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
- ...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 Engineering About the Company Innovative provider of personalized cancer education & navigation services Industry... ...-end workflows. While not mandatory, experience with medical claims, prior authorization, or other complex healthcare data is strongly...Claims
- ...Vice President of QA & Automation About the Company Large healthcare technology and services organization focused on enterprise quality... ...in healthcare technology, particularly in pharmacy, claims, or health-plan environments, and experience in applying automation...Claims
- ...Vice President of Technology Operations About the Company Innovative healthcare technology (HealthTech) company specializing in prescription... ...Specialties optimized access to supplemental networks claim cost repricer healthcare cost containment pharmacy cost...Claims
- ...Vice President of Preconstruction About the Company Nationally recognized commercial construction organization with diverse projects... ...insurance structures, SDI programs, surety/bonding, and construction claims environments. Leadership characteristics include a...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, 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
- ...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 of Sales About the Company AI-enabled healthcare revenue cycle management company serving complex medical billing and claims recovery. Industry Hospital & Health Care Type Privately Held About the Role The Company is seeking a Vice...Claims
- ...Associate Vice President of Revenue Cycle About the Company Leading hospice, palliative & home health care provider Industry Hospital... ...staff, and ensuring the timely and accurate submission of claims across various payers. The role also requires close...Claims
- ## Supplemental Claims ExaminerApply: Remote (USA): Portland, OR: Full time: Posted 3 Days Ago: REQ006976**The next part of your journey... ...make a difference?**Job Summary**This role is responsible for adjudicating and processing supplemental insurance claims from intake...ClaimsFull timeWork at officeRemote work
StanCorp Financial Group
Portland, OR2 days ago - ...Acuity Insurance is seeking a Field Claims Representative to investigate, record facts, preserve evidence, and determine coverage. This role requires conducting investigations in the field with a high level of frequency and in-person contact with all pertinent parties...Claims
Acuity Mutual
Portland, OR14 hours ago - ...A leading claims adjusting firm located in Oregon is seeking Independent Insurance Claims Adjusters to support individuals recovering from disasters. This is a unique opportunity for those seeking a dynamic career path with flexible hours and competitive pay. The firm...ClaimsFlexible hours
MileHigh Adjusters Houston
Gresham, OR14 hours ago - A national insurance claims company is seeking Independent Claims Adjusters to thrive in a rewarding career. This role includes assessing claims, helping clients recover from disasters, and flexibility in your work schedule. Previous experience is a plus, but not required...Claims
MileHigh Adjusters Houston
Tualatin, OR1 day ago - An insurance adjusting firm in Oregon is seeking Licensed Claims Adjusters to fill urgent positions. This opportunity offers comprehensive training and support for newcomers while attracting seasoned professionals. You'll play a vital role in disaster recovery, with the...ClaimsImmediate start
MileHigh Adjusters Houston
Portland, OR1 day ago - A prominent claims adjusting firm is actively seeking Licensed Claims Adjusters in Vancouver, Washington. As an Independent Insurance Claims Adjuster, you will assist clients in recovering from disasters while enjoying the benefits of a flexible and rewarding career. The...ClaimsFlexible hours
$20 - $26 per hour
...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 officeBrandon Rossman - State Farm Agent
Vancouver, WA1 day ago$22.58 - $28.35 per hour
...support our dental clinic's revenue cycle operations. This role is responsible for ensuring dental services are billed accurately, claims are submitted and tracked efficiently, and insurance reimbursements are processed correctly. The ideal candidate has dental billing...ClaimsHourly payNative American Rehabilitation Association
Portland, OR2 days ago$65k - $75k
...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...ClaimsFor contractorsWork at officeCallie Armstrong - State Farm Agent
Vancouver, WA1 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
- ...ResponsibilitiesManage 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.QualificationsStrong...ClaimsWork at officeLocal areaFlexible hours
Jacquline Fitzgibbon - State Farm Agent
Portland, OR1 day ago - ...Implementation Support We are seeking a Contract Insurance Analyst to support the implementation of Riskonnect, an enterprise insurance and claims management platform. This role will partner closely with the Insurance Risk Manager and project stakeholders to support data...ClaimsContract work
BizTek People
Portland, OR3 days ago - ...and developing staff, particularly those who may not have prior claims experience. Cross-functional Collaboration - Working closely... ...regulations related to claims administration Experience with claims adjudication principles and procedures Familiarity with medical terminology...ClaimsFull time
CorSource Technology Group
Portland, OR2 days ago - ...We are looking for a dedicated Workers Compensation Claims Specialist to join our fast‑growing Claims Team in the West Region. You will review, analyze, and process moderately complex to complex claims using the latest technology. Your responsibilities include determining...ClaimsWork experience placementRemote work
Liberty Mutual Insurance
Lake Oswego, OR14 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...
- ...Workers Compensation Claims SpecialistAre you looking for an opportunity to join a fast-growing company that consistently outpaces the industry in year-over-year growth? Liberty Mutual offers an exciting opening for a Workers Compensation Claims Specialist within the...ClaimsWork experience placementRemote work
Liberty Mutual Insurance Group
Lake Oswego, OR14 hours ago $45k - $65k
...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 officeJared Dean - State Farm Agent
Portland, OR1 day ago$45k - $65k
...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 officeMark Nguyen - State Farm Agent
Portland, OR1 day ago- ...including employment, tort, medical malpractice, constitutional claims and civil rights, the Freedom of Information Act, the... ...appointment is conditioned upon a satisfactory preemployment adjudication. This includes fingerprint, credit and tax checks, and drug testing...ClaimsPrivate practiceWork at office
Department of Justice
Portland, OR3 days ago $67k - $110.6k
...culture that is rooted in innovation and thrives on collaboration. Imagine loving what you do and where you do it. Job Category Claim Compensation Overview The annual base salary range provided for this position is a nationwide market range and represents a...ClaimsLocal areaTHE TRAVELERS INDEMNITY COMPANY
Lake Oswego, OR4 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!
- vice president support services Portland, OR
- vice president network management Portland, OR
- vice president real estate development Portland, OR
- vp safety Portland, OR
- vp talent management & organizational development Portland, OR
- vice president manufacturing operations Portland, OR
- vice president revenue management Portland, OR
- vice president corporate development Portland, OR
- vice president of customer success Portland, OR
- vice president strategic partnerships Portland, OR