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
- ...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
- ...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....ClaimsContract work
- ...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, 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
- ...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
$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...ClaimsFull timeWork at officeLocal area- ...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
- ...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
- ...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
- ...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
- ...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
$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- 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
- ...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
- 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
- ...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
- ...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
- ...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
- ...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...ClaimsCasual work
- ...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.devClaimsImmediate start
- 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...ClaimsFlexible hours
$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...ClaimsFor contractorsWork 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
$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...ClaimsTraineeship$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- ...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 timeWorldwide
- ...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 workLocal areaRemote workWorldwide
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