Vice President of Claims

CorVel Corporation; East Hartford (CT); Remote; USD 180,000 - 300,000; Full time

Benefits offered by this job

Medical benefits

401K plan

Paid time off

Parking and transit benefits

Job summary

CorVel Corporation is seeking a strategic Vice President of Claims to lead the claims organization, drive staff development, and ensure quality and customer satisfaction across national accounts. This remote role requires strong analytical, leadership, and collaboration skills to align operations with corporate objectives and growth initiatives.

You will partner with Sales, IT, HR and Finance to implement policies, monitor performance, and support RFP responses and new business opportunities

Qualifications

• Bachelor’s Degree or 10+ years of equivalent experience in a complex healthcare, insurance, or third party claim organization with significant project management expertise.
• Significant industry experience and deep understanding of CorVel’s proprietary systems and solutions

Responsibilities

• Lead and manage the claims organization to meet market profit and revenue goals.
• Grow market share through customer satisfaction and retention.
• Partner with Sales, Marketing and cross-functional teams on client presentations and proposals.
• Ensure compliance with CorVel standards and continuous improvement.
• Provide staff development and training to claims team.
• Oversee budgeting, reporting, and resource allocation.
• Collaborate with IT, HR, Legal, and Finance to develop solutions and processes.

Skills

Leadership

Communication

Analytical skills

Time management

Travel overnight

MS Office

Education

Bachelor’s Degree in Business Administration or related field

10+ years experience in complex healthcare/insurance claims

Tools

Microsoft Office Suite

Job description

The Vice President of Claims will execute on the strategic goals and vision of the company. This includes the management and Development of staff and revenue. This role requires a high level of analytical, interpersonal, and organizational skills and will be responsible for claims quality, customer satisfaction and retention.The VP of Claimswill also identify, facilitate and participate in essential strategic projectsforoperational improvement as well as support and directly participate in sales presentations/RFP responses and the development of opportunities to promote the company’s overall growth.

This is a remote role.

ESSENTIAL FUNCTIONS& RESPONSIBILITIES:

• Position shares responsibility for meeting and exceeding market profit and revenue goals annually
• Position shares responsibility to grow market share through accountability for customer satisfaction and retention
• Participates in Marketing and Sales presentations of prospective clients and cross selling efforts of existing customers
• Executes corporate objectives by implementing policies, procedures, and practices in compliance with CorVel’s Corporate and Quality Standards
• Partners with other Claims Leaders to determine the most effective methods for addressing opportunities; collaborates with other stakeholders to ensure ongoing improvement
• Partners with Area Vice President to develop/maintain financial analysis practices for operational budgeting and staffing
• Supports national claims leadership in all aspects of strategy development, alignment and implementation
• Collaborates with support functions (IT, HR, Legal, Finance) to develop comprehensive solutions, tools and processes for the claims operation
• Sets and manages office benchmarks in key performance areas
• Provides consistent technical claims training to the claims team
• Ensure compliance with CorVel best practices to promote excellent customer service and instill a culture and mindset that drives continuous improvement
• Responsible for office(s) carrier compliance, department of insurance compliance, licensing, and responses to client performance concerns
• Reviews and approves claims payments in line with assigned claims approval authority levels
• Has direct reporting of Claims Supervisors and Claim Managers based on the organizational structure of the operation
• Ultimate responsibility for business unit’s quality performance: must lead office(s)/employees to achieve performance goals
• Conducts regular staff meetings; sets goals, provides operational review and learning opportunities
• Supervises, monitors, and controls the activities of the claims teams to attain specific objectives by developing and updating operating procedures, allocating resources, and/or work assignments
• Conducts or arranges training for claims teams, as needed
• Conduct regular 1:1 meetings with direct reports to review operational health
• Advises, mentors, and counsels management team, as needed
• Some overnight travel to attend meetings
• Additional duties as assigned

KNOWLEDGE & SKILLS:

• Excellent written and verbal communication skills necessary for customer contact, negotiation, presentations, project management, and personnel management
• Effective quantitative, analytical and interpretive skills
• Excellent leadership skills, with a demonstrated ability to motivate staff and obtain results through teamwork
• Ability to function effectively under time constraints, consistently meet deadlines and handle multiple tasks in a demanding work environment
• Ability to identify priorities, execute and multitask in a dynamic, fast-paced environment
• Ability to travel overnight and attend meetings
• Ability to remain poised in stressful situations and communicate diplomatically via various communication channels
• Strong proficiency in Microsoft Office Suite is required
• Strong interpersonal, time management, project management and organizational skills
• Ability to maintain a high level of professionalism
• Knowledge of the entire claims administration procedures

EDUCATION & EXPERIENCE:

• Bachelor’s Degree with course concentration in Business Administration, or related field; or 10+ years of equivalent combination of education and experience in a complex healthcare, insurance, or third party claim organization with significant project management expertise
• Must have significant industry experience and a deep understanding of CorVel’s proprietary systems and solutions

PAY RANGE:

CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time.

For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process.

In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first.

ABOUT CORVEL:

CorVel, a certified Great Place to Work Company, is a national provider of industry-leading risk management solutions for the workers’ compensation, auto, health and disability management industries. CorVel was founded in 1987 and has been publically traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients. We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities. Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!).

A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off.

CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.For further information, please review the Know Your Rights notice from the Department of Labor.