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 5 days ago
Similar jobs that could be interesting for youBased on the Vice President of Claims Adjudication in Detroit, MI vacancy
- ...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
- ...improvement initiatives Partner with Operations and technical leadership to improve first-pass yield, reduce nonconformances and customer claims, and address systemic manufacturing issues Maintain certification and customer compliance requirements while ensuring facilities...Claims
CiresiMorek
Detroit, MI2 days ago - ...Job Description Job Description The Vice President of Human Resources provides strategic leadership and operational oversight for all... ...agency inquiries, investigations, audits, and employment-related claims. Serve as a member of the executive leadership team and...ClaimsContract workLocal area
Ciena Health Care Management Inc
Southfield, MI2 days ago - ...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
$172k - $258k
The Senior Vice President, Specialty Claims will provide executive leadership for the strategy, growth, and market positioning of ESIS Specialty Claims. This leader will oversee sales and marketing initiatives, strengthen client and broker relationships, and advance the...ClaimsWork at officeLocal areaChubb
Detroit, MI11 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
- ...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 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, Learning & Development About the Company Recognized provider of business process outsourcing (BPO) services Industry... ...(bpo) social media support back-office processing claims management customer service escalations retention...ClaimsLocal area
- ...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, 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 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
- ...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
$200k - $250k
Most companies claim to have the best people. We say to them, "Keep dreaming." Our people are second to none. They set us apart with... ...top global Merchandise Agency to work for. The Divisional Vice President for Sales is a senior leadership role responsible for overseeing...ClaimsSummer workWork at officeLocal areaImmediate startRemote workRelocation1 day per week- ...A leading insurance adjusting company in Warren, Michigan, is seeking Licensed Claims Adjusters to meet the growing demand for storm-related claims assistance. This opportunity allows for significant growth, autonomy, and competitive compensation. The company provides...ClaimsFlexible hours
MileHigh Adjusters Houston
Warren, MI3 days ago - ...A leading claims adjusting firm in Allen Park, Michigan, seeks Independent Insurance Claims Adjusters to join their team. This opportunity offers a career path with flexibility and competitive compensation. The firm provides comprehensive training, allowing both newcomers...Claims
MileHigh Adjusters Houston
Allen Park, MI2 days ago - ...A leading insurance adjusting firm is seeking Licensed Claims Adjusters to join their team in Michigan. This role offers a chance to help clients rebuild their lives after disasters. Candidates are encouraged regardless of experience level, as comprehensive training programs...Claims
MileHigh Adjusters Houston
Berkley, MI3 days ago - ...A leading claims adjusting organization in Oak Park, Michigan, is seeking dedicated Independent Insurance Claims Adjusters. This role offers a flexible career path with opportunities for professional development and training. As a licensed claims adjuster, you’ll play...ClaimsFlexible hours
MileHigh Adjusters Houston
Oak Park, MI3 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 Responsibilities Verify...ClaimsFull time
Mawahib Recruiting
Dearborn, MI3 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...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 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...ClaimsFlexible hours
- ...Unemployment Claims CoordinatorIt's fun to work in a company where people truly BELIEVE in what they're doing!We're committed to bringing passion and customer focus to the business.Oversee unemployment insurance function on behalf of HR-1 customers to control unemployment...ClaimsLocal area
HR-1, Corp
Warren, MI4 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...
$55k - $70k
...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...ClaimsJoe Vitale - State Farm Agent
Wyandotte, MI3 days ago- ...simply being handed documentation expectations and expected to navigate them alone. Dedicated Billing Support: A billing team handles claim submission and reimbursement-related administrative functions. That means your primary responsibility remains clinical care—not...Claims
McCulloh Consulting
Taylor, MI2 days ago $50k - $70k
...developmentResponsibilities: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 contractorsWork at officeSam Quisenberry - State Farm Agent
Southgate, MI3 days ago$55k
...Revenue Cycle team. This role requires strong experience in healthcare or behavioral health billing and involves managing insurance claims, resolving denials, monitoring authorizations, and ensuring timely reimbursement using the CentralReach platform. Compensation &...ClaimsFull timeTemporary workWork at officeRemote workHealing Haven Spa
Madison Heights, MImore than 2 months ago- ...reimagined Henry Ford academic healthcare campus. Job Description Shape the Financial Future of Healthcare Excellence As Vice President, Chief Accounting Officer (CAO) at Henry Ford Health, you'll be the architect of financial integrity and governance for one of...Full timeLocal area
Henry Ford Health
Detroit, MI12 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 data science Detroit, MI
- vice president global procurement Detroit, MI
- vice president research and development Detroit, MI
- vp lending Detroit, MI
- vp infrastructure Detroit, MI
- vice president global communications Detroit, MI
- vice president public policy Detroit, MI
- vice president corporate communications Detroit, MI
- vice president shared services Detroit, MI
- vice president of operations Detroit, MI