Vice President of Claims

CorVel Career Site•Dallas, TX

3d•Hybrid

About The Position

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. This position will be responsible for claims quality, customer satisfaction and retention. This role will also identify, facilitate and participate in essential strategic projects in support of operational improvement. The Vice President of Claims will support and directly participate sales presentations/RFP responses and the development of opportunities to support the company’s overall growth. This is a hybrid position.

Requirements

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 travel overnight and attend meetings.
Ability to remain poised in stressful situations and communicate diplomatically via telephone, computer, fax, correspondence, etc.
Computer proficiency and technical aptitude with the ability to utilize common computer applications.
Strong interpersonal, time management, project management and organizational skills.
Ability to maintain a high level of tact and professionalism.
Knowledge of the entire claims administration procedures.
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.
Strong proficiency in Microsoft Office Suite is required
Excellent written and verbal communication; demonstrated ability to provide superior service to internal and external stakeholders
Ability to identify priorities, execute and multitask in a dynamic, fast paced environment.

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 and collaborates 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 ensure 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.
Performs other duties, as assigned
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
Orient, trains or arranges training of claims teams, as appropriate
Conduct regular 1:1 meetings with direct reports to review operational health
Advises, mentors, and counsel’s management team, as necessary