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 3 days ago
Similar jobs that could be interesting for youBased on the Vice President of Claims Adjudication in San Diego, CA vacancy
- ...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
- ...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 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 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 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....ClaimsContract work
- ...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, 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
- ...Vice President, Business Development About the Company Leading insurance services company Industry Insurance Type Privately... ...or sales leadership experience, with at least 5 years in the claims, TPA, or insurance services industry, is required. The role...Claims
- ...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
- ...and Federal rules and regulations related to billing Insurance Claims. Knowledge in self-pay collections and mandated charity laws.... ...comfortable with verifying patient coverage/insurance verification and adjudication via a payer portal, Epic system or by phone. Extensive...Claims
$300k - $340k
...highly strategic, business-oriented legal executive to serve as Vice President & General Counsel, North America . This leader will serve as... ...public sector contracting, regulatory compliance, litigation and claims management, governance, ethics, and strategic business...ClaimsFull timeContract workCubic Transportation Systems, Inc.
San Diego, CA28 days ago- ...A notable claims adjusting firm in California is seeking Independent Insurance Claims Adjusters. Join a dynamic industry that offers comprehensive training and extensive opportunities for growth and advancement. This role will require you to assist clients in recovery...Claims
MileHigh Adjusters Houston
Imperial Beach, CA5 days ago $80k - $100k
...Work® Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - Workers Compensation Are you looking for an... ...the world’s best brands? Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture....ClaimsRemote workFlexible hours- ...A claims adjusting company in San Diego is looking for Independent Insurance Claims Adjusters. This role offers training and support for both experienced adjusters and newcomers. You will assist clients in recovering from disasters while enjoying a flexible and rewarding...ClaimsFlexible hours
MileHigh Adjusters Houston
San Diego, CA1 day ago $126.1k - $168.13k
A national title insurance company in San Diego is seeking a Senior Claims Counsel. This role involves managing title insurance claims, conducting complex legal analysis, and overseeing litigation. Candidates should have 12+ years' experience in real estate and insurance...ClaimsFirst American
San Diego, CA3 days ago- ...employment laws and regulations. Investigates employment relationship issues including harassment, discrimination, and retaliation claims, in a timely manner. Uses best practices processes to conduct investigations, provide resolution, or recommend actions. Works with,...ClaimsLocal area
Sdgoodwill
San Diego, CA2 days ago - A training and career advancement firm is seeking Licensed Claims Adjusters to join their team in California. This role provides the opportunity to make a difference by helping clients recover from disasters while enjoying flexibility and competitive pay. The firm offers...Claims
- A claims adjusting company in San Diego is looking for Independent Insurance Claims Adjusters. This role offers training and support for both experienced adjusters and newcomers. You will assist clients in recovering from disasters while enjoying a flexible and rewarding...ClaimsFlexible hours
- Position Summary: The Vice President and Chief Human Resource Officer is responsible for leading SYHealth’s Human Capital strategy through the optimization of people, processes, and programs. As a member of the Executive Team, the VP/CHRO participates in informing and...Local areaWeekend work
- ...Deputy Labor Commissioner I (DLC I) proactively investigates claims to evaluate compliance with the law. The DLC I interviews workers... ..., holds settlement conferences to resolve disputes prior to adjudication of claims, and gathers relevant facts and applies theories of...Claims
California State Jobs
San Diego, CA4 days ago - ...IS IT TIME FOR A CAREER CHANGE? INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW! 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...Claims
MileHigh Adjusters Houston
San Diego, CA1 day ago - A leading claims adjustment firm based in California is seeking Independent Insurance Claims Adjusters to join their dynamic team. This rewarding career allows you to help clients recover from unforeseen disasters while enjoying flexibility and competitive compensation...Claims
- A leading claims adjusting firm is actively seeking Independent Insurance Claims Adjusters in San Diego, California. This role involves helping individuals and businesses recover after disasters while enjoying a flexible and rewarding career. Whether you are an experienced...ClaimsFlexible hours
- ...environment. This position will be hands-on in all aspects of the business, with a primary focus on insurance billing, credentialing and claim submissions. In addition, the front office administrator is expected to be the first step in creating an amazing patient experience....ClaimsWork at office
La Jolla LASIK Institute
La Jolla, CA1 day ago - A leading claims adjusting firm in San Diego seeks Independent Insurance Claims Adjusters. This role offers flexibility and significant growth opportunities. Candidates should be Licensed Adjusters or willing to undergo essential training. You’ll help clients recover from...ClaimsFlexible hours
- A leading claims adjustment firm is seeking Independent Insurance Claims Adjusters. Join a dynamic career that allows you to make a real difference in people's lives. You will receive comprehensive training to excel in the claims adjusting field. This position provides...ClaimsFlexible hours
- A leading insurance claims adjustment firm based in California is seeking Independent Insurance Claims Adjusters. This opportunity allows you to make a significant impact on people's lives while enjoying flexibility and competitive compensation. Training is provided to...ClaimsFlexible hours
- A leading claims adjustment company in California is seeking Independent Insurance Claims Adjusters to join their team. This role offers the chance to make a significant impact by helping individuals and businesses recover from disasters. Candidates will receive comprehensive...ClaimsFlexible hours
$50k - $100k
...Manage 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...ClaimsFor contractorsWork at officeKevin Beach - State Farm Agent
San Diego, CA4 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 customer success San Diego, CA
- vice president development San Diego, CA
- vice president real estate development San Diego, CA
- vice president communications San Diego, CA
- vice president manufacturing San Diego, CA
- vp safety San Diego, CA
- vp of benefits and total rewards San Diego, CA
- vice president research San Diego, CA
- vice president tax San Diego, CA
- vice president of retail San Diego, CA