Job Description
📋 Description Lead the overall claims adjudication function across multiple jurisdictions, ensuring efficient Develop and execute claims adjudication strategies aligned with broader business objectives and Establish policies, procedures, and best practices that improve claim investigations, evaluations Oversee the management of complex, litigated, catastrophic, and high-value claims while ensuring Build, lead, and develop a high-performing organization of Directors, Senior Managers, and claims Define organizational structures, KPIs, workforce planning, and operational goals that support 🎯 Requirements 15+ years of experience in workers' compensation claims, claims adjudication, and field claims 10+ years of progressive leadership experience managing large claims organizations and developing Demonstrated success managing second-line leaders, including Directors and Senior Managers. Deep expertise in workers' compensation regulations, disputed and litigated claims, and Proven ability to design and execute strategic claims initiatives that improve operational Strong understanding of claims analytics, KPIs, budgeting, forecasting, and performance management. 🎁 Benefits Salary: $200,000–$260,000 USD annually. Performance-based discretionary bonus opportunities. Comprehensive medical, dental, and vision healthcare coverage. 401(k) retirement plan with company matching. Generous paid time off. Paid parental and caregiver leave.
