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 2 days ago
Similar jobs that could be interesting for youBased on the Vice President of Claims Adjudication in San Antonio, TX vacancy
$300k
...About the Position The company is seeking two newly created Vice President of Operations roles, one focused on public-sector work, one on... ...contracts, estimating, project controls, change management, claims, and risk ~ Experience with both self-performed and subcontracted...ClaimsContract workTemporary workFor contractorsFor subcontractorRelocation package- ...Senior Vice President, Liability Operational Strategy About the Company Renowned provider of workers’ compensation & risk management... ...liability ~ general liability ~ ancillary benefit management ~ claims management ~ provider network ~ pharmacy benefit...Claims
- ...Job Title: Vice President of Revenue Cycle Department: Revenue Cycle Reports To: Chief Executive Officer FLSA Status: Exempt Summary... ...solutions (including automation and AI-assisted coding and claims tools), analyzing performance metrics, and collaborating with...Claims
South Texas Radiology Group, P.A.
San Antonio, TX2 days ago - ...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 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
- ...Vice President of Revenue Cycle About the Company Tech-enabled, multi-specialty medical practice delivering high-touch, data-driven... ...role includes evaluating and integrating modern technologies for claims processing, denial management, and payment analytics, while...Claims
- ...Vice President of Engineering About the Company Respected security & investigations company specializing in risk mitigation & investigative... ...utilization management case management bill review claims management osint medical canvassing and ai About...ClaimsRemote work
- ...Vice President, Business Development, Life Sciences About the Company AI-driven healthcare analytics platform Industry Hospital... ...heor biotechnology real world evidence lab data and claims data Business Classifications SAAS B2B Enterprise...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 Gig Economy 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...ClaimsRemote 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, Risk Management About the Company A leading farmer-owned agribusiness cooperative serving member-owners across a multistate... ...risk framework, insurance requirements, and all phases of the claims process. The VP will also be tasked with managing...ClaimsWork at office
- ...Vice President, Medical Affairs About the Company Industry-shaping mobile application empowering employees to improve heart health... ...Responsibilities include translating evidence into clear, defensible market claims and commercial materials, supporting customer and partner...Claims
- ...Vice President of Sales About the Company Leading organization specializing in claims management solutions Industry Hospital & Health Care Type Privately Held, VC-backed Founded 2006 Employees 1001-5000 Categories ~ Health Care Specialties...ClaimsContract workWork at office
- ...Vice President, Law Firm Professional Services About the Company Leading provider of a legal management software solution Industry... ...immigration legal document management legal billing claims litigation and in-house legal Business Classifications...Claims
- ...Vice President of Commercial Strategy About the Company Innovative healthcare technology (HealthTech) company providing cloud-based... ...Insurance Specialties clinical and quality outcomes claims and payment integrity healthcare data insights predictive...Claims
- ...Vice President of Medical Economics About the Company Healthcare organization focused on medical cost analytics and value-based care... ...performance strategy. The role oversees analysis of healthcare claims, utilization, risk, and provider performance to identify opportunities...Claims
- ...Vice President of Product, Interoperability About the Company Globally-recognized payment integrity & transaction analytics company... ...subject matter expertise in payer/provider interoperability and claims processing operations is essential, with a strong preference for...ClaimsContract work
- ...Vice President of Environmental Health, Safety & Security About the Company Ambitious manufacturer of food, beverage & specialty packaging... ...incident analysis and learning processes, overseeing claims and care management, and coordinating with regulatory and insurance...ClaimsWork at office
- ...Vice President, Revenue Operations About the Company Technology-driven organization providing risk & integrated business solutions... ...Services Services Banking Risk Management Specialties claims management risk management workers' compensation...Claims
- ...Vice President of Enterprise Sales About the Company Innovative healthcare service provider Industry Information Services Type... ...data request for proposals crm integration medical claims data analytics data science technology solutions patient...ClaimsContract work
- University Health System- San Antonio is seeking a claim adjudicator to process medical and hospital claims for Medicaid, CHIP, and commercial payers in compliance with departmental and regulatory standards. The role requires a high school diploma or GED and at least two...Claims
- ...Associate Vice President, Provider Sales About the Company Innovative healthcare service provider Industry Information Services... ...health data request for proposals crm integration medical claims data analytics data science technology solutions...Claims
- ...Associate Vice President, Workers' Compensation Claims About the Company Leading insurance carrier hiring for senior workers' compensation claims leadership Industry Insurance Type Privately Held About the Role The Company is seeking an Associate...Claims
- ...Vice President & Associate General Counsel, Litigation About the Company Well-recognized operator of hospitals, nursing centers & other... ..., and court proceedings. The role also oversees liability claims, settlement recommendations, legal reserves, litigation reporting...Claims
- ...Associate Vice President, Biopharma Sales About the Company Innovative healthcare service provider Industry Information Services... ...data request for proposals crm integration medical claims data analytics data science technology solutions patient...ClaimsContract work
$110k
...onboard to help drive growth. POSITION SUMMARY The Vice President of Recoveries provides strategic leadership and operational... ...operations for telecommunications and utility infrastructure damage claims, with a focus on maximizing financial recoveries from liable...ClaimsFull timeFor contractorsLive inRemote workPhoenix Loss control
San Antonio, TX5 days ago- ...a hospital setting. Ensures accurate and timely submission of claims, works to resolve outstanding balances, and communicates effectively... ..., or by contacting third-party payers or guarantors Review adjudicated claims from Medicare, Medicaid, and commercial carriers for...Claims
$85.04k - $162.55k
...business needs. The Opportunity As a dedicated Injury Claims Examiner (Central to West regions), you will be responsible... ...liability, investigating, evaluating, negotiating, and adjudicating claims in compliance with state laws and regulations. Responsible...ClaimsContract workH1bWork at officeRemote workRelocation package3 days per weekUSAA Careers
San Antonio, TX5 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!
Related searches
- vp cloud San Antonio, TX
- vp customer service San Antonio, TX
- vice president sustainability San Antonio, TX
- senior vice president communications San Antonio, TX
- vice president of application development San Antonio, TX
- vice president global communications San Antonio, TX
- vp talent management & organizational development San Antonio, TX
- vice president internal communications San Antonio, TX
- vice president transformation San Antonio, TX
- vice president data science San Antonio, TX