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
- ...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 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....ClaimsContract work
- ...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, 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
- ...Vice President of Artificial Intelligence & Machine Learning About the Company A healthcare technology startup helping providers get paid by rapidly remediating denied claims. Industry Information Technology and Services Type Privately Held, VC-backed...Claims
- ...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
- ...Vice President, Health Plan Analytics About the Company Prominent healthcare system Industry Hospital & Health Care Type... ...as HEDIS, Medicare Stars, and CAHPS, as well as experience in claims analytics, total cost of care reporting, and provider network...Claims
- ...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
- ...Assistant Vice President, Claims – Complex Casualty About the Company Highly profitable mutual insurance company with best-in-class claims service. Industry Insurance Type Privately Held About the Role The Company is seeking an Assistant Vice President...ClaimsRemote work
$43.33k
...Adjudicator Agency: 290 EMPLOYMENT SECURITY COMMISSION Supervisory Organization: Employment Security CommissionWill 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...ClaimsHourly payFull timeWork experience placementWork at office- ...regulations, and company policies and procedures Inputs prescription information into the pharmacy Rx program, transmits online adjudicated pharmacy claims, and generates prescription bottle labels. Obtains drug products, counts, and distributes them in the appropriate...ClaimsFull timePart timeInternshipShift workWeekend work
$17 per hour
...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. Qualifications Strong...ClaimsHourly pay- ...area. Responsible for processing customer bills and insurance claims in an accurate and timely manner. This includes assisting with... ...in timely manner. Perform prescription claims adjudication including communication with insurance companies regarding rejected...ClaimsFull timeTemporary workLive inWork at officeRemote workFlexible hours
- ....•Knowledge, understanding and application of project management principles and methodologies.•Solid analytical / problem solving skills.•Demonstrated budgeting, business financial and P&L skills.Posting Date:Department:Claims Adjudication & Case Management - 1486650061Claims
- A leading claims adjustment agency in Oklahoma City is seeking Independent Insurance Claims Adjusters to join their team. This role involves assisting clients affected by natural disasters, while offering flexibility and autonomy in work. The company provides comprehensive...ClaimsFlexible hours
- 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
- ...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
- 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
- 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
$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 area- ...Head of Claims About the Company Growing specialty insurance organization focused on claims strategy and operational excellence. Industry Insurance Type Privately Held About the Role The Company is seeking a Head of Claims to take on a senior leadership...Claims
- ...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. Qualifications: Strong...ClaimsFor contractors
$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 pay- ...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...
- ...Scrum Master is responsible for ensuring structured, predictable, and transparent delivery of AI initiatives supporting insurance and claims operations. This role reinforces disciplined Agile practices, protects sprint commitments, and enables sustainable delivery...ClaimsRemote work
$1,000 per month
...restoration company that does more than just build — they advocate . They help homeowners and business owners navigate complex insurance claims and ensure they get fully funded for property repairs after storm damage. Their service delivers peace of mind and zero out-of-...ClaimsFull timeContract workImmediate startRemote workFlexible hours- American Health Communities is seeking a Claims Auditor in Oklahoma City, OK. This role involves ensuring accurate claims payment, regulatory compliance, and providing exceptional customer service. Ideal candidates will have at least two years of experience in health insurance...ClaimsWork at office2 days per week3 days per week
$135k - $160k
...centralize workforce strategy, reduce labor costs, and improve access to quality providers.Position Overview: The Workforce Solutions Vice President is responsible for driving revenue growth through ownership of strategic accounts and enterprise-level sales opportunities....Base plus commissionFull timeContract workLocumRemote workShift work$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 pay
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