VP, Claims Adjudication

The role

The Vice President of Claims Adjudication will lead the claims adjudication function and collaborate on the design and execution of the company's claims strategy. This role involves building and leading an adjudication organization, managing second-line managers, and driving digital transformation for claims processing.

What you will do

• Lead and oversee Pie's claims adjudication function across all jurisdictions.
• Plan and direct all aspects of claims adjudication operations.
• Implement claims programs for workers' compensation.
• Direct the quarterly review and settlement of large loss and catastrophe claims.
• Develop and guide claims adjudication procedures and policies.
• Collaborate with the Chief Claims Officer in the design and execution of Pie's overall claims strategy.
• Determine claims adjudication team organizational structure, expectations, and KPIs.
• Lead and develop a team of Directors and Senior Managers.
• Manage fiscal reporting and budgeting for the claims adjudication operation.
• Collaborate with technology leaders on the claims technology roadmap and vision for automation.

Required qualifications

• 15+ years of experience with workers' compensation claims, field claims operations, and claims adjudication.
• 10+ years of people management experience.
• Experience building and managing claims adjudication teams of 15+.
• Experience managing second-line managers (Directors and Senior Managers).
• Expert knowledge of managing disputed and litigated claims across multiple jurisdictions.
• Strong industry leadership track record in senior leadership roles across the insurance industry.
• Data-driven leader with broad knowledge of workers' compensation claims and claims adjudication best practices.
• Expert proficiency in analytical skills and understanding of claims metrics.
• Superior oral and written communication skills.
• Experience in crisis communication and managing high-stakes stakeholder relationships.
• Must live and work in the United States (territories excluded).
• Must have access to reliable, high-speed internet.

Benefits

• Competitive cash compensation
• Comprehensive health plans
• Generous PTO
• Future focused 401k match
• Generous parental and caregiver leave
• Discretionary bonuses to eligible team members

Before you apply

• Pie utilizes AI-powered tools to assist in the initial screening of applications.
• Pie may use AI assistant video tools during interviews.
• By submitting your application, you acknowledge and consent to Pie utilizing these AI technologies.

About the company

Pie leverages technology to transform how small businesses buy and experience commercial insurance. The company aims to empower small businesses to thrive by making commercial insurance affordable and easy.