Vice President of Claims

Vice President Of Claims

The Vice President of Claims will execute on the strategic goals and vision of the company. This includes the management and development of staff and revenue. This role requires a high level of analytical, interpersonal, and organizational skills and will be responsible for claims quality, customer satisfaction and retention. The VP of Claims will also identify, facilitate and participate in essential strategic projects for operational improvement as well as support and directly participate in sales presentations/RFP responses and the development of opportunities to promote the company's overall growth. This is a remote role.

Essential Functions & Responsibilities:

Position shares responsibility for meeting and exceeding market profit and revenue goals annually

Position shares responsibility to grow market share through accountability for customer satisfaction and retention

Participates in Marketing and Sales presentations of prospective clients and cross selling efforts of existing customers

Executes corporate objectives by implementing policies, procedures, and practices in compliance with CorVel's Corporate and Quality Standards

Partners with other Claims Leaders to determine the most effective methods for addressing opportunities; collaborates with other stakeholders to ensure ongoing improvement

Partners with Area Vice President to develop/maintain financial analysis practices for operational budgeting and staffing

Supports national claims leadership in all aspects of strategy development, alignment and implementation

Collaborates with support functions (IT, HR, Legal, Finance) to develop comprehensive solutions, tools and processes for the claims operation

Sets and manages office benchmarks in key performance areas

Provides consistent technical claims training to the claims team

Ensure compliance with CorVel best practices to promote excellent customer service and instill a culture and mindset that drives continuous improvement

Responsible for office(s) carrier compliance, department of insurance compliance, licensing, and responses to client performance concerns

Reviews and approves claims payments in line with assigned claims approval authority levels

Has direct reporting of Claims Supervisors and Claim Managers based on the organizational structure of the operation

Ultimate responsibility for business unit's quality performance: must lead office(s)/employees to achieve performance goals

Conducts regular staff meetings; sets goals, provides operational review and learning opportunities

Supervises, monitors, and controls the activities of the claims teams to attain specific objectives by developing and updating operating procedures, allocating resources, and/or work assignments

Conducts or arranges training for claims teams, as needed

Conduct regular 1:1 meetings with direct reports to review operational health

Advises, mentors, and counsels management team, as needed

Some overnight travel to attend meetings

Additional duties as assigned

Knowledge & Skills:

Excellent written and verbal communication skills necessary for customer contact, negotiation, presentations, project management, and personnel management

Effective quantitative, analytical and interpretive skills

Excellent leadership skills, with a demonstrated ability to motivate staff and obtain results through teamwork

Ability to function effectively under time constraints, consistently meet deadlines and handle multiple tasks in a demanding work environment

Ability to identify priorities, execute and multitask in a dynamic, fast-paced environment

Ability to travel overnight and attend meetings

Ability to remain poised in stressful situations and communicate diplomatically via various communication channels

Strong proficiency in Microsoft Office Suite is required

Strong interpersonal, time management, project management and organizational skills

Ability to maintain a high level of professionalism

Knowledge of the entire claims administration procedures

Education & Experience:

Bachelor's Degree with course concentration in Business Administration, or related field; or 10+ years of equivalent combination of education and experience in a complex healthcare, insurance, or third party claim organization with significant project management expertise

Must have significant industry experience and a deep understanding of CorVel's proprietary systems and solutions

Pay Range:

CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time.

For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process.

Pay Range: $99,250 - $166,777

A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management

In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first.

About CorVel:

CorVel, a certified Great Place to Work Company, is a national provider of industry-leading risk management solutions for the workers' compensation, auto, health and disability management industries. CorVel was founded in 1987 and has been publically traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients. We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities. Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!).

A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off.

CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.