Joinroot

1 week ago

Senior Manager, First Party Medical

✓ Verified Job

Canonical indexed version, validated from employer's careers page.

Source: Company careers pageValidated by: Fursa AI

Last checked: 1 hour agoStatus: Live

Job Summary

Lead multiple remote teams handling first-party medical claims across jurisdictions, owning team results for loss performance, LAE, and customer satisfaction. Establish scalable processes and drive claims process innovation using analytics, process automation, and technology. Take a quantitative approach while valuing qualitative feedback, measure performance against organizational objectives, and execute talent development strategies for claims personnel. Occasional travel required.

Location: United States

Workplace: Remote

Employment Type: Full time

Job Function: Healthcare (Clinical, Medical, Wellness)

Seniority: Manager level

Key Responsibilities

•Lead multiple teams within the First-Party Medical Unit in the claims organization.
•Establish processes to drive technical claim handling and best-in-class loss performance while maintaining customer satisfaction.
•Drive scalable pace and best-in-class LAE while maintaining high employee satisfaction.
•Use analytics, process automation, and technology to improve efficiency and quality within claims operations.
•Create and execute talent development strategies and measure, evaluate, and communicate individual and team performance results.

Travel: Low travel

Pay and Benefits

Salary: USD 115,000 - 125,000 annually

Key Requirements

•Bachelor’s degree or equivalent experience required.
•5+ years of successful experience leading employees who handle first-party medical claim adjudication, including complex investigations involving causation and billing issues with attorneys.
•Root first party medical experience preferred.
•Strong technical understanding of policy interpretation and familiarity with claims best practices.
•Ability to obtain and maintain insurance licenses in several states (including Texas) within three months.

Experience:5+ yearsInsuranceFirst-party medical claimsInsurtechClaims adjudication

Education:Bachelor's

Skills:LeadershipCollaborationCommunicationProfessionalismAdaptability

Licenses:Insurance licenses

Tech Stack:Machine learningMobile telematicsAnalyticsProcess automation

Company Brief

Joinroot

Provides homeowners and renters insurance through a digital, mobile-first platform that offers personalized policies, streamlined quoting, and claims handling designed for modern consumers seeking straightforward coverage and competitive pricing.

Industry: InsurTech

Website

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Joinroot

1 week ago

Senior Manager, First Party Medical

✓ Verified Job

Canonical indexed version, validated from employer's careers page.

Source: Company careers pageValidated by: Fursa AI

Last checked: 1 hour agoStatus: Live

Job Summary

Location: United States

Workplace: Remote

Employment Type: Full time

Job Function: Healthcare (Clinical, Medical, Wellness)

Seniority: Manager level

Key Responsibilities

•Lead multiple teams within the First-Party Medical Unit in the claims organization.
•Establish processes to drive technical claim handling and best-in-class loss performance while maintaining customer satisfaction.
•Drive scalable pace and best-in-class LAE while maintaining high employee satisfaction.
•Use analytics, process automation, and technology to improve efficiency and quality within claims operations.
•Create and execute talent development strategies and measure, evaluate, and communicate individual and team performance results.

Travel: Low travel

Pay and Benefits

Salary: USD 115,000 - 125,000 annually

Key Requirements

•Bachelor’s degree or equivalent experience required.
•5+ years of successful experience leading employees who handle first-party medical claim adjudication, including complex investigations involving causation and billing issues with attorneys.
•Root first party medical experience preferred.
•Strong technical understanding of policy interpretation and familiarity with claims best practices.
•Ability to obtain and maintain insurance licenses in several states (including Texas) within three months.

Experience:5+ yearsInsuranceFirst-party medical claimsInsurtechClaims adjudication

Education:Bachelor's

Skills:LeadershipCollaborationCommunicationProfessionalismAdaptability

Licenses:Insurance licenses

Tech Stack:Machine learningMobile telematicsAnalyticsProcess automation

Company Brief

Joinroot

Industry: InsurTech

Website