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
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- ...tasks in order to recognize the maximum reimbursement from each claim. This position will be responsible for navigating the... ...and construct responses to insurance carriers based on claim adjudication.Follow up with payers and other appropriate parties to collect...ClaimsWork at office
$20 per hour
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- ...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
$40k - $60k
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$165.83k
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- ...Obtaining police reports/incident reports # Obtaining driver records # Obtaining cell phone records # Handling property damage claims # Making Open Records Requests for reports, dash cam and body camera videos from law enforcement # Verifying insurance and...ClaimsWork at office
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