VP, Claims Adjudication

Pie's mission is to empower small businesses to thrive by making commercial insurance affordable and as easy as pie. We leverage technology to transform how small businesses buy and experience commercial insurance. As the Vice President of Claims Adjudication, reporting to the Chief Claims Officer, your purpose will be to collaborate in the design and execution of Pie's claims strategy and programs. In this role, you will lead Pie's claims adjudication function, ensuring the delivery of optimal claim outcomes and exceptional customer experiences.

Responsibilities

Lead and oversee claims adjudication function across all jurisdictions; Plan and direct all aspects of claims adjudication operations; Implement claims programs for workers' compensation; Serve as lead claims adjudication authority; Direct quarterly review and settlement of large loss and catastrophe claims; Develop and guide claims adjudication procedures and policies; Collaborate with Chief Claims Officer on claims strategy; Determine claims adjudication team organizational structure, expectations, and KPIs; Build and track budgets for headcount planning and operational expenses; Ensure compliance with regulatory requirements across multiple jurisdictions; Champion adoption of innovative technologies and processes; Collaborate cross-functionally with other departments

Requirements

15+ years of experience with workers' compensation claims, field claims operations, and claims adjudication; 10+ years of people management experience with a track record of developing next-generation leaders; Experience building and managing claims adjudication teams of 15+, with demonstrated success in developing leaders who have advanced in their careers; Must have 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 with experience 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 that impact overall company objectives; Proven ability to contribute strategic insight to the business and collaborate on enterprise claims strategy; Ability to inspire and influence others, creating a motivating environment that helps people through change in a positive manner; Fosters open communications, continuous improvement, and innovation while maintaining stability; Possesses necessary determination and urgency to drive understanding and adoption of new systems, governance and transformation; Ability to fluidly and effortlessly navigate various scenarios, modeling core shared values to all stakeholders, being decisive, and showing true ownership mentality; Superior oral and written communication skills with ability to present to C-suite executives and external stakeholders; Proven ability to represent the organization externally as claims subject matter expert; Experience in crisis communication and managing high-stakes stakeholder relationships

Benefits

Comprehensive health plans; Generous PTO; Future focused 401k match; Generous parental and caregiver leave; Core values reflected in work; Discretionary bonuses if eligible