Vice President of Claims
Confidential
Vice President of Claims
About the Company
Prominent insurance company
Industry
Insurance
Type
Privately Held
About the Role
The Company is seeking a VP, Claims Manager to lead the strategic and technical oversight of specialty program claims. This senior leadership role is pivotal in maintaining the integrity of the claims process, ensuring that all resolutions are in line with program guidelines, reinsurance terms, and regulatory requirements. The successful candidate will be responsible for managing and auditing the claims handling performance of MGAs and TPAs, developing and enforcing claims governance frameworks, and partnering with various internal teams to analyze loss trends and make informed program renewal decisions. Additionally, the VP, Claims Manager will serve as the senior escalation point for complex and high-severity claims, monitor and report on claims KPIs, and represent the company at industry events. Applicants for the VP, Claims Manager position at the company should have a Bachelor's degree or equivalent experience, with a minimum of 10 years in insurance and/or claims handling, particularly in commercial claims. A strong working knowledge of multi-state statutes, including good faith claim handling regulations, is essential. The role requires a candidate with strong analytical, organizational, and communication skills, as well as proficiency in Microsoft Office and major claims systems. The ideal candidate will also have experience in evaluating the claims capabilities of prospective MGA partners and staying current on E&S market trends, regulatory developments, and claims best practices.
Hiring Manager Title
Chief Claims Officer
Travel Percent
Less than 10%
Functions
- Operations
$119k - $170k
...role is focused on making sure partner-supported service work runs smoothly day to day. You'll work across areas like Contact Center, Claims, and Field Services to keep operations stable, performance on track, and issues addressed quickly. You won't be responsible for...Claims- ...position is incentive eligible. Job Summary We are seeking a Vice President, Quality and Safety. You will be responsible for developing and... ...of risk assessment, historical and concurrent occurrence and claims data and national trends. You will ensure responsibility for...ClaimsFull timeTemporary workPart timeFlexible hours
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- ...reliable detail oriented able to handle a high volume of work. Must have previous knowledge of insurance verification, authorization, claim filing and appealing claims. Duties include: Receive and post payments to patient accounts daily. Calling patients to collect...Claims
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$67k - $110.6k
...culture that is rooted in innovation and thrives on collaboration. Imagine loving what you do and where you do it. Job Category Claim Compensation Overview The annual base salary range provided for this position is a nationwide market range and represents a...Claims$15k - $35k
...roofing company serving the Tampa Bay area. We specialize in high-quality roof replacements, storm damage restoration, and insurance claim assistance for homeowners. We are looking for motivated, driven individuals who want to build a career in insurance restoration...ClaimsFor contractors- ...one or more aspects of the Practice Reasonably participate with AHMG Leadership in its investigation of patient complaints and/or claims related to the stated practices Advise AHMG leadership relating to the purchase of clinical supplies, materials, and equipment...ClaimsTemporary work
- ...Specialist to join our ever-expanding company. Work as part of a Team handling multiple areas of the revenue-cycle: Insurance follow-up, claim denials and appeals, guarantor follow-up, patient correspondence, customer service, payment posting, and general duties related to...ClaimsWork at officeRemote work
- ...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 Strong...Claims
$10k - $40k
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- ...the accounts receivable (AR) processes related to buy-and-bill medications. This includes verifying insurance coverage, submitting claims, resolving billing discrepancies, and ensuring timely reimbursement from payers. The role requires collaboration with pharmacy teams...ClaimsFull time
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- ...Claims Resolution Specialist 1 The Claims Resolution Specialist I is responsible for the timely and accurate submission, follow-up, and resolution of third-party insurance claims to ensure correct reimbursement for services rendered. This position reviews assigned...ClaimsFull timeWork at officeRemote workMonday to FridayShift work
$220k - $240k
...a missing piece. That's where you come in! Reporting to the CFO and serving as a member of the extended leadership team, the Vice President of FP&A will be a trusted partner to executives across the company and the steward of how we plan, measure, and communicate performance...Full timeTemporary workWork experience placementRemote workWorldwideFlexible hours
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