Divisional Vice President of Health Claims; Hybrid

Job Description Divisional Vice President of Health Claims (Hybrid)

Primary Duties & Responsibilities At Globe Life, we are committed to empowering our employees with the support and opportunities they need to succeed at every stage of their career. We take pride in fostering a caring and innovative culture that enables us to collectively grow and overcome challenges in a connected, collaborative, and mutually respectful environment that calls us to help Make Tomorrow Better.

Could you be our next Divisional Vice President of Health Claims
? Globe Life is looking for a Divisional Vice President of Health Claims to join the team! This role is responsible for leading and overseeing the health claims portfolio for Globe Life's limited benefit health products across all Divisions, including strategic and operational leadership for health claim adjudication. The role oversees the implementation of a transformative new claims adjudication system enterprise-wide and provides Third Party Administrator (TPA) oversight for a designated division, ensuring performance standards, compliance, and service quality are consistently met.

This position also cultivates a culture of trust, engagement, and development within a long-tenured team navigating significant organizational change, while partnering cross-functionally to ensure standardized processes, regulatory compliance, and continuous improvement across Globe Life's health insurance lines.

This is a hybrid position located in McKinney, Texas (WFH Monday & Friday, In Office Tuesday-Thursday).

• Oversee the end-to-end health claims portfolio for limited benefit health products across all Divisions, ensuring operational excellence, regulatory compliance, and adherence to organizational policies.
• Direct the accurate and timely adjudication of health claims, maintaining quality standards and service level agreements (SLAs) across all teams.
• Direct and implement forecasting and capacity planning strategies to ensure appropriate staffing levels and workload management.
• Develop contingency plans to sustain operations during challenging circumstances, including staffing shortages, high claim volumes and system transitions.
• Establish, monitor, and report on key performance indicators (KPIs) including claims turnaround time, quality scores, SLAs, and customer satisfaction metrics.
• Lead, mentor, and develop a long-tenured claims team through a period of significant organizational transformation, fostering a culture of trust, accountability, and continuous improvement.
• Build strong relations with team members at all levels, serving as a visible, accessible, and supportive leader who champions their people while driving necessary change.
• Set clear performance expectations, create accountability structures, and provide ongoing coaching to elevate individual and team performance.
• Serve as a role model for professionalism, collaboration, and adaptability across the Claims organization.
• Advise Senior and Executive leadership on operational performance, trend analysis, best practices, issue resolution, and risk mitigation to support strategic decision-making.
• Develop and present complex data and operational performance, trend analysis, best practices, issues resolution, and risk mitigation to support strategic decision-making.
• Develop and present complex data and operational insights to key stakeholders in a clear, compelling manner that influences acceptance of strategic recommendations.
• Develop and interpret regular and ad hoc reports to identify issues requiring escalation to Senior management.
• Collaborate cross-functionally to implement claims initiatives that improve departmental and enterprise-wide best practices.
• Build and maintain relationships with key internal and external stakeholders, including regulatory agencies and business partners, to support compliance and operational alignment.
• Assist with responding to regulatory inquiries and ensure the organization remains current with regulatory changes and industry trends affecting health claims.

• Bachelor’s degree in business administration, Health Administration, Health Management, Finance or a related field
• Minimum of 10 years of progressive experience in health claims operations, with at least 5 years in a senior leadership or management role
• Minimum of 10 years of progressive experience in health claims operations, with demonstrated expertise in limited benefit, supplemental, or similar health insurance products.
• Minimum of 7-10 years in a people leadership or management role, with direct experience leading managers and multi-layered teams.
• Demonstrated experience leading teams through organizational change, including system implementations, process redesigns, or cultural transformation.
• Proven track record of building and sustaining high-performing teams, including performance management, coaching, and development of long-tenured staff.
• Experience overseeing or collaborating with Third Party…