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
...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...ClaimsLocal area- ...Title: Regional Vice President, Sales Location: Baltimore, Maryland or Rockville, Maryland (Montgomery County). Both offices are open... ...new business development. Full training on the product and the claims process is provided. What You'll Do Solicit new business...ClaimsBase plus commissionFull timeLocal area
- ...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
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- ...team holds to even when a deadline is close. •Chair color team reviews, participate directly in proposal development, and keep every claim grounded in documented past performance. BluJuniper does not overstate capability in order to win work. •Maintain accurate pipeline...ClaimsContract workFor contractorsFor subcontractorWork at officeLocal areaRemote workShift work
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$210k - $260k
...Job Description Job Description VICE PRESIDENT OF HUMAN RESOURCES AND ADMINISTRATIONAbout the Foundation for Defense of DemocraciesFDD... ..., including exit interviews, COBRA notices, unemployment claims, and systems deprovisioning.Employee Relations & CultureServe...ClaimsFull timeFor contractorsWork at officeLocal areaRemote work2 days per week$190k - $220k
...partners. For each other. Requirements: The Role The Vice President, National Sales leads Brook’s sales organization and owns new-... ...prorated by hire date). Medical concierge — concierge support for claims, referrals, and care coordination, for employees and their...ClaimsFull timeTemporary workRemote workFlexible hours- ...clients and communities. Job Description The Senior Vice President (SVP) is responsible for maintaining the overall health of the... ...Implement best practice operations to minimize and prevent E&O claims. Create and implement strategic initiatives to acquire...ClaimsWork at officeLocal areaFlexible hours
$300k - $400k
...and work product quality Support post-closing matters including working capital adjustments, earnout disputes, indemnification claims, and transition services agreements Provide strategic legal support and triage to portfolio company leadership teams on significant...ClaimsFor contractorsWork at office- ...Job Description Job Description Job Summary The Vice President, Complex Claims provides executive leadership for Fortegra's Complex Claims function, overseeing the handling, strategic direction, coverage analysis, litigation oversight, and resolution of the Company...ClaimsTemporary workLocal area
- ...analysis, and publication of the weekly Unemployment Insurance (UI) claims data. Independently planning and conducting complex and... ...minimum qualifications of the position, after notification of the adjudication of your request, you will receive an email invitation to...ClaimsWork at officeLocal area
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- Allied Universal is seeking an experienced SIU Investigator to support claims investigations in Northern VA and MD. The role focuses on complex insurance fraud cases, leveraging policy knowledge and investigative methods to determine if cases warrant reporting to authorities...Claims
- A leading claims adjusting company in Takoma Park, Maryland, is seeking Licensed Claims Adjusters to join their teams. This role offers flexible career opportunities where you can significantly impact people's lives while enjoying competitive compensation. The company...ClaimsFlexible hours
- ...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
- A leading claims adjustment firm seeks Independent Insurance Claims Adjusters to join their team in Chevy Chase, Maryland. This role offers flexibility, autonomy, and the opportunity to make a significant impact by helping clients recover from unforeseen disasters. Training...ClaimsFlexible hours
- A claims adjusting company in Alexandria, Virginia is seeking Independent Insurance Claims Adjusters to join their team. This role involves providing support during disaster recovery and participating in structured training programs to develop critical skills in claims...ClaimsFlexible hours
- ...and work under the direction of the VP of Human Resources. This remote/hybrid role analyzes and processes complex health insurance claims, focusing on Stop Loss and client support. Responsibilities include processing high-dollar claims, ensuring policy compliance, communicating...ClaimsRemote job
- A leading insurance adjusting firm in Silver Spring, Maryland is looking for Independent Insurance Claims Adjusters. This role offers extensive training to help you succeed in the field and make a significant impact on clients' recovery after disasters. If you are a Licensed...ClaimsFlexible hours
- A leading claims adjusting firm in Maryland is seeking Licensed Claims Adjusters to assist individuals and businesses in recovering from disasters. The role offers extensive training to help newcomers excel, ensuring that all are fully equipped for real-world challenges...ClaimsFlexible hours
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