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Avp Claims Jobs (NOW HIRING)

Archgroup

AVP, Claims-TCO

Morristown, NJ · Hybrid

$145K - $198K/yr

Partner with Claims, Underwriting, Legal, and the broader Technical Claims Office to align priorities, deliverables, and decision frameworks. Qualifications (What You Bring) * J.D. required. * 10+ ...

Archgroup

AVP, Claims-TCO

Garden City, NY · Hybrid

$145K - $198K/yr

Partner with Claims, Underwriting, Legal, and the broader Technical Claims Office to align priorities, deliverables, and decision frameworks. Qualifications (What You Bring) * J.D. required. * 10+ ...

Archgroup

AVP, Claims-TCO

Hartford, CT · Hybrid

$145K - $198K/yr

Partner with Claims, Underwriting, Legal, and the broader Technical Claims Office to align priorities, deliverables, and decision frameworks. Qualifications (What You Bring) * J.D. required. * 10+ ...

Archgroup

AVP, Claims-TCO

Philadelphia, PA · Hybrid

$145K - $198K/yr

Partner with Claims, Underwriting, Legal, and the broader Technical Claims Office to align priorities, deliverables, and decision frameworks. Qualifications (What You Bring) * J.D. required. * 10+ ...

Archgroup

AVP, Claims-TCO

Jersey City, NJ · Hybrid

$145K - $198K/yr

Partner with Claims, Underwriting, Legal, and the broader Technical Claims Office to align priorities, deliverables, and decision frameworks. Qualifications (What You Bring) * J.D. required. * 10+ ...

Archgroup

AVP, Claims-TCO

New York, NY · Hybrid

$145K - $198K/yr

Partner with Claims, Underwriting, Legal, and the broader Technical Claims Office to align priorities, deliverables, and decision frameworks. Qualifications (What You Bring) * J.D. required. * 10+ ...

Archgroup

AVP, Claims-TCO

Jersey City, NJ · Hybrid

$145K - $198K/yr

Partner with Claims, Underwriting, Legal, and the broader Technical Claims Office to align priorities, deliverables, and decision frameworks. Qualifications (What You Bring) * J.D. required. * 10+ ...

Archgroup

AVP, Claims-TCO

Hartford, CT · Hybrid

$145K - $198K/yr

Partner with Claims, Underwriting, Legal, and the broader Technical Claims Office to align priorities, deliverables, and decision frameworks. Qualifications (What You Bring) * J.D. required. * 10+ ...

Archgroup

AVP, Claims-TCO

Garden City, NY · Hybrid

$145K - $198K/yr

Partner with Claims, Underwriting, Legal, and the broader Technical Claims Office to align priorities, deliverables, and decision frameworks. Qualifications (What You Bring) * J.D. required. * 10+ ...

Archgroup

AVP, Claims-TCO

Morristown, NJ · Hybrid

$145K - $198K/yr

Partner with Claims, Underwriting, Legal, and the broader Technical Claims Office to align priorities, deliverables, and decision frameworks. Qualifications (What You Bring) * J.D. required. * 10+ ...

Arch Capital Group

AVP, Claims-TCO

Morristown, NJ · On-site

$145K - $198K/yr

Partner with Claims, Underwriting, Legal, and the broader Technical Claims Office to align priorities, deliverables, and decision frameworks. Qualifications (What You Bring) * J.D. required. * 10+ ...

Archgroup

AVP, Claims-TCO

New York, NY · Hybrid

$145K - $198K/yr

Partner with Claims, Underwriting, Legal, and the broader Technical Claims Office to align priorities, deliverables, and decision frameworks. Qualifications (What You Bring) * J.D. required. * 10+ ...

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All JobsAvp Claims Jobs

Avp Claims information

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$40K

$61.6K

$92K

How much do avp claims jobs pay per year?

As of Jul 28, 2026, the average yearly pay for avp claims in the United States is $61,600.00, according to ZipRecruiter salary data. Most workers in this role earn between $54,000.00 and $65,500.00 per year, depending on experience, location, and employer.

What are some common challenges faced by an AVP Claims and how can they be effectively managed?

As an AVP Claims, one of the most common challenges is balancing high-volume claim oversight with maintaining quality and compliance standards. This role often involves coordinating cross-functional teams, handling escalated or complex claims, and implementing process improvements. Effective management relies on strong organizational skills, clear communication with both internal teams and external stakeholders, and staying current with regulatory changes. Building a collaborative team environment and leveraging technology for workflow optimization can also help address these challenges.

What is the difference between Avp Claims vs Claims Manager?

AspectAvp ClaimsClaims Manager
CredentialsTypically requires 7+ years of experience, industry certifications (e.g., CPCU, ARM), and advanced knowledge of claims processesRequires 5+ years of claims experience, often with relevant certifications, and strong leadership skills
Work EnvironmentStrategic role within insurance companies, overseeing large claims portfolios and policy strategiesOperational role managing claims teams, handling day-to-day claims processing and customer interactions
Employer & Industry UsageCommonly found in large insurance firms, focusing on high-level claims oversightFound across insurance companies, focusing on team management and claims operations

In summary, an Avp Claims typically holds a more strategic, senior position with broader responsibilities and requires extensive experience and certifications. A Claims Manager focuses on daily claims operations and team management, often serving as a bridge between staff and senior leadership.

What is an AVP Claims?

An AVP Claims, or Assistant Vice President of Claims, is a senior management professional in the insurance industry responsible for overseeing claims operations. This role typically involves managing teams of claims adjusters, developing and implementing claims policies, ensuring regulatory compliance, and improving claims processes to ensure efficiency and customer satisfaction. The AVP Claims also collaborates with other departments, analyzes claims data, and helps shape company strategy related to claims management.

What are the key skills and qualifications needed to thrive as an AVP Claims, and why are they important?

To thrive as an AVP Claims, you need deep knowledge of insurance claims processes, strong analytical abilities, and relevant industry experience, often supported by a bachelor’s degree or advanced certification such as CPCU. Familiarity with claims management systems, risk assessment tools, and regulatory compliance software is typically required. Exceptional leadership, negotiation, and communication skills help you effectively manage teams and resolve complex claims issues. These competencies are vital for ensuring efficient claims operations, minimizing risk, and maintaining high customer satisfaction.
More about Avp Claims jobs
What cities are hiring for Avp Claims jobs? Cities with the most Avp Claims job openings:
What states have the most Avp Claims jobs? States with the most job openings for Avp Claims jobs include:
What job categories do people searching Avp Claims jobs look for? The top searched job categories for Avp Claims jobs are:
Avp Claims jobs near you
Infographic showing various Avp Claims job openings in the United States as of July 2026, with employment types broken down into 1% Internship, 97% Full Time, and 2% Part Time. Highlights an 80% Physical, 12% Hybrid, and 8% Remote job distribution, with an average salary of $61,600 per year, or $29.6 per hour.
AVP, Claims & Judi Strategy - Remote

AVP, Claims & Judi Strategy - Remote

Prime Therapeutics

Home, WA • Remote

$164K - $279K/yr

Full-time

Posted 19 days ago

Prime Therapeutics rating

7.8

Company rating: 7.8 out of 10

Based on 47 frontline employees who took The Breakroom Quiz

17th of 109 rated pharmacies

Job description

At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us.

Job Posting TitleAVP, Claims & Judi Strategy - RemoteJob Description

The AVP, Claims & Judi Strategy is responsible for defining and driving the enterprise vision and multi-year strategy for the claims block, ensuring alignment across key stakeholders. This role partners cross-functionally to identify improvement opportunities, set realistic delivery expectations, and lead large-scale initiatives that enhance claims capabilities, technology, and operational efficiency. This position oversees development and management of the business value case to support strategic investment in the roadmap.

Responsibilities

  • Define and lead the multi-year claims technology and capability strategy, including roadmap development for claims platforms, capacity planning, prioritization of enhancements, and assessment and sunsetting of claims-adjacent systems to reduce complexity and improve efficiency in partnership with key stakeholders
  • Lead and communicate the enterprise vision for claims block, ensuring alignment to roadmap across business units and active engagement with peer block owners to identify gaps, challenge existing processes, and drive continuous improvement across claims capabilities
  • Establish clear delivery boundaries and expectations in partnership with account management, aligning on client commitments and operational feasibility
  • Drive education, communication, and adoption strategies across business units and functional teams, including the development of business case vision and value for investment
  • Partner with Claims Operations, Configuration Operations, and Strategic Solutions teams to lead large-scale, high-impact initiatives that improve claims outcomes and business performance
  • Assess and manage external partner impacts and dependencies, ensuring alignment with organizational capabilities, contractual obligations, and long-term strategic goals
  • Remain aware of leading-practice industry technologies, including AI, and ensure future-state roadmaps responsibly include leading-edge technological capabilities
  • Other duties as assigned

Minimum Qualifications

  • Bachelor's degree in Business, Healthcare Administration or related area of study, or equivalent combination of education and/or relevant work experience; HS diploma from an accredited school or GED is required
  • 12 years of work experience in project management, portfolio management or operations
  • 8 years of leadership/people management experience
  • Must be eligible to work in the United States without the need for work visa or residency sponsorship

Additional Qualifications

  • Demonstrated ability to communicate effectively, both verbal and written, and the proven ability to work effectively with all organizational levels and external contacts
  • Strong strategic-thinking, analytic, and problem-solving skills
  • Excellent facilitation, presentation, and consultative skills; skilled at managing meetings and listening with the ability to interpret information into consistent and concise actions that drive results
  • Ability to effectively drive business and lead transformation in a dynamic and complex operating environment
  • Strong conflict management skills with ability to influence and drive stakeholders to most impactful outcomes
  • Understanding of adjudication engines and technical risk management

Preferred Qualifications

  • Master of Business Administration
  • Pharmacy Benefit Management or healthcare experience

Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their job, and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures

Every employee must be able to perform the essential functions of the job and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions, absent undue hardship. In addition, Prime retains the right to change or assign other duties to this job

Potential pay for this position ranges from $164,000.00 - $279,000.00 based on experience and skills.

To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page and click on the "Benefits at a glance" button for more detail (https://www.primetherapeutics.com/benefits).

Prime Therapeutics LLCis proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sex (including pregnancy), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law.

We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law.

Prime Therapeutics LLC is a Tobacco-Free Workplace employer.

Positions will be posted for a minimum of five consecutive workdays.

What Prime Therapeutics employees say

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About Prime Therapeutics

Sourced by ZipRecruiter

Prime Therapeutics, located in Eagan, MN, is a pharmacy benefits management company that has been serving the healthcare industry since its foundation. They are an integral participant in the medical sector, specifically in the realm of health insurance. They focus on providing innovative pharmacy benefits and services to more than 30 million members nationwide. Besides their main pharmacy benefit management, they offer mail service pharmacy, specialty pharmacy, benefits management, and consultative engagement services to ensure individuals have continuous access to affordable prescription drugs. Prime Therapeutics, founded around three decades ago, has grown to stand out as a leader in its industry, thanks to its commitment to improving the health of its clients.

Industry

Insurance services

Company size

1,001 - 5,000 Employees

Headquarters location

Eagan, MN, US

Year founded

1987

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