Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

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
Confidential
Vacancy posted 5 days ago
Similar jobs that could be interesting for youBased on the Vice President of Claims Adjudication in Fort Worth, TX vacancy
  •  ...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

    Confidential

    Fort Worth, TX
    3 days ago
  •  ...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.... 
    Claims
    Contract work

    Confidential

    Fort Worth, TX
    2 days ago
  •  ...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

    Confidential

    Fort Worth, TX
    4 days ago
  •  ...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

    Confidential

    Fort Worth, TX
    3 days ago
  •  ...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

    Confidential

    Fort Worth, TX
    5 days ago
  • $200k

     ...Director / Vice President of Operations (Outdoor Equipment Manufacturer) Director / Vice President of Operations (Outdoor Equipment Manufacturer...  ...Associate Vice President – Contact Center Vice President, Claims and Provider Services Regional Vice President - Property... 
    Claims
    Full time
    Work at office
    Local area

    Direct Sales Recruiting, LLC

    Fort Worth, TX
    1 day 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... 
    Claims
    Local area
    Remote work

    Sedgwick

    Fort Worth, TX
    4 days ago
  •  ...follow-up, analysis, and resolution of outstanding insurance claims; initiation of the appeals process on behalf of CCPN providers...  ...Management with timely financial and volume data related to claims adjudication and payment trend analyses; performs all required patient... 
    Claims
    Work at office

    Cook Children's

    Fort Worth, TX
    3 days ago
  •  ...A leading claims adjusting firm in Texas is seeking Independent Insurance Claims Adjusters to embark on a rewarding career path. The role involves assisting clients in recovering from unforeseen disasters while enjoying competitive compensation and flexibility. Licensed... 
    Claims

    MileHigh Adjusters Houston

    North Richland Hills, TX
    3 days ago
  •  ...A renowned claims adjusting firm is seeking Licensed Claims Adjusters in Texas. This position offers a chance to assist in recovery efforts following unforeseen disasters while maintaining flexibility and autonomy. Comprehensive training is provided for both new and seasoned... 
    Claims

    MileHigh Adjusters Houston

    Hurst, TX
    2 days ago
  •  ...service to Nobility Clients Develop outstanding professional relationships with key stakeholders and Nobility Clients Monitor the claim adjudications; identify the trends and recommend actions to support teams. Serve as daily escalation point for clients Answer patient... 
    Claims
    Work at office
    Local area
    Monday to Friday

    Socket.dev

    Fort Worth, TX
    3 days ago
  •  ...MileHigh Adjusters Houston Inc. is hiring independent insurance claims adjusters to join a growing, in-demand field. The role emphasizes training programs, hands-on instruction, and practical guidance from industry experts to help you excel in claims adjusting. Whether... 
    Claims

    MileHigh Adjusters Houston Inc

    Hurst, TX
    3 days ago
  • $17 - $23 per hour

     ...Documents Knowledge of ADA codes Call in Prescriptions Advances Skills Post Insurance Payments Specialty Referrals Calling on Pending Claims Submit Insurance Claims Submit Pre-determinations Post EOB's Reading EOB's Insurance Narratives for Denials Sending PPO Claims... 
    Claims

    SimpTemp Staffing Solutions

    Fort Worth, TX
    3 days ago
  • Elevateclaims in Fort Worth, Texas, seeks a Desk Adjuster to examine, evaluate, and resolve insurance claims while coordinating with various stakeholders. You will manage documentation, adhere to client timelines, and verify compliance with estimating guidelines. The ideal... 
    Claims

    Elevateclaims

    Fort Worth, TX
    20 hours 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... 
    Claims
    Remote work

    Confidential

    Fort Worth, TX
    3 days ago
  • A leading insurance claims adjusting firm in Texas seeks Licensed Claims Adjusters to support growth in a dynamic industry. This opportunity offers comprehensive training and support for both seasoned professionals and newcomers. Engage in meaningful work assisting clients... 
    Claims
    Immediate start
    Flexible hours

    MileHigh Adjusters Houston

    Bedford, TX
    3 days ago
  • A leading insurance claims adjustment company in Fort Worth, Texas, is seeking Licensed Claims Adjusters to join its team. This dynamic opportunity allows you to assist individuals and businesses in crisis while enjoying flexibility and competitive pay. You will receive... 
    Claims
    Flexible hours

    MileHigh Adjusters Houston

    Fort Worth, TX
    3 days ago
  •  ...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

    Confidential

    Fort Worth, TX
    1 day ago
  •  ...procurement, vendor selection, and subcontractor management for mechanical scopes; negotiate contracts and manage change orders and claims.Serve as primary client and stakeholder contact, maintaining strong relationships, managing expectations, and providing regular... 
    Claims
    Contract work
    For contractors
    For subcontractor
    Local area

    CyberCoders

    Fort Worth, TX
    1 day ago
  •  ...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.1099 roofing sales consultant key responsibilities:Generate new business... 
    Claims
    Local area

    Quick Roofing LLC

    Kennedale, TX
    2 days ago
  •  ...Qualifications: Case Management: Open/close files, manage active cases through litigation, handle daily incoming mail, and negotiate claims with insurance adjusters Insurance & Documentation: Set up insurance claims, obtain police reports, and request medical records... 
    Claims
    Casual work

    Cañas & Flores

    Fort Worth, TX
    1 day ago
  •  ...sector. Responsibilities include handoffs between insurance approvals and production, building accurate estimates, guiding clients through claims, and maintaining strong insurer and customer relationships, with thorough documentation throughout. #J-18808-Ljbffr Socket.dev
    Claims
    Immediate start

    Socket.dev

    North Richland Hills, TX
    2 days ago
  • MileHigh Adjusters Houston is hiring Independent Insurance Claims Adjusters in Texas. This opportunity offers training, licensing support, and a path to grow within a thriving, in-demand field. You'll handle property and casualty claims, work with a supportive team, and... 
    Claims
    Flexible hours

    MileHigh Adjusters Houston Inc

    Fort Worth, TX
    4 days ago
  • $50k - $75k

     ...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... 
    Claims
    For contractors
    Work at office

    Kevin Kelly

    Fort Worth, TX
    5 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... 

    Confidential

    Fort Worth, TX
    4 days ago
  • A claims adjusting firm in Haltom City is seeking Independent Insurance Claims Adjusters to join their team. This opportunity offers a rewarding career path where you can help individuals and businesses recover from unforeseen disasters. Comprehensive training programs... 
    Claims
    Flexible hours

    MileHigh Adjusters Houston

    Haltom City, TX
    3 days ago
  • $150k

     ...Massive Income Potential: Our first-year reps average $150K, with top performers clearing $250K+. 90-Day Paid Training: Base salary + per-claim bonuses + commission while you learn. Recession-Proof Industry: Storm damage isn’t optional—we provide a service that’s always in... 
    Claims
    Traineeship

    heritage-roofing-and-construction

    Fort Worth, TX
    2 days ago
  • $24 - $25 per hour

     ...Knowledge of ADA codes, EOD Reports Front Office Advanced Skills Post Insurance Payments, Specialty Referrals, Calling on Pending Claims, Submit Insurance Claims, Submit Pre-determinations, Post EOB's, Reading EOB's, Insurance Narratives for Denials, Submit X-Rays to... 
    Claims
    Work at office

    SimpTemp Staffing Solutions

    Fort Worth, TX
    5 days ago
  •  ...empowering airlines, hoteliers, agencies and other partners to retail, distribute and fulfill travel worldwide.We are seeking a Vice President to lead our global Cloud Platform and Infrastructure team. This team bridges advanced public cloud and global network... 
    Full time
    Worldwide

    Sabre Holdings

    Fort Worth, TX
    3 days ago
  •  ...NV, 89146, US; MIAMI, FL, 33136, US; SAN FRANCISCO, CA, 94132, USPosted: 2026-08-04Sodexo Live! Airport Lounges is seeking a Vice President of Culinary to lead and elevate how we design, deliver, and continuously improve the culinary experience across our airport lounges... 
    Contract work
    Local area
    Remote work
    Worldwide

    Sodexo

    Fort Worth, TX
    6 hours ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Vice President of Claims Adjudication. Be the first to apply!