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, 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
- ...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 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
- ...renewable energy owner, operator, and developer on their search for a Vice President, of Procurement. This executive leadership role is responsible... ...compliance, milestone payments, securities, change orders, claims, warranties, and project closeout activities Support project...ClaimsContract workFor contractors
- ...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, 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
- ...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
- ...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
- Oklahoma AG seeks an Administrative Hearing Officer to conduct hearings, determine the validity of claims, and render binding decisions under federal and state laws. The role requires analyzing evidence, researching case law, and preparing detailed written decisions. The...ClaimsFull time
- ...properties, determining if they are required to be repaired per investor guidelines, and requesting funding for the damages. Insurance claims are filed with insurance adjusters via phone and email to provide necessary documentation for the purpose of settling claims in a...ClaimsFull timeWork experience placement
- ...that exceeds the customer's expectations. 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...ClaimsPart timeShift work
- ...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
- ...(MEC), and Per-Pay-Period (P3) health plans. The Director of Claims Operations will lead the day-to-day performance and continued... ...Claims Operations & Performance Claims Leadership: Lead claims adjudication and administration across Concierge's health plan offerings. Performance...ClaimsFlexible hours
- ...clients in motor vehicle accidents, premises liability, wrongful death, catastrophic injury, and other personal injury mattersEvaluate claims, liability, damages, medical records, insurance coverage, and potential case valueDevelop case strategy and oversee matters...Claims
$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- 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
- 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
- ...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
- ....•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 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
- 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
- ...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 uncapped...ClaimsWeekly payLocal area$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- ...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
- ...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...
- Addison Group in Oklahoma City is seeking an experienced Claims Operations Manager to lead the administration of supplemental life insurance claims, guiding end-to-end processes and ensuring accurate determinations with regulatory compliance. The role demands strong leadership...Claims
$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 start
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