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
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$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 area- ...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
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- ...Vice President of Product, Interoperability About the Company Globally-recognized payment integrity & transaction analytics company... ...subject matter expertise in payer/provider interoperability and claims processing operations is essential, with a strong preference for...ClaimsContract work
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- ...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...ClaimsFull timeWork at officeShift workDay shift
- ...wide risk. Manages insurance procurement, develops and implements risk management and compliance policies/procedures, and manages claims and litigation. Manages relationships with third party service providers including brokers, underwriters, and other third-party...Claims
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- ...adjusting experience is required for career-entry applicants. Are you interested in building a career as an Independent Insurance Claims Adjuster? With continued storm activity and catastrophic weather events across the country, experienced and properly trained adjusters...Claims
$60k - $70k
...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 contractors- 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
- 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
- ...generating accurate, timely, and competitive estimates using industry-standard software. This role is crucial to ensuring that insurance claims and reconstruction projects are scoped efficiently and align with both carrier guidelines and company expectations ....ClaimsFull time
$40k - $50k
...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 office$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- 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
- ...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...
$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. Description About Us: Since 1984, Quick Roofing has grown into one of the...ClaimsWeekly payLocal areaImmediate start- ...and managing high-performing teams, as well as deep expertise in claims management, membership, call center, and network management.... ...mission of the organization. The COO will work closely with the President and Executive Team to chart the future course of the health plan...Claims
$150k - $180k
...witness preparation; personally handle high-stakes hearings and trials.Negotiate settlements with opposing counsel, mediators, and claims professionals, prioritizing cost-effective resolutions that protect client interests.Supervise, mentor, and train associates and paralegals...Claims$65k - $85k
...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.Strong organizational...ClaimsWork at office- ...Management The Account Specialist, Insurance Follow-Up & Denials Management is responsible for initial contact regarding outstanding claims for Cook Children's Physician Network providers. Primary duties include; Claims work queue management, navigating payor websites,...ClaimsWork at office
- 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
- Granite Pass LLC is seeking a detail-oriented Insurance Claims Specialist. This is an on site, full-time role in Fort Worth, TX, working with customers and their insurance companies to manage the insurance claims process and pursue settlements within 14 days from the claim...ClaimsFull time
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