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
$175.3k - $322.9k
...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
- ...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
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- ...Assistant Vice President, Claims – Complex Casualty About the Company Highly profitable mutual insurance company with best-in-class claims service. Industry Insurance Type Privately Held About the Role The Company is seeking an Assistant...ClaimsRemote work
- ...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
- ...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, 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
- ...Vice President of Artificial Intelligence & Machine Learning About the Company A healthcare technology startup helping providers get paid by rapidly remediating denied claims. Industry Information Technology and Services Type Privately Held, VC-backed...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
- ...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
$162.26k - $310.98k
...is defining a new standard for healthcare. Role The Regional Vice President, Enterprise Sales Representative is responsible for driving new... ...differentiated value around clinical outcomes, outcomes-based pricing, and claims-based ROI. Coordinate and deliver executive-level...ClaimsFull timeRemote workFlexible hours- ...Redwire. About the Role Redwire Space, Inc. is seeking a Vice President, Associate General Counsel to play a key role in guiding... ...performance management, discrimination, harassment, and wage and hour claims. Manage external legal counsel when necessary to ensure...ClaimsPermanent employmentLocal areaRemote work
- ...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
- ...Claims UAT Testing Lead We are seeking a highly experienced Senior Healthcare NASCO Claims Domain Specialist / Claims UAT Testing... ...NASCO claims processing, healthcare payer operations, claims adjudication, and UAT/testing. This role will serve as the primary onsite domain...Claims
- ...a customer-first commitment. Are you ready to make a difference? Job Summary This role is responsible for adjudicating and processing supplemental insurance claims from intake through final payment. The position focuses on gathering and analyzing claim information, verifying...ClaimsWork at officeLocal area
$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 pay- ...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
- ...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
- ...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
- ...stakeholders to identify and resolve disputes with customers, contractors, vendors, and industry partners before escalation to formal claims or litigation.Monitoring legal developments and changes in applicable laws that may affect the company’s business operations....ClaimsContract workFor contractors
$195k - $280k
...requirementsVerifies the accuracy of project financial forecast, notice provisions, and billings to meet contract requirements and resolve potential claims and deviationsEnsures team creates a project-specific quality plan aligned with the owner contract and contract documentsEnsures a...ClaimsContract workFor contractorsFor subcontractorWork at officeLocal area- ...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
- 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
- ...Scrum Master is responsible for ensuring structured, predictable, and transparent delivery of AI initiatives supporting insurance and claims operations. This role reinforces disciplined Agile practices, protects sprint commitments, and enables sustainable delivery...ClaimsRemote work
- ...Tebra . Position Summary The ABA Billing Specialist is responsible for managing the full-cycle billing process, ensuring accurate claim submission, payment posting, denial management, and compliance with Medicaid and commercial payor requirements. This role works...ClaimsHourly payRemote workFlexible hours
$45k - $65k
...client accounts and update information in the database. Assist clients with policy changes and inquiries. Process insurance claims and follow up with clients on claim status. Coordinate with underwriters to ensure timely policy issuance. Qualifications:...ClaimsFor contractors- ...gateways. Perform data migration, validation, and workflow optimization. Automate and improve insurance processes including policy, claims, payments, and reconciliation workflows. Participate in Agile/SAFe delivery, upgrades, enhancements, and production releases....ClaimsTemporary work
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