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Open Position: Vice President of Claims

Job Title:   Vice President of Claims

Department: Claims

FLSA Status: Exempt

Position Reports to:  Chief Claim Officer

Summary:

The Vice President of Claims is a senior leadership role responsible for overseeing and guiding Claims Organization. This position plays a critical role in shaping strategic and operational objectives to drive the growth and profitability of the claims organization. The Vice President will lead technical and administrative claims functions, mentor and develop claims professionals, and ensure the delivery of high-quality service aligned with industry best practices.

Experience working with New York public schools and understanding their unique claims environment is essential for this role.

Essential Functions and Responsibilities:

  1. Develop and implement comprehensive claims strategies to optimize workflow, reduce processing times, and enhance customer satisfaction.
  2. Analyze claims data, identify trends, and implement data-driven solutions to improve claims management processes.
  3. Provide strategic leadership and mentorship to the claims team, fostering a culture of continuous improvement and professional development.
  4. Ensure compliance with all relevant insurance regulations and industry best practices.
  5. Contribute to the overall business strategy and decision-making process
  6. Provide technical leadership across all claims adjusted internally and through subcontracted TPAs.
  7. Analyze and manage budget drivers, cost metrics, and claim performance indicators.
  8. Serve as subject matter expert for high-severity liability, contractual, and coverage exposures.
  9. Liaise with insurance carriers on litigation and complex claims matters.
  10. Partner with the Operations Manager to ensure compliance with carrier standards and regulatory requirements.
  11. Oversee claims training programs and ensure statutory compliance.
  12. Collaborate with the Chief Claims Officer to define and execute claims vision and objectives.
  13. Collaborate with Underwriting, Marketing, and Risk Management to align departmental goals with company strategy.

Knowledge, Skills, and Abilities:

  • Bachelor’s degree required; advanced degree in management or law preferred.
  • Professional insurance designations (e.g., CPCU, AIC) strongly preferred.
  • Minimum of 15 years of progressive leadership experience in claims management.
  • Proven experience working with New York public schools or similar public sector entities.
  • Exceptional written and verbal communication skills.
  • Strong analytical and data interpretation capabilities.
  • Detail-oriented with the ability to work independently and manage multiple priorities.
  • Demonstrated leadership and team-building abilities.
  • Experience in a TPA environment preferred.
  • Skilled in managing complex customer relationships with professionalism and tact.
  • High emotional intelligence and critical thinking ability.
  • Track record of achieving strategic goals and driving organizational growth.
  • Potential for advancement beyond current role.

Hours: Full-time, EST
Compensation: $150,000 – $255,000
Location: Cortland, NY or Remote within New York State