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AVP, Healthcare Claims

Job in California, Moniteau County, Missouri, 65018, USA
Listing for: Jobtailor
Full Time position
Listed on 2026-07-31
Job specializations:
  • Insurance
    Underwriter, Insurance Analyst, Insurance Claims, Risk Manager/Analyst
Salary/Wage Range or Industry Benchmark: 150000 - 230000 USD Yearly USD 150000.00 230000.00 YEAR
Job Description & How to Apply Below
Location: California

Responsibilities

  • Manage U.S. Healthcare claims, related systems, and core processes
  • Evaluate exposures and make substantive claim decisions on complex healthcare claims and, as needed, other lines of business
  • Provide sophisticated coverage, liability, and damages analysis, while identifying trends and emerging exposures affecting the portfolio
  • Support underwriting through legal review, policy drafting, and timely, accurate exposure reporting to underwriting and management
  • Ensure clear, timely preparation and distribution of narrative and financial claim reports
  • Contribute to the Global Claims Team by partnering across regions and functions on strategic projects, industry engagement, complex claims, and other management-directed responsibilities, including travel as needed
Requirements
  • Minimum of 10 years’ experience in handling claims involving Healthcare Liability with a career history of increasing responsibility
  • Law degree required, preference will be given if experience was at both a law firm and with an insurance carrier
  • Adjusters license required
  • Strong preference for candidate who has pursued or is in the process of pursuing an insurance related designation, e.g., RPLU or CPCU
  • Demonstrated ability to establish close working relationship with other departments including underwriting & actuarial
  • Strong negotiating, analytical, written, and organizational skills
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