Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

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
Confidential
Vacancy posted 1 day ago
Similar jobs that could be interesting for youBased on the Vice President of Claims Adjudication in San Antonio, TX vacancy
  • $171.6k - $338.3k

     ...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... 
    Claims
    Local area

    Deloitte

    San Antonio, TX
    6 days ago
  •  ...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

    Confidential

    San Antonio, TX
    4 days ago
  •  ...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

    Confidential

    San Antonio, TX
    4 days ago
  •  ...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

    Confidential

    San Antonio, TX
    1 day ago
  •  ...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.... 
    Claims
    Contract work

    Confidential

    San Antonio, TX
    3 days ago
  •  ...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

    Confidential

    San Antonio, TX
    11 hours ago
  •  ...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

    Confidential

    San Antonio, TX
    4 days ago
  •  ...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

    Confidential

    San Antonio, TX
    11 hours ago
  •  ...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

    Confidential

    San Antonio, TX
    4 days ago
  •  ...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

    Confidential

    San Antonio, TX
    1 day ago
  •  ...fastest growing companies. We are currently recruiting for a Vice President of Accounting who is responsible for providing strategic...  ...professionalliability and cyber policies. Manage renewals, claims, and broker relationships to ensureadequate coverage and competitive... 
    Claims
    Local area
    Remote work

    Walton Signage

    San Antonio, TX
    4 days ago
  •  ...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... 
    Claims
    Work at office

    Mpower Health

    San Antonio, TX
    3 days ago
  • $50k

     ...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
    Bank staff
    Flexible hours

    UT Health San Antonio

    San Antonio, TX
    2 days ago
  • $20 per hour

     ...Job Description Job Description Position Title: Claims Specialist Location: Schertz, TX (On-Site Monday-Friday) Position...  ...for coverage for all relevant claims. Responsible for the claim adjudication process that includes the interpretation of warranty and service... 
    Claims
    Hourly pay
    Full time
    Monday to Friday
    Flexible hours
    Night shift
    Weekend work

    Cal-Tex Protective Coatings Inc

    San Antonio, TX
    3 days ago
  • $225k - $375k

     ...maintaining appropriate market responsiveness and local accountabilityCreate effective interfaces with national support teams for claims, payment integrity, utilization and care management, call center operations, credentialing, technology, data and digital enablementDeliver... 
    Claims
    Minimum wage
    Full time
    Work experience placement
    Local area

    UnitedHealth Group

    San Antonio, TX
    6 days ago
  •  ...Job Description Our client is seeking a Claims Training Project Manager to support a Claims Technical Training Center. This hands-on role will coordinate project activities, meetings, training content, and stakeholder communications while partnering with claims SMEs... 
    Claims

    Peyton Resource Group

    San Antonio, TX
    5 days ago
  • $85.04k - $162.55k

     ...policy and business needs. The Opportunity As a dedicated Injury Claims Examiner (Central to West regions), you will be responsible to...  ...liability, investigating, evaluating, negotiating, and adjudicating claims in compliance with state laws and regulations. Responsible... 
    Claims
    Contract work
    H1b
    Work at office
    Remote work
    3 days per week

    USAA Careers

    San Antonio, TX
    3 days 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... 
    Claims
    Remote work

    Confidential

    San Antonio, TX
    4 days ago
  •  ...Duties Advises on claims laws for the DHA command on legal issues Conducts legal research, analyzes judicial decisions, and...  ...legislation, regulations, and directives for legal sufficiency Adjudicates medical billing compromises, discounts, and waivers... 
    Claims

    US Department of War

    San Antonio, TX
    14 hours ago
  • $1,000 per month

    ## Vice President, ProcurementApplylocations: San Antonio, TX (CH Guenther & Son)time type: Full timeposted on: Posted Yesterdayjob requisition id: R819610The Vice President, Procurement leads enterprise-wide sourcing and procurement strategy for a $2B food manufacturing... 
    Contract work
    Work at office
    Local area
    Flexible hours

    C.H. Guenther & Son, Inc.

    San Antonio, TX
    3 days ago
  • Independent Insurance Claims Adjuster (Licensed) Are you ready to embark on a dynamic and in-demand career as an Independent Insurance Claims Adjuster? This is your chance to join a thriving industry with endless opportunities for growth and advancement. Why This Opportunity... 
    Claims

    MileHigh Adjusters Houston

    San Antonio, TX
    2 days ago
  • $40k - $60k

     ...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... 
    Claims
    For contractors
    Work at office

    Charles Laubach - State Farm Agent

    San Antonio, TX
    1 day ago
  • $50k

    This position has two components: the Vice President for Presidential Initiatives and the Chief of Staff to the President. The position is a Cabinet-level position. The primary work location is at the executive offices at the Academic Campus of UT San Antonio.The Vice... 
    Temporary work
    Bank staff
    Work at office
    Flexible hours

    UT Health San Antonio

    San Antonio, TX
    2 days ago
  •  ...of benefits (EOBs), and manual checks from insurance payers and patients. • Denial & Adjustment Tracking: Identify, code, and log claim denials, line-item adjustments, and contractual write-offs to route zero-paid or underpaid claims for immediate appeal. • Account... 
    Claims
    Immediate start

    Premier Pain clinic

    San Antonio, TX
    2 days 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... 

    Confidential

    San Antonio, TX
    5 days ago
  •  ...established and growing law firm is seeking a skilled and dedicated attorney with significant experience in first-party homeowner property claims to join its dynamic team. The ideal candidate will bring a strong background in representing policyholders in disputes with... 
    Claims
    Full time
    Relocation package

    Affinity Executive Search

    San Antonio, TX
    3 days ago
  •  ...Specialist to manage all aspects of medical AR collections for a physician medical group. This role will focus heavily on insurance claim denial follow-up, unpaid claims, payment recovery, billing issue resolution, and account management. Key Responsibilities Manage... 
    Claims

    Peyton Resource Group

    San Antonio, TX
    4 days ago
  •  ...established and growing law firm is seeking a skilled and dedicated attorney with significant experience in first-party homeowner property claims to join its dynamic team. The ideal candidate will bring a strong background in representing policyholders in disputes with... 
    Claims
    Full time
    Relocation package

    Affinity Executive Search

    San Antonio, TX
    1 day ago
  • $50k - $70k

     ...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... 
    Claims
    For contractors

    Mike McDonald

    San Antonio, TX
    13 hours ago
  • $19 per hour

     ...Reimbursement Specialist to join our healthcare team. The ideal candidate will be responsible for managing and processing medical claims, ensuring accurate reimbursement from insurance providers, and maintaining compliance with healthcare regulations. This role requires... 
    Claims
    Full time
    Work at office

    DaMar Staffing

    San Antonio, TX
    1 day ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Vice President of Claims Adjudication. Be the first to apply!