Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

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
Confidential
Vacancy posted 6 days ago
Similar jobs that could be interesting for youBased on the Vice President of Claims Adjudication in Detroit, MI vacancy
  • $300k

     ...About the Position The company is seeking two newly created Vice President of Operations roles, one focused on public-sector work, one on...  ...contracts, estimating, project controls, change management, claims, and risk ~ Experience with both self-performed and subcontracted... 
    Claims
    Contract work
    Temporary work
    For contractors
    For subcontractor
    Relocation package

    Kimmel and Associates

    Detroit, MI
    2 days ago
  •  ...Senior Vice President, Liability Operational Strategy About the Company Renowned provider of workers’ compensation & risk management...  ...liability ~ general liability ~ ancillary benefit management ~ claims management ~ provider network ~ pharmacy benefit... 
    Claims

    Confidential

    Detroit, MI
    5 days ago
  •  ...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

    Confidential

    Detroit, MI
    3 days ago
  •  ...Vice President of Engineering About the Company Respected security & investigations company specializing in risk mitigation & investigative...  ...utilization management case management bill review claims management osint medical canvassing and ai About... 
    Claims
    Remote work

    Confidential

    Detroit, MI
    5 days ago
  •  ...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

    Confidential

    Detroit, MI
    3 days ago
  •  ...Vice President of Revenue Cycle About the Company Tech-enabled, multi-specialty medical practice delivering high-touch, data-driven...  ...role includes evaluating and integrating modern technologies for claims processing, denial management, and payment analytics, while... 
    Claims

    Confidential

    Detroit, MI
    6 days ago
  •  ...Vice President, Business Development, Life Sciences About the Company AI-driven healthcare analytics platform Industry Hospital...  ...heor biotechnology real world evidence lab data and claims data Business Classifications SAAS B2B Enterprise... 
    Claims

    Confidential

    Detroit, MI
    3 days ago
  •  ...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

    Confidential

    Detroit, MI
    5 days ago
  •  ...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

    Confidential

    Detroit, MI
    5 days ago
  •  ...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

    Confidential

    Detroit, MI
    5 days ago
  •  ...Vice President, Risk Management About the Company A leading farmer-owned agribusiness cooperative serving member-owners across a multistate...  ...risk framework, insurance requirements, and all phases of the claims process. The VP will also be tasked with managing... 
    Claims
    Work at office

    Confidential

    Detroit, MI
    6 days ago
  •  ...Vice President of Gig Economy 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
    Remote work

    Confidential

    Detroit, MI
    5 days ago
  •  ...Vice President, Medical Affairs About the Company Industry-shaping mobile application empowering employees to improve heart health...  ...Responsibilities include translating evidence into clear, defensible market claims and commercial materials, supporting customer and partner... 
    Claims

    Confidential

    Detroit, MI
    5 days ago
  •  ...Vice President of Product, Interoperability About the Company Globally-recognized payment integrity & transaction analytics company...  ...subject matter expertise in payer/provider interoperability and claims processing operations is essential, with a strong preference for... 
    Claims
    Contract work

    Confidential

    Detroit, MI
    5 days ago
  •  ...Vice President of Commercial Strategy About the Company Innovative healthcare technology (HealthTech) company providing cloud-based...  ...Insurance Specialties clinical and quality outcomes claims and payment integrity healthcare data insights predictive... 
    Claims

    Confidential

    Detroit, MI
    3 days ago
  •  ...Vice President, Law Firm Professional Services About the Company Leading provider of a legal management software solution Industry...  ...immigration legal document management legal billing claims litigation and in-house legal Business Classifications... 
    Claims

    Confidential

    Detroit, MI
    5 days ago
  •  ...Vice President of Medical Economics About the Company Healthcare organization focused on medical cost analytics and value-based care...  ...performance strategy. The role oversees analysis of healthcare claims, utilization, risk, and provider performance to identify opportunities... 
    Claims

    Confidential

    Detroit, MI
    5 days ago
  •  ...Vice President of Sales About the Company Leading organization specializing in claims management solutions Industry Hospital & Health Care Type Privately Held, VC-backed Founded 2006 Employees 1001-5000 Categories ~ Health Care Specialties... 
    Claims
    Contract work
    Work at office

    Confidential

    Detroit, MI
    5 days ago
  •  ...Associate Vice President, Workers' Compensation Claims About the Company Leading insurance carrier hiring a senior workers' compensation claims leader Industry Insurance Type Privately Held About the Role The Company is seeking an Associate Vice... 
    Claims

    Confidential

    Detroit, MI
    5 days ago
  •  ...Associate Vice President, Workers' Compensation Claims About the Company Leading insurance carrier hiring an AVP for workers' compensation claims Industry Insurance Type Privately Held About the Role The Company is seeking an Associate Vice President... 
    Claims

    Confidential

    Detroit, MI
    5 days ago
  •  ...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

    Confidential

    Detroit, MI
    2 days ago
  •  ...Vice President & Associate General Counsel, Litigation About the Company Well-recognized operator of hospitals, nursing centers & other...  ..., and court proceedings. The role also oversees liability claims, settlement recommendations, legal reserves, litigation reporting... 
    Claims

    Confidential

    Detroit, MI
    5 days ago
  •  ...Vice President of People About the Company AI-driven infrastructure for payers, providers & value-based care organizations Industry...  ...consulting predictive modeling data management adjudication neutral-arbitrator value-based contract adjudication... 
    Contract work

    Confidential

    Detroit, MI
    5 days ago
  •  ...insurance policies and procedures. The billing specialist will be responsible for accurately and efficiently processing insurance claims, following up on outstanding balances, and ensuring timely reimbursement for services provided.Key ResponsibilitiesVerify insurance... 
    Claims

    Mawahib Recruiting

    Dearborn, MI
    1 day ago
  •  ...Job DescriptionJob DescriptionThe Dental Biller manages accurate and timely billing operations, from insurance verification and claims submission through payment posting, patient billing, account reconciliation, and denial resolution.ResponsibilitiesSubmit dental insurance... 
    Claims

    Lincoln Park Dentistry

    Lincoln Park, MI
    5 days ago
  •  ...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: Strong... 
    Claims

    Joan Warner State Farm Agent

    Redford, MI
    5 days ago
  •  ...front office operations including scheduling, patient flow, and staff coordination Manage patient billing, insurance verification, claims submission, and accounts receivable Recruit, train, and supervise front desk and administrative staff Ensure compliance with... 
    Claims
    Work at office

    Restoration Dental

    Southfield, MI
    9 days ago
  • A leading claims adjustment firm is seeking Independent Insurance Claims Adjusters in Southfield, Michigan. This role offers a dynamic career path with opportunities for growth, flexibility, and competitive compensation. Successful candidates will assist individuals and... 
    Claims
    Flexible hours

    MileHigh Adjusters Houston

    Southfield, MI
    2 days ago
  • A claims adjusting company is seeking Independent Insurance Claims Adjusters in Detroit, MI to support disaster recovery efforts. This rewarding career offers training programs tailored for both new and experienced adjusters. You will assist clients during crises, achieve... 
    Claims
    Flexible hours

    MileHigh Adjusters Houston

    Detroit, MI
    4 days ago
  • $60k - $90k

     ...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:Strong... 
    Claims
    Work at office

    Matt Arce - State Farm Agent

    Berkley, MI
    5 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!