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
Vacancy posted 4 days ago
Similar jobs that could be interesting for youBased on the Vice President of Claims Adjudication in Philadelphia, PA vacancy
- ...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
- ...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 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
$150k - $230k
...considered for candidates nationwide Hours: Full-time Position: Vice President of Business Development Department: Business Development... ...project, opportunity, or solution. Consult on nuanced claims or business decisions relating to claims. Informed by DOE...ClaimsFull timeContract workLocal areaRemote workWorldwideTucker Company Worldwide
Haddonfield, NJa month ago- ...operations, and to better serve our customers. We are hiring for Vice President, Business Development (Life Sciences), focused on selling real... ...datasets from an expanding marketplace including medical claims, prescription claims, and laboratory records enabling our...ClaimsImmediate startRemote workFlexible hours
Prognos
Philadelphia, PAa month 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
- ...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 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
- ...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
- ...Assistant Vice President, Mass Tort & Complex Casualty Claims About the Company Top-tier multinational insurance & finance organization Industry Insurance Type Public Company Founded 1919 Employees 10,001+ Categories Finance Venture Capital...Claims
- ...Vice President, Global Claims Transformation Initiative Lead About the Company Premier property & casualty insurer Industry Insurance Type Public Company Employees 10,001+ Categories Finance Insurance Property Management Security...Claims
- ...we have the right talent, at the right time, in the right way.Vice President, Clinical Development Program LeaderCompany... ...attempts. If you receive unsolicited employment offers from people claiming to work for or on behalf of Madrigal, we recommend that you:...ClaimsFull timeLocal areaFlexible hours
- ...A leading claims adjustment company in Willow Grove, PA, is seeking Licensed Claims Adjusters to join their team. As an Adjuster, you'll play a vital role in helping clients recover from disasters and manage multiple claims. The company offers comprehensive training to...ClaimsFlexible hours
MileHigh Adjusters Houston
Willow Grove, PA18 hours ago $145.47k - $196.81k
..., benefits investigation, prior authorization, appeal, and/or claims resolution Educate offices using approved materials Review... ...healthcare industry, including insurance verification, claim adjudication, physician's offices or clinics, pharmacies, and/or...ClaimsLive inWork at officeRemote workWork from homeRelocationHome officeFlexible hours2 days per weekAmgen
Philadelphia, PA2 days ago$275k - $300k
...invests in its people and their ability to drive real progress.The Vice President - Product Development Leader is a senior leadership role... ...and across functional areas, including underwriting, actuarial, claims, legal, compliance, IT, operations, and distribution. The role...ClaimsFull timeWork at officeWorldwide- ...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
- ...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...
- ...experience in maritime property damage recovery, including eliminating maritime limitations of liability and pursuing bad faith insurance claims related to infrastructure damages. With decades of experience, Cohen & Frey is known for maximizing recovery for large-loss cases,...ClaimsFull timeContract workWork from home
Cohen & Frey P.C.
Ardmore, PA4 days ago $129.3k - $172.3k
...decision maker rather than just an advisor? Want better work-life balance? Ready for a change with an in-house opportunity? The Senior Claims Counsel position with First American Title Insurance Company provides an excellent opportunity for counsel to engage in complex...ClaimsRemote workFirst American
Philadelphia, PA5 days ago$20 - $27 per hour
...management team in place.Job Description:The Medical Biller will support a growing team handling billing for hospitals, including UB-04 claims and CMS 1500 forms. This is an excellent opportunity for someone looking to grow a long-term career in medical billing with...ClaimsHourly payCasual workLocal areaMonday to FridayAddison Group
Pennsauken, NJ4 days ago- ...Insurance Claims Management Performs various tasks within the insurance team including the monitoring of insurance claims within our portfolio of loans to assure compliance with loan document and/or lender requirements; as well as meeting investor and borrower servicing...ClaimsWork at officeShift work
Newmark ltd
Ambler, PA1 day ago $50k - $80k
...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 contractorsWork at officeChris Giunta - State Farm Agent
Philadelphia, PA2 days ago- ...improve speed-to-market while maintaining quality and control.As a Vice President, Product Delivery in Healthcare Payments, you are accountable... ...payments experience (e.g., payer/provider payments, claims/disbursements, remittance/ERA/EFT, virtual cards, or adjacent...Claims
$18.7 - $28.98 per hour
...! As a Billing Representative, you will play an integral role in the success of Main Line Health by ensuring third party payer claims are billed via the Epic Resolute module in an accurate and timely manner. Using your attention to detail, you will be responsible for...ClaimsFull timePart timeShift workMain Line Health
Lower Merion, PA2 days ago- ...support revenue cycle operations for a healthcare setting in Philadelphia, Pennsylvania. This Contract position focuses on accurate claim handling, payer follow-up, and timely reimbursement across multiple insurance types, including Keystone, auto, workers’ compensation...ClaimsContract work
Robert Half
Philadelphia, PA3 days ago - ...litigation in the district. Primary areas of practice include False Claims Act cases and investigations, civil violations of the... ...appointment is conditioned upon a satisfactory preemployment adjudication. This includes fingerprint, credit and tax checks, and drug testing...ClaimsWork at office
Department of Justice
Philadelphia, PA1 day ago - This Vice President & Actuary position is responsible for leading and managing the actuarial staff for Westchester Digital/Middle Market and... ...financial strength, underwriting excellence, superior claims handling expertise and local operations globally. At Chubb,...ClaimsLocal area
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Vice President of Claims Adjudication. Be the first to apply!
Related searches
- vice president food Philadelphia, PA
- vice president support services Philadelphia, PA
- vice president network management Philadelphia, PA
- vice president real estate development Philadelphia, PA
- vp safety Philadelphia, PA
- vp talent management & organizational development Philadelphia, PA
- vice president manufacturing operations Philadelphia, PA
- vice president revenue management Philadelphia, PA
- vice president corporate development Philadelphia, PA
- vice president of customer success Philadelphia, PA