First Party Medical Manager

The Opportunity

As a  First Party Medical Manager, you will be responsible for the results of a team of adjusters handling Personal Injury Protection (PIP) claims 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:  $81,600 - $102,000 Root is a “work where it works best” company. This means we will support you working in whatever location that works best for you across the US.

How You Will Make an Impact

• Leads a team of PIP/MPC Claims Adjusters who are responsible for the handling of first-party medical claims.
• Help train and educate leaders and adjusters on New Jersey PIP claim handling best practices. 
• 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

What You Will Need to Succeed

• New Jersey PIP adjusting and leadership experience (three years minimum)
• 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

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 [email protected]