VP, Claims Adjudication

7 hours, 36 minutes ago
Full-time
Executive
Operations
Pie Insurance

Pie Insurance

Pie Insurance is a company that specializes in providing affordable and easy-to-access small business insurance, including workers' compensation and commercial auto coverage. Their data-driven technology ensures excellent coverage at competitive prices...

Insurance
251-1K
Founded 2017
$630M raised

Description

  • Lead and oversee Pie's claims adjudication function across all jurisdictions.
  • Plan and direct daily and long-term claims adjudication operations.
  • Implement claims programs for workers' compensation.
  • Serve as the lead claims adjudication authority on the executive team.
  • Direct the quarterly review and settlement of large loss and catastrophe claims.
  • Develop and refine claims adjudication procedures and policies.
  • Collaborate with claims leadership on claims strategy and enterprise initiatives.
  • Define team structure, goals, KPIs, and organizational expectations for claims adjudication.
  • Lead, coach, and develop Directors and Senior Managers within the adjudication organization.
  • Manage budgeting, fiscal reporting, and performance metrics for the function.
  • Partner with technology and product teams on claims automation and digital transformation.
  • Ensure regulatory compliance, fraud oversight, and risk management across multiple jurisdictions.

Requirements

  • 15+ years of experience in workers' compensation claims, field claims operations, and claims adjudication.
  • 10+ years of people management experience with a track record of developing leaders.
  • Experience building and managing claims adjudication teams of 15+ people.
  • Must have experience managing second-line managers, including Directors and Senior Managers.
  • Expert knowledge of disputed and litigated claims across multiple jurisdictions.
  • Senior leadership experience in the insurance industry.
  • Strong analytical skills and deep understanding of claims metrics and best practices.
  • Proven ability to contribute strategic insight and collaborate on enterprise claims strategy.
  • Superior oral and written communication skills with experience presenting to C-suite executives and external stakeholders.
  • Experience in crisis communication and managing high-stakes stakeholder relationships.
  • Remote role requiring U.S. residency and reliable high-speed internet.
  • Experience representing an organization externally as a claims subject matter expert (preferred).

Benefits

  • Base compensation range of $200,000 to $260,000 USD.
  • Competitive cash compensation.
  • Comprehensive health plans.
  • Generous PTO.
  • Future-focused 401(k) match.
  • Generous parental and caregiver leave.
  • Discretionary annual bonuses for eligible team members.
  • Remote work within the United States (territories excluded).

Interested in this position?

Apply directly on the company website

Apply Now

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