Amwins · 2 weeks ago
Vice President, Claims
Scottsdale, AZ
Full-time
Hybrid
Mid, Senior Level
5+ years expAmwins is seeking a Vice President of Claims to provide strategic direction and oversight to Stealth’s Claims Department. The role focuses on developing effective systems and procedures, ensuring operational excellence, and upholding high service standards.
Insurance
Responsibilities
Defines a clear vision aligned with organizational goals, setting short-term priorities for process optimization and immediate performance improvements
Oversees process workflows to ensure scalability, efficiency, quality, and integration of technology-based solutions
Responsible for owning and leading the end-to-end development, implementation, and enforcement of claims policies and procedures with a focus on Stop Loss interpretation and contract compliance
Proactively assesses regulatory and industry changes, translating them into departmental policy adjustments and training
Build strong relationships with internal and external partners to ensure seamless service delivery. Promote a culture of accountability, innovation, and continuous improvement
Accountable for the training and professional development of Claims Department staff
Drive cross-location process alignment to enhance consistency, streamline workflows and improve overall operational performance
Provide subject matter expertise on complex claims issues and guide internal teams to resolution
Other duties and projects as needed
Qualification
Required
5+ years in a Senior Leadership role
Exceptional leadership, analytical, and communication skills
A proven track record of building and mentoring teams, including indirect reports and cross-departmental collaboration
Deep knowledge of Stop Loss contract terms, exclusions, reimbursement protocols, and industry best practices including HIPAA, PHI, COBRA, and ACA standards
Proven track record implementing and maintaining production environment standards that focus on quality control and maximizing efficiencies to drive timely execution of deliverables
Strong technical aptitude with experience working within all Microsoft Office programs (Excel, Outlook, SharePoint, Teams etc.) and data reporting tools
Preferred
10+ years working in Group Benefits Claims with Stop Loss experience
Bachelor's degree strongly preferred but not required
Proven experience managing complex claims portfolios, including high-dollar reimbursements and escalated case reviews
Benefits
Flexibility: Enjoy a hybrid work environment with flexible scheduling options.
Comprehensive Benefits: Access a competitive benefits package from day one, including generous Paid Time Off (PTO) and paid holidays.
Continual Learning: Thrive in a collaborative, education-focused work environment.
Annual Bonus Program: Earn incentives through our performance-based bonus program, designed to reward you for achieving key goals and contributing to the company's success.
Company
Amwins
Amwins is the largest wholesale distributor of specialty insurance products and services in the U.S.
5001-10000 employees
Funding
Current Stage
Late StageLeadership Team
Scott Purviance
Chief Executive Officer
Darin Stafford
Chief Financial Officer
Recent News
The Business Journals
2024-04-25
Insurance Business America
2024-04-25
2024-04-25
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