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 4 days ago
Similar jobs that could be interesting for youBased on the Vice President of Claims Adjudication in Indianapolis, IN vacancy
$25 per hour
...We are seeking a Pharmacy Adjudication Specialist for our Specialty Oncology pharmacy. As our company continues to grow, we strive to... ...The Pharmacy Adjudication Specialist will adjudicate pharmacy claims, review claim responses for accuracy. ensure prescription claims...ClaimsFull timeTemporary workWork experience placementRemote workRelocation packageFlexible hoursShift workOnco360
Indianapolis, IN2 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
- ...Vice President of Engineering About the Company Innovative provider of personalized cancer education & navigation services Industry... ...-end workflows. While not mandatory, experience with medical claims, prior authorization, or other complex healthcare data is strongly...Claims
- ...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 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
- ...Vice President of Preconstruction About the Company Nationally recognized commercial construction organization with diverse projects... ...insurance structures, SDI programs, surety/bonding, and construction claims environments. Leadership characteristics include a...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
- ...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
- ...Associate Vice President of Revenue Cycle About the Company Leading hospice, palliative & home health care provider Industry Hospital... ...staff, and ensuring the timely and accurate submission of claims across various payers. The role also requires close...Claims
- ...the Role Sedgwick is seeking a seasoned and highly effective Vice President, IT Internal Audit to help lead and advance the Company’s... ...this or other roles. Sedgwick is the world’s leading risk and claims administration partner, which helps clients thrive by navigating...ClaimsLocal areaRemote work
Sedgwick
Indianapolis, IN3 days ago $47.32k
...Rehabilitation Services, through the Social Security Administration’s “Ticket to Work” program. Role overview: The Disability Claims Adjudicator decides on eligibility for Social Security Disability Insurance and Supplemental Security Income Benefits. You will determine...ClaimsExtra incomeFull timeWork experience placementWork at officeState of Indiana
Indianapolis, IN9 days ago$50 per hour
This OpportunityWSP is currently initiating a search for a Vice President, Construction Management engineer for our Indianapolis, IN office... ...project deliverables for clients such as constructability reviews, claims analysis, contract document drafting, and other related...ClaimsContract workWork at officeLocal areaFlexible hours- ...role, you will accurately process customer bills and insurance claims, assist with daily and month-end billing activities, answer... ...work ethic, and willingness to learn Experience with claims adjudication and an understanding of how insurance works Healthcare experience...ClaimsFull timeTemporary workWork at officeRemote workFlexible hours
Guardian Pharmacy
Indianapolis, IN1 day ago - Description As a key member of the U.S. Casualty (USC) Claims Leadership Team, this role is accountable for delivering an exceptional claims experience while driving loss cost performance, expense discipline, and talent outcomes across a multi-state organization of...ClaimsWork at officeLocal areaRemote work2 days per week
- ...A well-established claims adjusting firm in Fishers, Indiana, is seeking Independent Insurance Claims Adjusters to fill urgent roles in a rapidly growing industry. As a claims adjuster, you will assist diverse clients in managing the aftermath of disasters and help them...Claims
MileHigh Adjusters Houston
Fishers, IN2 days ago - ...Claims Consultant We are The MJ Companies—a firm dedicated to inspiring the success, fulfillment, and wellbeing of each person we serve. Our commitment to excellence and collaboration has enabled us to maintain a best-in-class approach to risk management, employee...ClaimsWork at office
The MJ Companies
Carmel, IN1 day 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...ClaimsRemote work
- ...the highest level of leadership. POSITION OVERVIEW The position calls for a leader of real command presence – someone who claims full operational authority and who finds in founder alignment not a limit on that authority but a force multiplier for it. They...Claims
Shepherd Staff
Indianapolis, IN4 days ago $45k - $65k
...Responsibilities:Manage client accounts and update information in the database.Assist clients with policy changes and inquiries.Process insurance claims and follow up with clients on claim status.Coordinate with underwriters to ensure timely policy issuance.Qualifications:Strong...ClaimsFor contractorsDanita Fields - State Farm Agent
Indianapolis, IN2 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...
$60k - $80k
...customers with policy changes and inquiries.Process insurance claims and follow up with customers on claim status.Coordinate with underwriters... ...Chairman's Circle, Ambassador Travel, Legion of Honor, Senior Vice President's Club, Crystal Excellence Award, Silver Scroll, Golden...ClaimsFor contractorsWork at officeBrenda Bond - State Farm Agent
Indianapolis, IN2 days ago$23 per hour
...medication that requires pre‑authorizations from insurance carriers by receiving prescriptions, addressing and rectifying rejected claims, and conducting necessary third‑party authorization requests. How You’ll Do This Manage prior authorization requests and appeals...ClaimsFull timeTemporary workRemote workRelocation packageShift workOnco360
Indianapolis, IN18 hours ago$120k - $250k
...confirm inspections. Midday: Door-to-door canvassing and neighborhood networking, perform exterior inspections, assist homeowner in claim process or retail quote. Enter data using our mobile canvass application. Afternoon: Door-to-door canvassing, Run scheduled...ClaimsWork at officeLocal areaImmediate startDay shiftAfternoon shiftAmeriPro Roofing
Beech Grove, IN3 days ago$5,000 per month
...including basic mathematical calculations (e.g., converting milligrams) May resolve issues of denials identified through adjudication, and follow-up claims in Point of Sale (POS) Maintains current knowledge of Medicaid claim regulations and processes May produce...ClaimsMonday to FridayFlexible hoursShift workBrightSpring Health Services
Indianapolis, INa month ago- ...The Medical Billing Assistant will help prepare and review insurance claims, assist with basic billing and coding tasks, update patient and insurance information, and support the administrative workflows that help keep clinical operations running smoothly. This role requires...ClaimsWork at office
Revel Staffing
Indianapolis, IN3 days ago - ...expert in order to maintain and advance its health insurance claims processing system, ACAPS. The EDI Expert is responsible for... ...from health providers at , are loaded into our database, are adjudicated based on state and national pricing standards, and as adjudication...Claims
$150k - $190k
...obtaining driver’s licenses in 89 cases; and creating advance directives in 207 cases. Its advocacy avoided more than $3.6 million in claims against clients and obtained monetary recoveries of more than $1.9 million. For more information about Indiana Legal Services,...ClaimsWork at officeLocal areaFlexible hoursIndiana Legal Services, Inc.
Indianapolis, IN1 day ago- ...Vice President Of Asset Management At Hendricks Commercial Properties, we value people who value people. We believe in creating environments where communities thrive, and we encourage our team to embrace the freedom to do amazing things. We didn't come this far to...Flexible hours
Geronimo Hospitality Group
Indianapolis, IN2 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
- vice president food Indianapolis, IN
- vice president support services Indianapolis, IN
- vice president network management Indianapolis, IN
- vice president real estate development Indianapolis, IN
- vp safety Indianapolis, IN
- vp talent management & organizational development Indianapolis, IN
- vice president manufacturing operations Indianapolis, IN
- vice president revenue management Indianapolis, IN
- vice president corporate development Indianapolis, IN
- vice president of customer success Indianapolis, IN