Senior Manager, First Party Medical

 Posted a day ago
     
 $115K - $125K per year
  
5-10 years experience
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AI Summary

Lead multiple remote teams in the First-Party Medical Unit to drive technical claim handling and loss performance. Leverage analytics and process innovation to improve operational efficiency and execute talent development strategies.

The Opportunity


As a Senior Manager - First Party Medical, you will be responsible for the results of multiple teams handling first-party medical claims across numerous different jurisdictions. These teams are remote, and your role will require occasional travel. This role is vital to Root’s success as we continue to grow the scale and scope of our Claims team.


Salary Range:  $115,000 - $125,000

Root is a “work where it works best” company. Meaning we will support you working in whatever location that works best for you across the US. We will continue to have our headquarters in Columbus, Ohio.


How You Will Make an Impact


  • Lead multiple teams within the First-Party Medical Unit in the claims organization
  • Establish processes to drive technical claim handling, resulting in best-in-class loss performance while maintaining high customer satisfaction
  • Drive pace in a scalable manner, resulting in best-in-class LAE while maintaining high employee satisfaction
  • 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
  • Create and execute talent development strategies for claims personnel, while recognizing the outsized impact that people have on the performance of the organization
  • Provide leadership across geographically dispersed teams, with remote employees across the country
  • Rely on data to take a highly quantitative approach to claims handling, while also valuing qualitative feedback from customers and employees
  • Measure, evaluate and communicate individual and team performance results in relation to overall organizational objectives


What You Will Need to Succeed

  • Bachelor’s degree or equivalent experience required
  • Continuous learning demonstrated by advanced certifications, industry specialization and/or claims programs
  • 5+ years of successful experience leading employees who complete first party medical claim adjudication -  including complex investigations that causation and billing issues with attorneys
  • Root first party medical experience preferred
  • Strong technical understanding of policy interpretation
  • Experience managing complex first party claims that involved litigation 
  • Ability to build collaborative working relationships
  • 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
  • Previous experience handling Florida and New York PIP claims preferred
  • Ability to obtain and maintain insurance licenses in several states (including Texas) within three months



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.

Please see our Privacy Notice available HERE for more information on how we process your personal data.


Consistent with the Americans with Disabilities Act (ADA) and the Civil Rights Act of 1964, it is the policy of Root to provide reasonable accommodation when requested by a qualified applicant or candidate with a disability, unless such accommodation would cause an undue hardship for Root. The policy regarding requests for reasonable accommodation applies to all aspects of the hiring process. If reasonable accommodation is needed, please contact recruiting@joinroot.com.

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