AVP Claims – Financial Services

Core Specialty Insurance Holdings, Inc.

AVP Claims managing third party administrators and claims personnel for Core Specialty Financial Services. Ensuring timely and accurate resolution of claims with industry compliance.

Posted 4/17/2026full-timeHouston • Ohio, Texas • 🇺🇸 United StatesLeadWebsite

About the role

Key responsibilities & impact

Responsible for oversight of claims personnel and handling of claims by third party administrators to ensure appropriate and timely resolution of claims.
Execution of Financial Services business plans and objectives.
Ensure TPAs and internal employees comply with established claim handling guidelines regarding coverage, investigation, liability, damages, evaluation and resolution.
Collaborate with audit team to develop and maintain claim audit plans, checklists, and reporting tools.
Identify and document performance issues, process gaps, and compliance violations; recommend corrective actions and track resolution progress.
Monitor TPA’s adherence to service level agreements (SLAs) and claim resolution timelines.
Evaluate the accuracy and appropriateness of claim payments, reserves, and denials made by the TPAs.
Gather and analyze information to make an accurate evaluation of claims.
Establish and review reserves pursuant to reserving protocols and reserve authority procedures.
Monitor performance of claims by reviewing data and reports, sharing information with the division regularly.

Requirements

What you’ll need

Bachelor’s degree (preferably with a Risk Management & Insurance Major) required
Achieve or working towards an industry designation such as CPCU, CRM, ARM, CIC
Minimum of 5 years’ experience in claims resolution across the applicable lines of business
Experience working with support services, including IT, claims, actuarial and operations.
Applicants must be authorized to work for any employer in the U.S. We are unable to sponsor or take over work authorization sponsorship now or in the future for this position.

Benefits

Comp & perks

medical, dental, vision, and life insurances
short and long-term disability
a Company-match of 100% of a 6% contribution 401(k) plan
an Employee Assistance Plan
Health Savings Account
Flexible Spending Account
Health Reimbursement Account
wellness program

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

claims resolutionclaims handlingfinancial servicesdata analysisperformance monitoringaudit planningcompliance trackingrisk evaluationreserve establishmentSLA monitoring

Soft Skills

collaborationcommunicationproblem-solvingorganizational skillsleadership

Certifications

CPCUCRMARMCIC