Divisional Vice President – Health Claims

Globe Life

Health claims executive overseeing Globe Life’s limited-benefit insurance portfolio and adjudication operations. Leading enterprise claims-system transformation, compliance, TPAs, and team development.

Posted 8/17/2026full-timeMcKinney • Texas • 🇺🇸 United StatesLeadWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates extensive experience in health claims operations, including oversight of limited benefit health products, claims adjudication, and performance management. Proven ability to lead teams through organizational change while developing operational metrics and maintaining compliance with industry standards.

Highest-signal resume keywords

Health Claims OperationsLimited Benefit Health Insurance ProductsTeam Leadership and DevelopmentOperational Metrics and SLAsClaims Adjudication Principles

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Health Claims AdjudicationOperational Metrics ManagementPerformance ManagementData AnalysisProcess RedesignRegulatory ComplianceSystem ImplementationCapacity PlanningContingency PlanningKPI Monitoring

Soft Skills

LeadershipCoachingCommunicationInterpersonal SkillsProblem-Solving

Tools & Technologies

Claims Adjudication SystemsThird Party Administrators (TPAs)Performance Monitoring ToolsReporting Tools

Industry Keywords

Health AdministrationHealth ManagementSupplemental Health InsuranceOrganizational TransformationStakeholder Engagement

About the role

Key responsibilities & impact

Oversee the end-to-end health claims portfolio for limited benefit health products across all Divisions
Direct accurate and timely health claims adjudication while maintaining quality standards and SLAs
Implement forecasting and capacity planning strategies
Develop contingency plans for staffing shortages, high claim volumes, and system transitions
Establish, monitor, and report KPIs including turnaround time, quality scores, SLAs, and customer satisfaction
Lead, mentor, and develop the claims team through organizational transformation
Build relationships with team members and drive accountability, coaching, and performance improvement
Advise Senior and Executive leadership on operational performance, trends, best practices, issue resolution, and risk mitigation
Develop and present complex operational data and insights to stakeholders
Develop and interpret regular and ad hoc reports and escalate issues to Senior management
Collaborate cross-functionally on claims initiatives and enterprise-wide best practices
Maintain relationships with internal and external stakeholders, regulatory agencies, and business partners
Assist with regulatory inquiries and monitor regulatory changes and industry trends affecting health claims

Requirements

What you’ll need

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
At least 5 years in a senior leadership or management role
Demonstrated expertise in limited benefit, supplemental, or similar health insurance products
Minimum of 7–10 years in a people leadership or management role, including direct experience leading managers and multi-layered teams
Experience leading teams through organizational change, system implementations, process redesigns, or cultural transformation
Proven experience building and sustaining high-performing teams through performance management, coaching, and development
Experience overseeing or collaborating with Third Party Administrators (TPAs), including contract performance monitoring and issue resolution
Experience developing and managing operational metrics, SLAs, and quality standards in a claims environment
Ability to present complex operational data and strategic recommendations to Senior and Executive leadership
Deep knowledge of health claims adjudication principles, practices, and compliance requirements for limited benefit health insurance products
Ability to review and resolve complex, high-cost, or escalated claims exceeding examiner authority levels
Strong understanding of TPA operational models, contract performance standards, and vendor oversight
Familiarity with claims adjudication systems and system implementation and optimization
Ability to identify training gaps and equip team members with necessary tools and resources
Ability to develop action plans for underperforming associates with team leaders and HR Business Partners
Experience writing and delivering value-based performance appraisals and conducting performance discussions
Ability to implement innovative operational and technical solutions for efficiency, accuracy, and scalability
Strong analytical ability to translate data into actionable insights and process improvements
Experience leading or supporting enterprise-level system implementations, change management, and team adoption
Exceptional written and verbal communication skills
Strong interpersonal skills and ability to build trust, navigate competing priorities, and influence outcomes
Ability to balance team needs with organizational strategy while driving change
Reliable and predictable attendance
Ability to work full time and/or part time based on position specifications

Benefits

Comp & perks

Competitive compensation designed to reflect your expertise and contribution
Comprehensive health, dental, and vision insurance plans
Robust life insurance benefits
Retirement plans, including company-matched 401k and pension plan
Paid holidays and time off
Parental leave
Subsidized all-in-one subscriptions for fitness, mindfulness, nutrition, and sleep
Company-paid counseling for mental health, stress management, and work-life balance
Continued education reimbursement eligibility
Company-paid FLMI and ICA courses
Discounted Texas Rangers tickets