Assistant Vice President, Medical Claims Operations

The Assistant Vice President leads claims staff and oversees medical excess and reinsurance claims operations and payment integrity activities supporting reinsurers, issuing carriers, managing general underwriters (MGUs), risk-bearing entities, and other excess risk programs. The role is accountable for client service, technical claim oversight, quality assurance, staff development, workflow management, and timely delivery of assignments. Key Responsibilities Leadership and Staff Management Manage claims staff, including Claims Directors, Claims Examiners, and Claims Assistants, with responsibility for coaching, performance management, workload oversight, and development. Assign work, monitor priorities and productivity, to ensure assignments are completed accurately and on schedule. Provide training, peer review, feedback, and management coverage as needed. Client and Account Management Oversee assigned client accounts and serve as a senior contact for clients, intermediaries, and internal colleagues. Lead communications regarding claim status, findings, deliverables, and issue resolution. Review complex or escalated claims and ensure supporting documentation is obtained and main…