---
title: 'VP, Claims Adjudication at Pie Insurance'
canonical: 'https://feeny.ai/job/vp-claims-adjudication-pie-insurance-united-states-za9cdt57akgd'
type: 'job'
last_seen: '2026-09-11'
---

# VP, Claims Adjudication at Pie Insurance

- **Company:** Pie Insurance
- **Location:** United States
- **Compensation:** $200k–$260k
- **Posted:** 2026-08-05
- **Last confirmed live:** 2026-09-11
- **Apply:** https://job-boards.greenhouse.io/pieinsurance/jobs/6121252004

## Job description

Pie's mission is to empower small businesses to thrive by making commercial insurance affordable and as easy as pie. We leverage technology to transform how small businesses buy and experience commercial insurance.

Like our small business customers, we are a diverse team of builders, dreamers, and entrepreneurs who are driven by [core values and operating principles](https://pieinsurance.com/culture) that guide every decision we make.

As the Vice President of Claims Adjudication, reporting to the Chief Claims Officer, your purpose will be to collaborate in the design and execution of Pie's claims strategy and programs. In this role, you will lead Pie's claims adjudication function, ensuring the delivery of optimal claim outcomes and exceptional customer experiences. You are responsible for strategically building and leading a claims adjudication organization that executes on the overall claims strategies. You will be fostering relationships at every level both internally with team members and other senior leaders, as well as externally, working to build relationships with key partners in the industry.

## How You'll Do It

Claims Adjudication Leadership

- Lead and oversee Pie's claims adjudication function across all jurisdictions.
- Plan and direct all aspects of claims adjudication operations, overseeing daily and long-term activities.
- Responsible for implementing claims programs for workers' compensation.
- Serve as the lead claims adjudication authority, bringing expert claims experience to the Pie Executive Team.
- Direct the quarterly review and settlement of large loss and catastrophe claims.
- Develop and guide claims adjudication procedures and policies to enhance the processing, investigation, and settlement of claims.

Claims Strategy Collaboration

- Collaborate with the Chief Claims Officer in the design and execution of Pie's overall claims strategy.
- Contribute claims adjudication expertise and insights to inform enterprise-wide claims initiatives.
- Partner with Claims leadership on strategic planning and departmental objectives.
- Ensure claims adjudication operations align with and support broader Claims strategy.

Organizational Development & Scaling

- Determine claims adjudication team organizational structure, expectations, span of control, and role expectations and KPIs.
- Develop claims adjudication objectives and goals in support of Pie's OKRs.
- Develop, measure and coach to performance and productivity goals and measurements (KPIs) for claims adjudication team members.
- Build strong claim talent, expertise, and customer focused team members.
- Responsible for cultivating a diverse, equitable, and inclusive culture within the claims adjudication team.
- Lead and develop a team of Directors and Senior Managers, including setting and tracking goals, assigning and reviewing work, managing processes and staff activities, performance management, coaching and mentoring.

Financial & Performance Accountability

- Responsible for fiscal reporting and budgeting for the claims adjudication operation and ensuring all financial goals are met.
- Build and track budgets for headcount planning and operational expenses for claims adjudication.
- Monitor claims metrics and performance trends to ensure achievement of department and company objectives.
- Drive continuous improvement in loss ratios and claims outcomes through strategic initiatives.
- Ensure claims adjudication operations support profitable growth and underwriting objectives.

Innovation & Technology Strategy

- Collaborate with the Chief Claims Officer and the Claims Technology Team leaders on the claims technology roadmap and vision for automation.
- Champion the adoption of innovative technologies and processes that transform the claims adjudication experience.
- Partner with Product and Enterprise Tech to ensure claims technology investments align with adjudication needs.
- Lead digital transformation initiatives that enhance claims processing efficiency and customer satisfaction.

Cross-Functional Collaboration & Influence

- Member of the Claims leadership team and Pie Executive Team, participating in strategic planning and decision-making.
- Collaborate closely with other Claims functions, Underwriting, Actuarial, Reinsurance, Product, Finance, Legal, and other departments.
- Represent claims adjudication perspective in product development, pricing, and risk management decisions.
- Support Pie's business development and marketing goals by participating in external events as Pie's claims subject matter expert.
- Provide claims adjudication insights and expertise to inform company-wide strategic initiatives.

Compliance & Risk Management

- Ensure compliance with all regulatory requirements across multiple jurisdictions for claims adjudication.
- Partner with Claims Regulatory Compliance team on fraud investigation oversight.
- Manage relationships with regulatory bodies and ensure timely reporting and responses.
- Develop and maintain risk management protocols for claims adjudication operations.

The Right Stuff

Required Experience & Leadership

- 15+ years of experience with workers' compensation claims, field claims operations, and claims adjudication.
- 10+ years of people management experience with a track record of developing next-generation leaders.
- Experience building and managing claims adjudication teams of 15+, with demonstrated success in developing leaders who have advanced in their careers.
- Must have experience managing second-line managers (Directors and Senior Managers).
- Expert knowledge of managing disputed and litigated claims across multiple jurisdictions.
- Strong industry leadership track record with experience in senior leadership roles across the insurance industry.
- Data-driven leader with broad knowledge of workers' compensation claims and claims adjudication best practices.
- Expert proficiency in analytical skills and understanding of claims metrics that impact overall company objectives.
- Proven ability to contribute strategic insight to the business and collaborate on enterprise claims strategy.
- Ability to inspire and influence others, creating a motivating environment that helps people through change in a positive manner.
- Fosters open communications, continuous improvement, and innovation while maintaining stability.
- Possesses necessary determination and urgency to drive understanding and adoption of new systems, governance and transformation.
- Ability to fluidly and effortlessly navigate various scenarios, modeling core shared values to all stakeholders, being decisive, and showing true ownership mentality.
- Superior oral and written communication skills with ability to present to C-suite executives and external stakeholders.
- Proven ability to represent the organization externally as claims subject matter expert.
- Experience in crisis communication and managing high-stakes stakeholder relationships.

The use of AI in Application Review: To support a fair, efficient, and consistent hiring process, we use AI-powered tools to assist in the initial screening of applications. These tools help us identify qualifications and prior work experiences that align with the requirements of the role. We may also use AI assistant video tools during interviews to support note-taking and candidate evaluation. All AI-powered outputs are still subject to human oversight and decision-making at multiple stages of the process. By submitting your application, you acknowledge and consent to Pie utilizing these AI technologies to assist in our evaluation process. Base Compensation Range $200,000—$260,000 USD

## Compensation & Benefits

- Competitive cash compensation
- Comprehensive health plans
- Generous PTO
- Future focused 401k match
- Generous parental and caregiver leave
- Our [core values](https://pieinsurance.com/culture/) are more than just a poster on the wall; they’re tangibly reflected in our work

Making every part of working with us "Easy as Pie" - including our offer process. When we find someone we'd like as a Pie-oneer (a member of our team), we move quickly to put together a fair offer based on your skills, experience, location, and compensation expectations.

Each year Pie reviews company performance and may grant discretionary bonuses to eligible team members.

Location Information

Unless otherwise specified, this role is remote. Remote team members must live and work in the United States (territories excluded) and have access to reliable, high-speed internet.

Additional Information

Pie Insurance is an equal opportunity employer. We do not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, marital status, age, disability, national or ethnic origin, military service status, citizenship, or other protected characteristic.

Pie Insurance participates in the E-Verify program. Please click [here](https://www.e-verify.gov/sites/default/files/everify/posters/EVerifyParticipationPoster.pdf), [here](https://www.justice.gov/crt/case-document/file/1133936/download) and [here](https://www.justice.gov/crt/case-document/file/1133941/download) for more information.

Pie Insurance is committed to protecting your personal data. Please review our [Privacy Policy](https://pieinsurance.com/privacy/).

Safety First: Pie Insurance is committed to your security during the recruitment process. We will never ask you for credit card information or ask you to purchase any equipment during our interview or onboarding process.

[Pie Named to 2025 America's Best Startup Employers](https://www.forbes.com/lists/americas-best-startup-employers/)

[Pie Insurance 2025 State of Workplace Safety Report](https://www.pieinsurance.com/resource-center/press/2025-state-of-workplace-safety-report)

## #LI-REMOTE

## #BI-REMOTE

## About Pie Insurance

## Company Overview
- **One-liner**: Pie Insurance provides workers’ compensation and commercial auto insurance to small businesses through a technology-driven platform, offering quick quotes and significant savings.
- **Entity Type**: Private (over $615 million in total funding raised)
- **Headquarters**: Denver, Colorado, USA (remote-first company)
- **Founded**: 2017
- **Founders**: John Swigart (co-founder and CEO)

## Core Business
- **Primary industry**: Insurtech / Commercial Property & Casualty Insurance
- **Target customers**: Small businesses (B2B) and local/regional insurance agencies (B2B channel partnerships)
- **Mission statement**: “To make commercial insurance affordable and easy as Pie, empowering small businesses to thrive.”

## Products & Services
- **Workers’ Compensation Insurance**: A fully digital, agent-friendly and direct-to-business platform that provides quotes in ~3 minutes, covers 70% of class codes, and auto-decides 73% of submissions – helping customers save up to 30% compared to traditional carriers.
- **Commercial Auto Insurance**: Launched to expand Pie’s small-business insurance suite, offered through the same streamlined quote-to-claim experience.

## Market Standing
- **Valuation / Market Cap**: Not publicly disclosed
- **Key Metric**: Total funding >$615 million (as of most recent raise); headcount ~350 employees (Built In estimate)
- **Notable Investors / Partners**: Investors include Gallatin Point Capital, Greycroft, and other leading insurtech and growth-equity firms (specific list not fully detailed on company site). Pie partners with local, regional, and national insurance agencies.
- **Growth Signals**: Available in 39 states + Washington, D.C.; 70% of workers’ comp class codes covered; 73% of submissions auto-decided; average quote time 3 minutes; expansion into commercial auto; remote-first workforce of ~350 Pie-oneers.

## Competitive Advantages
- **Technology moat**: Proprietary underwriting engine that delivers instant, data-driven quotes and high automation rates, reducing friction for agents and small businesses.
- **Distribution model**: Dual channel – direct-to-small-business and a strong agency partner network – providing broad market reach.
- **Cost leadership**: Promises savings of up to 30% on workers’ comp through efficient operations and data analytics.

## Strategic Focus
- **Geographic expansion**: Continuing to add states to reach nationwide coverage.
- **Product line growth**: Scaling commercial auto and potentially adding other small-business insurance lines.
- **Technology & automation**: Increasing auto-adjudication rates and improving the digital experience for both agents and policyholders.

## Why Work Here
- **Culture**: Values-driven (Act with integrity, Demonstrate ownership, Be curious and growth oriented). Emphasizes transparent decision-making, iterative feedback, and “creating cumulative innovation.”
- **Work environment**: Fully remote-first – employees work from anywhere in the U.S. Intentional remote collaboration practices and strong benefits.
- **Benefits & perks**: Comprehensive healthcare (medical, dental, vision), generous parental leave, company equity, performance bonuses, family medical leave, job training, and talent development. Relocation assistance available.
- **Engineering culture**: Data-driven decision making, first principles thinking, and a focus on business outcomes. Tech stack supports high automation and rapid iteration.

## Sources
1. [Pie Insurance About Page](https://www.pieinsurance.com/about)
2. [Pie Insurance Careers Page](https://www.pieinsurance.com/culture/careers)
3. [Pie Insurance Culture Page](https://www.pieinsurance.com/culture)
4. [Pie Insurance on Built In](https://builtin.com/company/pie-insurance)

## Other roles at Pie Insurance

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