Full time
    Temporary work

    Jessica Hanchey

    Houston, TX
    10 hours ago
  •  ...Scope and Purpose: ManhattanLife is seeking a Customer Claims Advocate to support our organization's Claims team. As a Customer...  ...documentation received and provide timely follow-ups for claims being adjudicated. Process insurance claims with adherence to company... 
    Claims
    Contract work
    Work experience placement
    Internship
    Work at office
    Immediate start
    Flexible hours

    ManhattanLife Insurance & Annuity Company

    Houston, TX
    3 days ago
  •  ...seeks a renowned Physics Professor or Principal Investigator for a remote, contractor role to adjudicate high-level physics arguments and guide evaluation of complex scientific claims. You will apply deep subject-matter expertise to judge reasoning and provide defensible... 
    Claims
    For contractors
    Remote work

    YO AI Labs

    Houston, TX
    3 days ago
  • CITON Claims Solutions, LLC in Houston, TX is seeking a Field Claims Adjuster to investigate, evaluate, and resolve property insurance claims in the field. You will interact directly with policyholders, witnesses, and third parties to gather information and assess damage... 
    Claims

    Orion180 Insurance Co.

    Houston, TX
    10 hours ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Vice President of Claims Adjudication. Be the first to apply!