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
$171.6k - $338.3k
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$200k - $250k
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$283k - $425k
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- ...Management department is to follow up on any unpaid insurance claims. Working of aged accounts Complex denial research Participate... ...knowledge of clean claim practices Working knowledge of the adjudication process Ability to research and follow claims appeal guidelines...Claims
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- ...healthcare AI workflows. Develop a multi-year roadmap across core workflows, utilization management, case management, quality, pharmacy, claims, clinical research, complex document processing. Articulate and refine the vision for the Agentic Health Enterprise and how...Claims
- ...industry expert. Identify priority use cases such as deposit servicing, loan servicing, card servicing, appointment scheduling, claims, first notice of loss, policyholder support, collections, fraud and security, customer authentication, and advisor/customer engagement...ClaimsWork at office
- ...corporate matters, and advice and support of on-going litigation, claims and risk management insurance defense. Our ideal candidate... ...appropriate parties while proactively administering the claim adjudication and resolution process with the carrier and outside counsel in...ClaimsContract workWork at officeNight shift
$300k
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...- No Unsolicited Offers: We do not extend job offers without a formal interview process. If you receive an unsolicited job offer claiming to be from Storable or any of its representatives, it’s a red flag. - Verification: If you’re uncertain about the legitimacy of any...ClaimsHourly payFull timeTemporary workLocal areaImmediate startHome officeOverseasRelocation packageFlexible hours$150k - $200k
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$10k - $20k
..." ? six-figure+ career.What You'll DoPerform roof inspections + document storm-related damageGuide homeowners through the insurance claim process (we'll train you)Represent RCUSA with confidence, professionalism, and authorityWhat We OfferUncapped earning potential (top...ClaimsHourly pay
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