AVP, US Healthcare Claims
$145k - $195kSompo International
Job Description Are you looking for your next opportunity? Sompo has a unique opportunity for an Assistant Vice President, US Healthcare Claims in our North America Claims team. This role will manage claims arising from or involving policies issued from Sompo’s US Healthcare team. This position handles US Healthcare claims and provides legal review and policy drafting support to Underwriting. The successful candidate will be able to provide insight and analysis on US Healthcare claims across various product lines, including primary medical liability, excess and surplus lines, and allied healthcare. Location: This position maybe based out of any of our Sompo US office locations. We strive for collaboration which is why we offer a work environment where our employees thrive and develop long lasting careers. Our business, your impact, our opportunity: What you’ll be doing: Manage U.S. Healthcare claims, related systems, and core processes Evaluate exposures and make substantive claim decisions on complex healthcare claims and, as needed, other lines of business Provide sophisticated coverage, liability, and damages analysis, while identifying trends and emerging exposures affecting the portfolio Support underwriting through legal review, policy drafting, and timely, accurate exposure reporting to underwriting and management Ensure clear, timely preparation and distribution of narrative and financial claim reports Contribute to the Global Claims Team by partnering across regions and functions on strategic projects, industry engagement, complex claims, and other management-directed responsibilities, including travel as needed What you’ll bring: Minimum of 10 years’ experience required in handling claims involving Healthcare Liability with a career history of increasing responsibility. Law degree required, preference will be given if experience was at both a law firm and with an insurance carrier. Adjusters license required. Strong preference for candidate who has pursued or is in the process of pursuing an insurance related designation, e.g., RPLU or CPCU. Demonstrated ability to establish close working relationship with other departments including underwriting & actuarial. Strong negotiating, analytical, written, and organizational skills. Salary Range: $145,000 – $195,000. Actual compensation for this role will depend on several factors including the cost of living associated with your work location, your qualifications, skills, competencies, and relevant experience. At Sompo, we recognize that the talent, skills, and commitment of our employees drive our success. This is why we offer competitive, high-quality compensation and benefit programs to eligible employees. Our compensation program is built on a foundation that promotes a pay-for-performance culture, resulting in higher incentive awards, on average, when the Company does well and lower incentive awards when the Company underperforms. The total compensation opportunity for all regular, full-time employees is a combination of base salary and incentives that gets adjusted upfront based on overall Company performance with final awards based on individual performance. We continuously evaluate and update our benefit programs to ensure that our plans remain competitive and meet the needs of our employees and their dependents. Below is a summary of our current comprehensive U.S. benefit programs: Two medical plans to choose from, including a Traditional PPO & a Consumer Driven Health Plan with a Health Savings account providing a competitive employer contribution Pharmacy benefits with mail order options Dental benefits including orthodontia benefits for adults and children Vision benefits Health Care & Dependent Care Flexible Spending Accounts Company-paid Life & AD&D benefits, including the option to purchase Supplemental life coverage for employee, spouse & children Company-paid Disability benefits with very competitive salary continuation payments 401(k) Retirement Savings Plan with competitive employer contributions Competitive paid-time-off programs, including company-paid holidays Competitive Parental Leave Benefits & Adoption Assistance program Employee Assistance Program Tax-Free Commuter Benefit Tuition Reimbursement & Professional Qualification benefits Who we are and what we stand for: At Sompo, our shared purpose is to create meaningful value for clients, communities, and each other. We strive to foster a workplace where everyone feels respected, included, and empowered to excel. As a global organization, we embrace diversity and champion equal opportunity. Guided by our core values—Accountability, Agility, Collaboration, Development, and Integrity—we build trust and support one another to achieve our goals worldwide. Life at Sompo page Our values come to life in how we hire and grow talent. Employment decisions are based on qualifications, merit, and organizational need, and we strive to ensure equitable access to opportunities so everyone can do their best work. If you need an accommodation for any part of the application process, please contact the recruiter in charge. We are Sompo, a global provider of commercial and consumer property, casualty, and specialty insurance and reinsurance. Building on the 137 years of innovation of our parent company, Sompo Holdings, Inc., Sompo employs approximately 10,000 people around the world who use their in-depth knowledge and expertise to help simplify and resolve your complex challenges. Because when you choose Sompo, you choose The Ease of Expertise™. “Sompo” refers to the brand under which Sompo International Holdings Ltd., a Bermuda-based holding company, together with its consolidated subsidiaries, operates its global property and casualty (re)insurance businesses. Sompo International Holdings Ltd. is an indirect wholly-owned subsidiary of Sompo Holdings, Inc., one of the leading property and casualty groups in the world. Shares of Sompo Holdings, Inc. are listed on the Tokyo Stock Exchange. To learn more please follow us on LinkedIn or visit sompo-intl.com.
$160k - $180k
Job Overview Job Type: Permanent. The AVP, Allied Healthcare is a first-line manager responsible for the delivery of team objectives by developing, managing, and motivating engaged, high-performing claims professionals. The AVP combines excellent technical claims handling...ClaimsPermanent employmentTemporary workWork at office- Hiscox is seeking an AVP in Allied Healthcare in Chicago to manage a team of claims professionals. The role demands a combination of technical claims handling and leadership skills. Responsibilities include team management, adherence to quality standards, and participation...Claims
$160k - $180k
Hiscox is seeking an AVP, Allied Healthcare in Chicago to lead a team of claims professionals. This role involves managing performance, driving engagement, and ensuring adherence to best practices. Ideal candidates will have over 10 years in claims handling and at least...ClaimsWork at office$160k - $180k
HICIX Hiscox Insurance Company Inc. is seeking an Assistant Vice President (AVP) for Allied Healthcare in Chicago, IL. This is a permanent position where you will lead a team of claims professionals, ensuring effective delivery of team objectives and maintaining high-performance...ClaimsPermanent employmentWork at office2 days per week$170k - $185k
...yearly Company Description At Streamline Healthcare Solutions, we strive to build lasting and... ...Building RAG pipelines using EHR data, claims, and clinical text using embeddings and vector... ...team productivity Qualifications Show us your: Bachelor’s degree in Computer...ClaimsRemote jobFull timeVisa sponsorship- This is an exciting opportunity for an established claims leader looking to step into a strategic leadership position with broad influence... ...team of approximately six claims professionals handling Allied Healthcare claims, including exposures involving med spas, physical...Claims
$150k - $165k
...looking to fill an Associate Vice President (AVP) of Behavioral Health role at our... ...and Revenue Cycle Management to minimize claim denials and optimize maximizing billable productivity... ...benefits apply to you. MORE ABOUT US: Metropolitan is Illinois' first...ClaimsTemporary workPart timeWork at officeRelocation package$248.5k - $373k
...opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. As part of the Focus Claims Review team at Optum, the Medical Director provides leadership,...ClaimsRemote jobMinimum wagePart timeWork experience placementLocal areaWork from home$167.6k - $274.5k
...AVP, Underwriting Manager- Middle Markets Middle Markets is a key business segment within... ...and 14 or more years of experience in the claims or Under Support area. OR Zurich Certified... ...apply—your unique background matters to us. The pay range shown is a national average...ClaimsFull timeTemporary workApprenticeshipLocal areaRemote workVisa sponsorship$100k - $215k
...Executive Underwriter or AVP, Underwriter Director – Wrap Ups Zurich is seeking an experienced... ...remote talent located in the Midwest US. In this role, you will: Administer and... ...and 10 or more years of experience in the Claims or Underwriting Support area OR Zurich Certified...ClaimsFull timeApprenticeshipWork at officeLocal areaRemote workVisa sponsorship- A dynamic analytics firm is seeking a seasoned consultant with 10-12 years of experience in the US healthcare claims domain. Responsibilities include requirement gathering, evaluation of AI use cases, and solution design for Medicare and Medicaid processes. Candidates...Claims
- ...reduce in-person visits when appropriate. About Us On a mission to deliver affordable, delightful healthcare for all, First Stop Health provides connected,... ...is to help employer clients reduce overall health claims spend by serving members virtually and keeping them...ClaimsContract workPart timeRemote workMonday to Friday10 hours per weekFlexible hours
$167.6k - $274.5k
...AVP, Underwriting Manager- Excess Casualty Zurich North America is hiring an AVP, Underwriting... ...and 14 or more years of experience in the Claims or Underwriting Support area OR Zurich... ...apply—your unique background matters to us. The pay range shown is a national average...ClaimsTemporary workApprenticeshipWork at officeLocal areaFlexible hours3 days per week- ...Overview A career at Prime Healthcare means contributing to a national system known for clinical... ...and support they need to succeed. Join us and become part of a team that is making... ...or laptops as a condition of employment, claiming that reimbursement check will be sent afterward...ClaimsFlexible hours
$100k - $120k
...underwriting and servicing customers? Berkley Healthcare is a dynamic company that encourages a... ...other, come explore career options with us. As a member company of W. R. Berkley... ...ourselves on our deep expertise in underwriting, claims and distribution in the healthcare...ClaimsFull timeWorldwideFlexible hours- ...Admin Done for You ~ We handle credentialing, billing, claims, EHR, and tech support—so you can focus your time and energy on clinical... ...Licensed in California Able to provide telehealth or in-person sessions Work Remotely Yes CA, US...ClaimsLive inWork at officeRemote work
- ...incredible opportunity to join the Citadel Healthcare team and make a real difference in the... ...rewarding career as a MDS Coordinator RN with us at a Citadel Center. MDS Coordinator... ...Triple Check process to review Medicare claims prior to billing, ensuring all clinical...ClaimsDaily paidFull timeTemporary workWork at office
$190k - $220k
...their true selves. Our inclusive and progressive approach helps us to keep a balanced perspective. Fitch is also committed to supporting... ...judgments with confidence. Credit Analyst, Senior Director – Healthcare & Pharmaceuticals (New York) As one of the world’s top three...Temporary workWork at officeLocal areaImmediate startFlexible hours3 days per week- ...recruitment across diverse sectors, including Healthcare, Health Tech, Government, Municipalities,... ...accurate and timely submission of claims and payments. This role is critical in maintaining... ...opportunities when they come up. Let us help you find your next career move!...Claims
$262.9k - $404.2k
...in the industry for over 170 years. Join us to discover a culture that is rooted in innovation... ...and where you do it. Job Category Claim Compensation Overview The annual... ...and analysis related to medical and healthcare trends. This includes the physical and psychological...ClaimsLocal area$110.3k - $238.7k
...we want your ideas and experiences to help us grow and create lasting change. Know... ...filled at either an Executive Underwriter or AVP Underwriting Director level. The hiring... ...business units including but not limited to; claims, finance, risk engineering, actuary, and...ClaimsFull timeApprenticeshipCurrently hiringLocal areaRemote workVisa sponsorshipFlexible hours- ...Job Title Reimbursement Specialist (Healthcare) Job Description Collections Specialist (Chicago... ...the lead in resolving complex insurance claims, driving timely reimbursements, and... ...circumstances of each case. Additional Information US work authorization is a precondition of...ClaimsFull timeWork at officeImmediate startWork visaRelocation package3 days per week
- ...schedule Who You Are Experienced with healthcare, public health, or population-level... ...Able to critically evaluate data-driven claims and identify where AI reasoning falls short... ...biostatistics, or health policy Why Join Us Work on cutting-edge AI projects...ClaimsHourly payOngoing contractContract workFreelanceRemote workFlexible hours
- ...exciting opportunity for an established claims leader in Chicago, Illinois. This role focuses... ...six claims professionals handling Allied Healthcare claims, and driving excellence through... ...record in operational excellence. Join us to influence team performance and contribute...Claims
- ...Wound Care Certified Clinical Specialist Talent Community in the US! ** This is not a current opening; you're joining our Talent... ...marketing efforts. Their hands-on guidance is one of the reasons healthcare professionals trust our products - because we back them with...Immediate startWorldwide
- ...Snapshot A hands-on billing role focused on claim accuracy, AR discipline, and denial... ...candidate will have hands‑on experience managing healthcare claims, processing payments, and ensuring... ..., CPC, or similar, is a plus. Why Join Us Career growth opportunities in healthcare...Claims
$212.94k - $269.22k
...to inclusive and affirming care has made us a cornerstone of the Chicago community. At... ...account Flexible Spending Accounts for healthcare and dependent care Tuition Reimbursement... ...National Data Bank verification of legal claims history. ADA SPECIFICATIONS (Physical demands...ClaimsTemporary workWork at officeLocal areaFlexible hoursNight shiftWeekend work- ...Reports: none, subject to change in future About Us: God Restoring Order (GRO) Community is a mental healthcare provider that specializes in trauma recovery... ...regarding authorizations, reauthorizations, and claims-related issues. Partner with the revenue cycle...ClaimsFull timeWork at office
$113.33k - $145k
## AVP OperationsApplylocations: Chicago, ILposted on: Posted Todayjob requisition id: R... ...unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy... ...to assure compliance to best practices, claims management services standards, state...ClaimsWork at officeLocal areaFlexible hours- ...Chicago, IL. The ideal candidate should have experience in healthcare billing, ensuring claim accuracy and compliance. You will manage various billing... ...proficiency in billing software like Epic and Athena. Join us to enjoy a competitive salary and professional growth opportunities...Claims
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