Vice President Hcc Risk Adjustment Coder Jobs in Austin, TX

About Incline P&C Group
Incline P&C Group is a privately owned company, backed by private equity and its original founders, with an exclusive focus on the property and casualty program insurance market. The company writes approximately $2+ billion in premiums through its A-rated and managed carriers. Incline has a team of over 100 employees headquartered in Austin, Texas.
Claims
Incline Insurance Group is seeking a strategic and operationally focused Vice President of Claims to lead claims oversight and governance across Incline's property and casualty program portfolio. Reporting to executive leadership, this role is responsible for establishing claims strategy, overseeing MGA and TPA claims performance, managing complex claims governance, and ensuring alignment with Incline's risk appetite, financial objectives, and reinsurance obligations.
The Vice President of Claims serves as the senior claims leader for the organization and plays a critical role in portfolio performance, regulatory oversight, operational consistency, and partner accountability.
About the Claims Function
Incline's Claims function oversees claims governance across a broad portfolio of delegated authority programs administered through MGAs and TPAs. The team partners closely with underwriting, actuarial, legal, finance, and reinsurance stakeholders to ensure claims are managed effectively and in alignment with company strategy and contractual obligations.
The Vice President of Claims is responsible for leading this function, driving claims oversight standards, and ensuring operational excellence across all claims-related activities.
What You'll Do
As Vice President of Claims, you will lead claims oversight strategy and serve as the senior escalation point for complex claims, operational governance, and partner performance management.
Claims Strategy & Leadership: Develop and lead enterprise claims oversight strategy across Incline's MGA and TPA-administered portfolio. Establish claims governance standards, escalation protocols, and operational best practices. Monitor claims trends, severity, reserving practices, and litigation activity across the portfolio. Partner with executive leadership to align claims strategy with company risk appetite and financial objectives.
MGA & TPA Oversight: Oversee claims handling performance across MGA and TPA partners. Establish claims oversight frameworks, audit standards, and performance expectations. Lead claims audits, remediation efforts, and partner performance reviews. Participate in selection and onboarding of MGA and TPA partners.
Complex Claims & Coverage Management: Serve as senior escalation point for large-loss, complex, or high-severity claims. Provide guidance on coverage interpretation, settlement strategy, reserving, and litigation management. Partner with legal counsel and reinsurers on significant claims matters.
Reinsurance & Financial Partnership: Coordinate with reinsurance, actuarial, and finance teams on claims reporting and reserving impacts. Ensure compliance with treaty reporting requirements and claims-related contractual obligations. Support catastrophe response and large-loss reporting where applicable.
Operational Excellence & Team Development: Lead claims operational improvement initiatives and workflow optimization efforts. Build and mentor a high-performing claims oversight team. Promote consistency, accountability, and technical excellence across the claims function.
What We're Looking For
We're seeking a senior claims leader with deep technical expertise, strong operational judgment, and experience overseeing delegated claims environments.
Experience: 10+ years of claims management or claims leadership experience within insurance, MGA, or TPA environments. Demonstrated experience overseeing multi-line claims portfolios and complex claims matters. Experience working with delegated authority programs and reinsurance structures strongly preferred.
Education: Bachelor's degree required; advanced insurance designations preferred.
Technical Expertise: Deep understanding of claims handling practices, reserving, litigation management, and coverage analysis. Strong knowledge of regulatory and contractual claims oversight requirements. Familiarity with reinsurance reporting and claims governance frameworks.
Leadership & Core Competencies: Strong executive presence and decision-making capability. Excellent communication and stakeholder management skills. Ability to balance operational execution with strategic oversight. Collaborative leadership style with strong analytical and organizational skills.
Location
This role is based in Austin, TX and operates within a hybrid work model.
Why Incline Insurance Group?
At Incline, the Vice President of Claims plays a critical role in protecting portfolio performance and strengthening operational governance across the organization. This role offers significant executive visibility, broad cross-functional partnership, and the opportunity to shape claims strategy within a rapidly growing insurance platform.