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 5 days ago
Similar jobs that could be interesting for youBased on the Vice President of Claims Adjudication in Columbus, OH 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

    Confidential

    Columbus, OH
    3 days ago
  •  ...Kokosing is the winning team.Job Description:Position Summary: The Vice President of Risk is responsible for leading the enterprise-wide risk...  ...direction of all risk-related functions, including insurance, claims, contract risk and compliance, and loss prevention.The Vice... 
    Claims
    Full time
    Contract work
    For contractors
    For subcontractor
    Work at office

    Kokosing

    Westerville, OH
    3 days ago
  •  ...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

    Confidential

    Columbus, OH
    3 days ago
  •  ...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.... 
    Claims
    Contract work

    Confidential

    Columbus, OH
    2 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

    Columbus, OH
    4 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

    Columbus, OH
    3 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

    Columbus, OH
    4 days ago
  • $48k - $55k

    Tata Consultancy Services is seeking a Claims Manager to handle Absence case management and adjudication of claims. You will analyze claims, review medical information, and determine benefits due according to US regulations. The ideal candidate will have over 1 year of... 
    Claims

    Tata Consultancy Services

    Westerville, OH
    1 day ago
  •  ...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

    Confidential

    Columbus, OH
    3 days ago
  •  ...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

    Confidential

    Columbus, OH
    5 days ago
  •  ...us different and how you can thrive as a Business Insurance Vice President at Marsh McLennan Agency (MMA). MMA provides business insurance...  ...the sale, deliver policies Handle complex processing and claim situations with client and/or company personnel Assist... 
    Claims
    Work at office
    Local area
    Night shift
    Columbus, OH
    a month ago
  •  ...decisions and maintains a visible external presence with agents, brokers, and industry stakeholders. Partners closely with actuarial, claims, product, distribution, and technology teams to ensure the specialty portfolio is well-positioned, well-priced, and well-run.Key... 
    Claims
    Temporary work
    Local area

    Liberty Mutual

    Columbus, OH
    3 days ago
  • $259.78k - $397.28k

     ...Senior Vice President, Facilities OperationsThe Senior Vice President, Facilities Operations will be responsible for leading multiple facilities...  ...government, or against any individuals who assist or participate in the investigation of any complaint or discrimination claim.... 
    Claims
    Temporary work
    Work experience placement
    Local area
    Flexible hours

    QTS Realty Trust , Inc.

    New Albany, OH
    2 days ago
  •  ...manner: Greet patients, visitors and others upon entry Process prescriptions by performing data entry, adjudication of insurance claims, filling and providing medications to patients at pick-up Support the clinical staff with obtaining information for... 
    Claims
    Full time
    Traineeship
    Work at office
    Monday to Friday

    Heart Of Ohio Family Health Centers

    Columbus, OH
    4 days ago
  • $48k - $55k

    Overview To provide Absence case management and claim adjudications, based on medical documentation and the applicable Disability/FMLA/Paid Family Leave interpretation, including determining benefits due and making timely payments and adjustments. Responsibilities To... 
    Claims
    Temporary work

    Tata Consultancy Services

    Westerville, OH
    1 day ago
  • A leading training provider for insurance claims adjusters is seeking Licensed Claims Adjusters to join their thriving team in Westerville, Ohio. This role offers the flexibility to assist in disaster recovery while making a significant impact on people's lives. Whether... 
    Claims
    Flexible hours

    MileHigh Adjusters Houston

    Westerville, OH
    3 days ago
  •  ...Ready to lead healthcare where it matters most? We’re seeking an independently licensed Ohio clinician to step into the role of Vice President of Healthcare at our mission-driven FQHC. The VP of Healthcare provides executive leadership, strategic direction, and... 
    Full time

    Southeast Healthcare

    Columbus, OH
    8 days ago
  • CNA Insurance seeks an experienced claims professional to manage complex commercial claims with large exposures, following strict procedures to verify coverage, investigate, and disburse within authority. You will collaborate with partners, counsel, and experts to resolve... 
    Claims

    CNA Insurance

    Westerville, OH
    3 days ago
  •  ...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... 
    Claims
    Remote work

    Confidential

    Columbus, OH
    3 days ago
  • A leading claims adjustment firm is seeking Independent Insurance Claims Adjusters to join their team in Lewis Center, Ohio. This dynamic role allows you to help clients recover from disasters while enjoying flexibility and competitive compensation. The firm offers comprehensive... 
    Claims
    Flexible hours

    MileHigh Adjusters Houston

    Lewis Center, OH
    3 days ago
  • A leading claims adjustment service in Columbus, Ohio, is seeking independent insurance claims adjusters. This rewarding career allows you to help individuals and businesses recover from disasters, providing flexibility and competitive compensation. Comprehensive training... 
    Claims
    Flexible hours

    MileHigh Adjusters Houston

    Columbus, OH
    1 day ago
  •  ...representatives on an ongoing basis Train and coach reps on door-to-door sales, roof inspections, and how to navigate the insurance claims process Identify and address retention risks early; build loyalty through recognition, development, and clear career paths... 
    Claims
    Contract work

    Lifetime Quality

    Columbus, OH
    5 days ago
  •  ...Receivable Specialist to manage medical billing processes and ensure timely reimbursement. You will follow up on unpaid and partially paid claims, analyze denials to identify root causes, and correct and resubmit claims or prepare appeals as needed. You will proactively work... 
    Claims

    Columbus Arthritis Center

    Columbus, OH
    4 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... 

    Confidential

    Columbus, OH
    4 days ago
  • $18 - $24 per hour

     ...schedule appointments, and manage recalls Verify dental insurance benefits and eligibility Submit and follow up on insurance claims and pre-authorizations Explain treatment estimates and patient financial responsibilities Post payments, manage accounts receivable... 
    Claims
    Work at office

    Beecher Crossing Dental

    Columbus, OH
    5 days ago
  • $185k - $250k

     ...requirementsVerifies the accuracy of project financial forecast, notice provisions, and billings to meet contract requirements and resolve potential claims and deviationsEnsures team creates a project-specific quality plan aligned with the owner contract and contract documentsEnsures a... 
    Claims
    Contract work
    For contractors
    For subcontractor
    Work at office
    Local area

    Gilbane Building Company

    Columbus, OH
    1 day ago
  • Ohio State University Physicians in Columbus is seeking a Revenue Cycle Representative to handle insurance billing, claims processing, and denials management, contributing to accurate reimbursement and a smooth revenue cycle. The role requires a high school diploma with... 
    Claims

    Ohio State University Physicians

    Columbus, OH
    2 days ago
  •  ...Hancock Claims Consultants specialize in Ladder Assist and Property Inspection Services, collaborating directly with numerous insurance agencies for efficient claims management. At Hancock, we are at the forefront of claims resolution services, offering nationwide coverage... 
    Claims
    Permanent employment
    For contractors

    IANS

    Columbus, OH
    1 day ago
  • $185k - $309.5k

     ...requirementsVerifies the accuracy of project financial forecast, notice provisions, and billings to meet contract requirements and resolve potential claims and deviationsEnsures team creates a project-specific quality plan aligned with the owner contract and contract documentsEnsures a... 
    Claims
    Contract work
    For contractors
    For subcontractor
    Work at office
    Local area

    Gilbane Building Company

    Columbus, OH
    1 day ago
  • $141k - $250k

     ...requirementsVerifies the accuracy of project financial forecast, notice provisions, and billings to meet contract requirements potential claims; escalates to leadership of unresolved deviationsEnsures team creates a project-specific quality plan aligned with the owner... 
    Claims
    Contract work
    For contractors
    For subcontractor
    Work at office
    Local area

    Gilbane Building Company

    Columbus, OH
    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!