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
- ...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
- ...Vice President of Engineering About the Company Innovative provider of personalized cancer education & navigation services Industry... ...-end workflows. While not mandatory, experience with medical claims, prior authorization, or other complex healthcare data is strongly...Claims
- ...Vice President of QA & Automation About the Company Large healthcare technology and services organization focused on enterprise quality... ...in healthcare technology, particularly in pharmacy, claims, or health-plan environments, and experience in applying automation...Claims
- ...Vice President of Sales About the Company AI-enabled healthcare revenue cycle management company serving complex medical billing and claims recovery. Industry Hospital & Health Care Type Privately Held About the Role The Company is seeking a Vice...Claims
- ...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
- ...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
- ...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
- ...Vice President of Preconstruction About the Company Nationally recognized commercial construction organization with diverse projects... ...insurance structures, SDI programs, surety/bonding, and construction claims environments. Leadership characteristics include a...Claims
- ...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
- ...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
$45k - $48.8k
...Adjudicator Agency: 290 Employment Security Commission Supervisory Organization: Employment Security Commission–Will Rodgers Memorial... ...accuracy of all data entry into the computer system and to the Claim Record Card of each file. Data should be entered completely and...ClaimsFull timeWork experience placementWork at officeState of Oklahoma
Oklahoma City, OK3 days 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...ClaimsLocal areaRemote work
Sedgwick
Oklahoma City, OK2 days ago - ...A nationwide claims adjusting firm is seeking Licensed Claims Adjusters to join their team. This role offers comprehensive training programs to equip you with the skills needed to succeed in the insurance claims industry. Ideal candidates will be licensed adjusters with...Claims
MileHigh Adjusters Houston
Edmond, OK16 hours ago - ...A leading insurance claims organization is seeking Independent Insurance Claims Adjusters in Bethany, Oklahoma. This role offers a path for both experienced and new adjusters, with training programs designed to equip you with essential skills. You'll help clients recover...ClaimsFlexible hours
MileHigh Adjusters Houston
Bethany, OK1 day ago $11 - $13 per hour
...A medical billing company in Oklahoma City is seeking an Appeals Specialist to manage insurance claim discrepancies. The role requires great work ethic, attention to detail, and the ability to multitask. While prior medical billing experience is beneficial, it's not mandatory...ClaimsHourly pay360medicalbillingservices
Oklahoma City, OK1 day ago- ...in motor vehicle accidents, premises liability, wrongful death, catastrophic injury, and other personal injury matters Evaluate claims, liability, damages, medical records, insurance coverage, and potential case value Develop case strategy and oversee matters throughout...Claims
gpac
Oklahoma City, OK16 hours ago $45k - $60k
...Manage customer accounts and update information in the database. Assist customers with policy changes and inquiries. Process insurance claims and follow up with customers on claim status. Coordinate with underwriters to ensure timely policy issuance.Strong organizational...ClaimsHourly payThomas Webber - State Farm Agent
Edmond, OK1 day ago- A nationwide claims adjusting firm is seeking Licensed Claims Adjusters to join their team. This role offers comprehensive training programs to equip you with the skills needed to succeed in the insurance claims industry. Ideal candidates will be licensed adjusters with...Claims
- ...customer accounts and update information in the database. Assist customers with policy changes and inquiries. Process insurance claims and follow up with customers on claim status. Coordinate with underwriters to ensure timely policy issuance. Qualifications...ClaimsFor contractors
Jeremy Henley - State Farm Agent
Oklahoma City, OK4 days ago - A dynamic claims adjusting company in the United States is seeking Independent Insurance Claims Adjusters to meet the urgent need for professionals following storm-related events. The role offers flexibility and competitive compensation, along with comprehensive training...ClaimsFlexible hours
$48.65 - $57.59 per hour
...Argonaut Management Services, Inc is seeking a highly capable Senior Workers' Compensation Claims Adjuster for a temporary role. This position involves adjudicating complex indemnity workers' compensation claims primarily for Arizona, with potential California claims....ClaimsHourly payTemporary workRemote workFlexible hoursArgonaut Management Services, Inc
Oklahoma City, OK2 days ago- ...A specialty insurance provider is seeking a Workers' Compensation Claims Adjuster to work on a temporary assignment. The role involves adjudicating indemnity claims of higher technical complexity across multiple states. Ideal candidates will have a Bachelor's degree and...ClaimsHourly payTemporary workRemote work
Argonaut Management Services, Inc
Oklahoma City, OK16 hours ago $600 per month
...Roofing Sales Consultant, you'll be out in the field connecting with homeowners, performing inspections, and navigating them through the claims process with the support of a powerhouse team behind you.We offer $600 four weeks for Training Pay and weekly pay-plus uncapped...ClaimsWeekly payLocal areaQuick Roofing LLC
Oklahoma City, OK1 day ago- ...is seeking a Chief Operating Officer (COO) with a strong background in self-funded healthcare operations, stop-loss programs, and claims management. The successful candidate will be responsible for a combination of strategic and tactical activities to support the company...ClaimsRemote work
$600 per month
...Roofing Sales Consultant, you'll be out in the field connecting with homeowners, performing inspections, and navigating them through the claims process with the support of a powerhouse team behind you. We offer $600 four weeks for Training Pay and weekly pay-plus...ClaimsWeekly payLocal areaImmediate startQuick Roofing LLC
Oklahoma City, OK2 days ago- ...customer accounts and update information in the database. Assist customers with policy changes and inquiries. Process insurance claims and follow up with customers on claim status. Coordinate with underwriters to ensure timely policy issuance. QUALIFICATIONS:...ClaimsFor contractors
State Farm
Oklahoma City, OK4 days ago - ...Job Description Job Description SUMMARY Researches insurance claim denials, determines the validity of the claim and when appropriate is responsible for adjusting and resubmitting the claims via multiple methods. ESSENTIAL FUNCTIONS AND RESPONSIBILITIES Researches...ClaimsWork at office
Red Rock Behavioral Health Services
Oklahoma City, OK11 days ago - ...Vice President, Executive Search & Business Development About the Company Nationally recognized executive search firm Industry Staffing and Recruiting Type Privately Held Founded 1979 Employees 1-10 Categories Consulting & Professional...
$20 - $28 per hour
...opportunity for growth and development in a reputable healthcare environment. You’ll be instrumental in managing and resolving insurance claims, contributing to the financial health of the organization. Key Responsibilities & Duties Contact insurance companies to confirm...ClaimsWeekly payInceed
Oklahoma City, OK1 day ago$14 - $18 per hour
...Prism Specialties specializes in the restoration of electronics, art, textiles, and documents for residential and commercial insurance claims. Compensation: $14.00 - $18.00 per hour Our teams specialize in recovery solutions for major disasters related to fire, water...ClaimsHourly payFull timePart timeFor contractorsApprenticeshipPrism Specialties of Oklahoma
Edmond, OK4 days ago
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