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 2 days ago
Similar jobs that could be interesting for youBased on the Vice President of Claims Adjudication in Fort Worth, TX 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 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
- ...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, 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
$166k - $194k
...products and services designed to meet the unique coverage and claims-handling needs of businesses. The Argo entities are wholly-... ...subsidiaries of Clearbrook Group Holdings Inc. Job Description Assistant Vice President, Inland Marine Claims, Argo Group At Argo Group, we invite you...ClaimsTemporary workFor contractorsLocal areaArgo Group
Haltom City, TX3 days ago- VICE PRESIDENT OF HUMAN RESOURCES Location: North Richland Hills, Texas preferred; however, we are open to considering other locations for... ...concerns, and manager training designed to reduce risk before claims arise. Develop salary structures, incentive and commission plans...ClaimsHourly payFull timeContract workLocal area
- ...Job Description Job Description POSITION SUMMARY The Vice President of Safety & Compliance provides enterprise-wide leadership, strategy... .... OSHA requirements. Transportation risk management and claims. Fleet safety technologies and analytics. Corrective and...ClaimsTemporary workLocal area
Spartan Carrier Group
Fort Worth, TX3 days ago $23 per hour
...Pharmacy Technician to join our team. This role supports prescription processing, patient profile creation, insurance billing, claims adjudication, prior authorizations, and day-to-day pharmacy operations. Schedule:Monday–Friday | Multiple shifts available: 9:00 AM–6:...ClaimsFlexible hoursShift workA-Line Staffing Solutions
Fort Worth, TX15 hours ago- ...its tactical legal initiatives. Reporting directly to the President and CEO, the Vice President and General Counsel serves as the agency’s chief... ...specialized matters. Directs Trinity Metro’s response to claims, demands and general litigation, coordinating with risk...ClaimsFull timeContract workWork at officeLocal area
ADP, Inc.
Fort Worth, TX2 days 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...ClaimsLocal areaRemote work
Sedgwick
Fort Worth, TX1 day ago $23 per hour
...processing by maintaining complete patient, provider, insurance, and claim information. This role works closely with healthcare providers... ...and patient concerns. • Enter pharmacy benefit information, adjudicate claims, resolve claim issues, and initiate prior authorizations...ClaimsContract workFor contractorsMonday to FridayFlexible hoursShift workCornerStone Staffing
Fort Worth, TX2 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...ClaimsWork at office
- ...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, TX5 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...ClaimsWork at officeLocal areaMonday to Friday
- ...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, TX4 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...ClaimsFlexible hours
- 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...ClaimsImmediate startFlexible hours
- ...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...ClaimsLocal area
Quick Roofing LLC
Kennedale, TX4 days ago $17 - $23 per hour
...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$50 - $70 per hour
...support to expand your client base and practice visibility through our established networks. \n Weekly direct deposit for insurance claims to alleviate financial concerns regarding unpaid claims. \n Career Growth Opportunities\n At Gotham Enterprises Ltd, we...ClaimsRemote jobHourly payPrivate practiceFlexible hoursCompany Confidential
Fort Worth, TX18 days 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...ClaimsContract workFor contractorsFor subcontractorLocal area
- Cook Children’s is seeking an Account Specialist in Insurance Follow-Up & Denials Management to contact payors, monitor claims status, and initiate appeals for CCPN providers. The role emphasizes professional communication and meticulous documentation to ensure timely...ClaimsWork at office
- ...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...
- 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...ClaimsFlexible hours
- ...requiring strong billing knowledge and excellent communication to support client relationships and translate results into action. Responsibilities include monitoring claim adjudications, answering patient questions, coordinating with insurers, #J-18808-Ljbffr Nobility RCMClaims
- ...software. * Generating reports for all activities. * Posting payments made by patients. * Following up on non-paid insurance claims. * Managing late payments and overdue accounts. * Processing insurance payments and refunds. * Monitoring daily, weekly, monthly...ClaimsWork at officeLocal areaRemote workWork from home
Today Dental
Fort Worth, TX4 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...ClaimsTraineeshipheritage-roofing-and-construction
Fort Worth, TX4 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...ClaimsWork at office- ...Law, Immigration, Criminal Defense, and other areas of law. We are seeking an experienced, organized, and motivated Personal Injury Claims Manager to join our team and take ownership of the day-to-day management of our personal injury claims. Position Overview Law...ClaimsFull timeWork at office
Cañas & Flores
Fort Worth, TX1 day ago $100k - $250k
...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: •...ClaimsLocal areaImmediate startQuick Roofing LLC
Kennedale, TX5 days ago
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
- vp customer success Fort Worth, TX
- vice president development Fort Worth, TX
- vice president real estate development Fort Worth, TX
- vice president communications Fort Worth, TX
- vice president manufacturing Fort Worth, TX
- vp safety Fort Worth, TX
- vice president research Fort Worth, TX
- vice president tax Fort Worth, TX
- vice president of retail Fort Worth, TX
- vice president healthcare Fort Worth, TX