First Party Med Claims Manager-2
Root Insurance
CURRENT ROOT EMPLOYEES - Please apply using the career page in Workday. This career site is for external applicants only.
As part of Root's interview process, we kindly ask that all candidates be on camera for virtual interviews. This helps us create a more personal and engaging experience for both you and our interviewers. Being on camera is a standard requirement for our process and part of how we assess fit and communication style, so we do require it to move forward with any applicant's candidacy. If you have any concerns, feel free to let us know once you are contacted. We’re happy to talk it through.
As a First Party Medical Manager, you will be responsible for the results of a team of adjusters handling First Party Medical with emphasis on: Coverage Review, Medical Treatment Analysis including Mechanism of Injury and Causation as well as educating your adjusters on all exposures and the importance of transferring exposures timely. This role is vital to Root’s success as we continue to grow the scale and scope of our Claims team.
Salary Range: $80,000 to $100,000
Responsibilities:
Leads a team of PIP/MPC Claims Adjusters who are responsible for the handling of first-party medical claims.
Ensures adherence to state regulations and applicable policy language.
Oversees adjuster review of medical bills and works with vendor(s) to properly handle 1st party injury claims.
Reviews and approves payments over adjuster authority.
Acts as a coach to promote understanding of MOI, causation and medical management.
Create and execute talent development strategies for claims personnel, while recognizing the outsized impact that people have on the performance of the organization
Measure, evaluate and communicate individual and team performance results in relation to overall organizational objectives
Drive pace in a scalable manner, resulting in best-in-class LAE while maintaining high employee and customer satisfaction
Interacts and communicates effectively with claims leadership, business partners, and teammates
Understand and leverage analytics, process automation, and technology to improve efficiency and quality within claims operations
Drive process innovation with a high degree of discernment between true differentiators and superficial features
Engages in learning opportunities to build knowledge of personal lines claims, court decisions impacting the claims function, current guidelines in claims function, and policy changes and modifications
Recruits, retains and develops a highly motivated and accountable team of experienced and developing claim liability professionals
Always advocates for talent and builds capabilities to ensure strong leadership and technical talent bench strength
Qualifications:
Experience with 1st party PIP and/or MPC claim handling and/or leadership experience
Insurance licenses or professional insurance designations preferred
Strong understanding and application of laws, statutes, and regulations specific to PIP/MPC handling
Ability to coach to and drive medical management
Ability to interpret insurance policy language and apply coverage correctly to claim decisions
Communicates and collaborates effectively
High sense of professionalism while remaining empathetic
Familiarity with claims best practices required
Curious in nature
Great attention to detail
Self-starter and ability to work independently and effectively prioritize work
Ability to handle ambiguity and quickly adapt when changes occur
Strong written and oral communication skills
Ability to approach problems with an open mind
Ability to obtain and maintain insurance licenses in several states (including Texas) within three months of start date
Don’t meet every single requirement?
Studies have shown that women and people of color are less likely to apply to jobs unless they meet every single qualification. At Root, Inc., we are dedicated to building a diverse and inclusive workplace, so if you’re excited about this role but your past experience doesn’t align perfectly with every qualification in the job description, we encourage you to apply anyway!
Join us
At Root, we judge people based on the merit of their work, not who they are. If you are passionate about what this role entails and solving real problems, we encourage you to apply. We want to learn about you and what you can add to our team.
Who we are
We’re harnessing the power of technology to revolutionize insurance. Using machine learning and mobile telematic platforms, we’ve built one of the most innovative FinTech companies in the world. And we’re just getting started.
What draws people to Root
Our success is in large part due to our unwavering standards in hiring. We recognize that our products are only as good as the people building and promoting them. We want individuals who find solutions by going through the cycle of ideation to implementation with curiosity, rigor, and an analytical lens. Ask anyone who works here and you’ll hear similar reasons for why they joined:
Autonomy—for assertive self-starters, the opportunities to contribute are limitless.
Impact—by challenging the way it’s always been done, we solve problems that have a big impact on our business.
Collaboration—we encourage rich discussion and civil debate at every turn.
People—we are inspired by the collection of crazy-smart people around us.