Responsibilities
The Assistant Vice President, Claims is responsible for the leadership, management, and operational performance of the Claims Department. Reporting to the Vice President, Claims, this role oversees claim operations, staff development, quality assurance, compliance, vendor management, and claim outcomes to ensure efficient, consistent, and customer-focused claim handling. The AVP partners closely with the VP, Claims to execute departmental strategy, drive operational excellence, manage loss costs, and support organizational objectives. This position serves as a key leader within the Claims organization, fostering a culture of accountability, collaboration, and continuous improvement.
Responsibilities
- Lead the day-to-day operations of the Claims Department, ensuring timely, accurate, and customer-focused claim handling.
- Directly manage and develop claims leaders and staff, including performance management, workforce planning, succession planning, and employee development.
- Execute the strategic direction established by the VP, Claims and provide recommendations to improve departmental performance and effectiveness.
- Monitor claim handling quality, reserving practices, litigation management, and settlement authority to ensure sound claim outcomes.
- Analyze operational metrics, trends, and claim results to identify opportunities for improvement and recommend corrective actions.
- Partner with the VP, Claims on departmental planning, budgeting, staffing, and operational initiatives.
- Ensure compliance with regulatory requirements, company policies, claim handling standards, and reporting obligations.
- Oversee claim audits, quality reviews, and continuous improvement initiatives to promote consistency and operational excellence.
- Manage relationships with defense counsel, TPAs, independent adjusters, medical management vendors, and other external partners.
- Collaborate with underwriting, actuarial, finance, legal, compliance, and other stakeholders to support organizational goals and customer service objectives.
- Provide leadership and guidance on complex, high-exposure, and litigated claims.
- Represent the Claims Department in cross-functional projects and organizational initiatives.
- Foster a culture that emphasizes accountability, engagement, collaboration, service excellence, and continuous learning.
- May perform other functions as assigned
Qualifications
- CPCU, AIC, SCLA, or other relevant professional designations preferred.
- 10+ years of progressive claims experience.
- 5+ years of claims leadership experience managing leaders and/or large claims teams.
- Strong knowledge of claim operations, coverage analysis, litigation management, reserving, regulatory compliance, and claims best practices.
- Proven ability to lead teams, improve operational performance, and drive employee engagement.
- Strong analytical, communication, and relationship management skills.
- Demonstrated ability to influence outcomes and collaborate effectively across the organization.
Education
- Bachelor's degree required; insurance or business-related field preferred.
The company offers a competitive compensation plan and robust benefits package for full time regular employees. Base salary & Benefits include Health, dental, vision, life, disability, wellness, paid time off, 401(k) and profit-sharing plans. Salary Range: $150K - $180K The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment.
