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 1 day ago
Similar jobs that could be interesting for youBased on the Vice President of Claims Adjudication in Jacksonville, FL vacancy
$171.6k - $338.3k
...insurers deliver better customer experience while enabling claim professionals to adjudicate claims more effectively and accurately. This is a great... ...shape and improve the products in the portfolio. The Vice President, Sales Executive requires a commercially driven...ClaimsLocal area- Location:Onsite in Jacksonville, FLWhat work will you perform?The Vice President of Claims provides executive leadership of Landstar’s Property & Casualty claims function, across liability and cargo claims, with accountability for claim outcomes, litigation strategy, and...ClaimsWork at office
- Job SummaryThe Vice President, Complex Claims provides executive leadership for Fortegra's Complex Claims function, overseeing the handling, strategic direction, coverage analysis, litigation oversight, and resolution of the Company's highest-severity, major loss, and...ClaimsFull timeTemporary workLocal area
- ...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, 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
- ...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, 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
- ...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
- ...Associate Vice President, Commutations About the Company Globally recognized insurance group specializing in innovative capital release... ...and reinsurance, with a preference for a background in claims. The role requires a high level of autonomy, strong communication...Claims
- ...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
Jacksonville, FL5 days ago - ...Duration: 6 months JD: Job TitleSenior Healthcare NASCO Claims Domain Specialist Insurance UAT Testing (Onsite)Job LocationOnsite... ...perspective.Ensure comprehensive validation of oClaims adjudication logicoPricing and repricingoAccumulators (deductibles, MOOP)oCOB...Claims
Real Soft
Jacksonville, FL1 day ago $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. We offer $600 four weeks for Training Pay and weekly pay-plus uncapped...ClaimsWeekly payQuick Roofing LLC
Jacksonville, FL1 day 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...ClaimsRemote work
- ...Reinsurance, Operations and business leadership to advise on complex risk issues, craft and interpret policy and contract language, assess claim and coverage positions, and support the development, distribution and administration of insurance and warranty products.This is a...ClaimsFull timeContract work
$70k - $90k
...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 officeMichael Nickas - State Farm Agent
Jacksonville, FL2 hours 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...
- ...Claims Coordinator The Claims Coordinator will support the claims team by assisting adjusters with claim processing, vendor setups, and payment-related tasks. This role is responsible for generating and distributing reports, communicating with internal teams and external...ClaimsTemporary workWork experience placementWork at office
Fortegra
Jacksonville, FL5 days ago - Mental Health Resource Center, Inc. is seeking a Patient Accounts Specialist in Florida to handle accurate and timely insurance claims, reimbursements, adjustments, and refunds for assigned payers. The role requires a high school diploma and at least two years of medical...ClaimsFull timeWork at office
- The Liability Coverage Counsel will serve as a key legal and technical resource within the Claims division, providing guidance on complex insurance coverage matters involving commercial liability claims. Reporting to the Chief Claims Officer, this individual will partner...ClaimsFull timeTemporary work
- ...Management (RCM) team, you'll manage complex accounts receivable involving Workers' Compensation, Auto/Personal Injury, and Legal/Attorney claims. This role is designed for an experienced medical billing professional who understands the full billing and collections lifecycle...ClaimsFull timeRemote work
- ...We are seeking a detail-oriented Claims Coordinator to join a growing claims team on a temporary assignment from mid-August through late January . This is an excellent opportunity for someone with strong administrative, customer service, or claims support experience who...ClaimsFull timeTemporary workWork at officeLocal areaMonday to Friday
Ascendo Resources
Jacksonville, FL4 days ago - ...fellowship training to eye-disease research and education. LOCATION :On site/Florida Eye Specialists Administration Office Job Summary: The Claims Analyst is responsible for reviewing, correcting, and resubmitting insurance claims to maximize reimbursement and ensure timely and...ClaimsWork at office
- Overview Looking for a career that makes a difference every day?Discover a rewarding career at Enhabit Home Health & Hospice, one of the nation’s largest home-based care providers. Consistently recognized as a great place to work, Enhabit delivers exceptional care and...Full timeLocal area
- ...bold ideas. Are you ready to make an impact and help shape what’s next? Join us! Explore opportunities at dnb.com/careers.The Vice President, Enterprise Risk is a senior enterprise leader who advances a strong, transparent risk culture across Dun & Bradstreet. This role...Full timeWork at officeWorldwide
- As a senior leader, you will guide and develop a team of Client Management Coordinators, managing complex cases and partnering with stakeholders to prioritize onboarding. Your role is pivotal in maintaining strong governance, regulatory compliance, and an exceptional client...
- ...Ireland), or Hyderabad (India). Candidates must have the legal right to work in the country where they are applying.The Role:The Vice President, Finance Systems (Revenue and Expense Process & AI) is responsible for the technology, operations and strategy for the ERP...Full timeWork at officeWorldwide
- ...Certified Professional Biller or Certified Coding Specialist). Experience working with private pay accounts and complex insurance claim resolutions. Familiarity with healthcare compliance regulations such as HIPAA and billing best practices. Advanced skills in...ClaimsWork at office
North Florida Pediatrics
Jacksonville, FL22 days ago - ...1 Employees 1001-5000 Categories Information Technology & Services Technology Computing Healthcare Healthcare Claims Clearinghouse Provider Portal Revenue Cycle Management Solutions About the Role The Company is in search of a Chief Strategy...Claims
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 Jacksonville, FL
- vice president development Jacksonville, FL
- vice president real estate development Jacksonville, FL
- vice president communications Jacksonville, FL
- vice president manufacturing Jacksonville, FL
- vp safety Jacksonville, FL
- vice president research Jacksonville, FL
- vice president tax Jacksonville, FL
- vice president of retail Jacksonville, FL
- vice president healthcare Jacksonville, FL