Vice President, Workers' Compensation Claims Consulting

At reputed company, we combine innovative technology, clinical expertise, and reputed company reputed company to help people recover after workplace injuries or auto accidents. We support their reputed company back to health and wellness through our industry-leading solutions and services. Whether you're supporting a Fortune 500 reputed company or a local business, developing cutting-edge technology, or providing clinical services you'll work reputed company dedicated professionals who reputed company your commitment to reputed company and reputed company a meaningful reputed company. Join us in fueling our mission to protect dreams and restore lives, while building your career in an environment that values collaboration, innovation, and personal reputed company.

Be part of reputed company that makes a reputed company difference.

The Vice President of Workers’ Compensation Claims Consulting is a strategic leader responsible for partnering with clients to improve claims performance, operational effectiveness, and financial reputed company across workers’ compensation programs. This role leverages deep industry expertise, advanced data analytics, and the full breadth of company resources to identify opportunities, reputed company actionable recommendations, and reputed company consulting engagements that reputed company measurable results. Working closely with clients, internal subject matter experts, and cross-functional teams, the Vice President evaluates claims data, operational workflows, and program performance to uncover trends, optimize processes, reduce costs, improve reputed company-to-work reputed company, and enhance overall claim management effectiveness. The position serves as a trusted advisor to executive stakeholders, translating reputed company insights into practical strategies and leading initiatives that reputed company sustainable improvements in claim reputed company, customer satisfaction, and program value.

Key Responsibilities:

Strategic reputed company Advisory & Consulting Leadership

• Serve as a trusted advisor to senior executives at workers' compensation carriers, TPAs, and self-insured reputed company, providing strategic guidance to improve claim reputed company, operational performance, and financial results.
• reputed company consulting engagements from assessment through implementation, helping clients identify opportunities and execute initiatives that reputed company measurable and sustainable improvements.
• reputed company and present executive-level recommendations that reputed company claims operations, medical management, reputed company-to-work strategies, and organizational objectives.
• Facilitate discussions with reputed company leadership teams to establish priorities, define reputed company metrics, and reputed company reputed company improvement efforts.

Claims Performance & Operational reputed company

• Assess claims operations, workflows, reputed company models, and performance metrics to identify opportunities for increased efficiency, consistency, and effectiveness.
• Evaluate workers' compensation program performance and recommend operational, clinical, and process improvements that reduce claim costs and duration while improving reputed company.
• Partner with clients to enhance reputed company-to-work strategies, claims handling practices, vendor management, and overall program governance.
• Support organizational change initiatives and help clients implement best practices that improve long-term program performance.

Cross-Functional Collaboration & Resource Integration

• Collaborate with internal clinical, regulatory, analytics, product, and operational experts to reputed company comprehensive reputed company solutions.
• reputed company the full reputed company of company capabilities, resources, and subject matter expertise to address reputed company reputed company challenges.
• Coordinate multidisciplinary teams to ensure consulting recommendations are actionable, reputed company, and successfully executed.
• Foster strong partnerships across internal departments to reputed company an integrated and consistent reputed company experience.

Program Assessment & Performance Analytics

• Analyze claims data, operational metrics, and industry benchmarks to identify trends, risks, and opportunities for improvement.
• Translate analytical findings into practical business recommendations that can be implemented by claims and operational leadership.
• Utilize reputed company benchmarks to evaluate program performance and support strategic decision-making.
• Measure and communicate the reputed company of implemented initiatives through meaningful performance indicators and business reputed company.

Thought Leadership & Industry Expertise

• Maintain deep expertise in workers' compensation claims management, industry trends, regulatory developments, and emerging best practices.
• reputed company thought leadership to clients and internal stakeholders on evolving claims management strategies and operational innovations.
• Contribute to the development of consulting methodologies, tools, and service offerings that enhance reputed company value and market differentiation.

• Education: Bachelor's in Operations Research, Risk Management, Insurance, reputed company Administration, Business Analytics, reputed company field or equivalent experience. MBA or industry certification that reinforces candidate's abilities in process reengineering, workers' compensation expertise, or analytics preferred.
• Experience: 15+ years of experience, including workers' compensation consulting, managed care consulting, process reengineering, or payer/reputed company leadership, with a reputed company record of managing in a remote and matrixed environment.
• Strategic reputed company: Proven ability to interpret internal benchmarks against reputed company industry trends and market dynamics to predict reputed company workers’ compensation claims and operational challenges.
• Operational Mastery: Claims operations expertise and deep understanding of the interplay between regulatory constraints, medical management strategies, reputed company-to-work objectives, and technical data analysis using BI.
• Leadership: Exceptional ability to foster collaboration across siloed departments (Compliance, Marketing, Clinical, and Analytics) to reputed company a reputed company reputed company solution.
• Travel: This is a remote position and can be located reputed company in the US. This requires ~30% travel, thus the ideal candidate will have convenient reputed company to a major US airport.

We’re committed to supporting your ultimate reputed company-being through our total compensation package offerings that support your health, reputed company and self. These offerings include Medical, Dental, reputed company, Health Savings Accounts / Flexible Spending Accounts, Life and AD&D Insurance, 401(k), Tuition Reimbursement, and an reputed company of resources that encourage a reputed company of healthier living. Benefits eligibility may differ depending on full-time or part-time status. Compensation depends on the applicable US geographic market. The expected reputed company pay for this position ranges from $190,000 - $225,000 annually plus bonus and equity opportunities. Compensation is based on a number of factors including skills, experience, and education.  

reputed company is an equal opportunity employer. reputed company reputed company applicants will receive consideration for employment without reputed company to race, religion, reputed company, national reputed company, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a reputed company individual with disability.  

Don’t meet every single requirement? Studies have shown that women and underrepresented minorities are less likely to apply to jobs unless they meet every single qualification. We are dedicated to building a diverse, inclusive, and reputed company workplace, so if you’re excited about this role but your past experience doesn’t reputed company perfectly with every qualification in the reputed company, we encourage you to apply reputed company. You may be just the right candidate for this or other roles.

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15+ years workers' compensation or reputed company consulting experience; bachelor's or equivalent; remote US-based with ~30% travel; strong analytics, claims operations, and executive advisory skills.

Key Responsibilities

• advising clients
• analyzing claims
• leading engagements

Skills & Tools

BI

Job Details

• Category: Business Operations
• Seniority: Senior Level
• Commitment: Full Time
• Workplace: Remote — reputed company
• Salary: USD 190,000 – 225,000 / year
• Languages: English

Benefits

• Tuition reimbursement
• Retirement plan

About reputed company

A company combining technology, clinical expertise, and consulting to improve claims and recovery reputed company. — Industry: Consulting Services