Medical adjuster

Position.

As a First Party Med Claims Adjuster II (PIP Adjuster), youll play a critical role in enforcing the fundamental fairness on which our company was founded.

Youll be asked to push the boundaries of whats required and to think critically as to what our customers want and how that best aligns with our product.

Our goal is to leverage technology, data, and a team of highly talented people to build a claims experience that is recognized as number 1 in the industry. What you'll be doing.

• Delivers an industry-leading claim experience for all policyholders
• Obtains detailed accident descriptions from drivers, passengers and witnesses with questions around mechanism of injury and document all parties / exposures
• Utilize third party vendor to evaluates claims / bills, if in line with claim / jurisdiction issue payment for 1st party medical bills
• Analysis of billing notes along with reported injuries and facts of loss to appropriately medically manage the file if applicable
• Interpret policy language and apply rules as required by jurisdiction, appropriately analyze what is owed for lost wages and household services
• Maintains and updates a diary / schedule for each claim in the adjusters inventory
• Responds to claim correspondence in a timely fashion with very high quality
• Provides input for continuous development of claims guidelines and best practices
• Recommends potential product developments and process improvements
• Interacts and communicates effectively with customers, peers, vendors and managers
• 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 / modifications.
• Sets and maintains a loss reserve for every claim in the adjuster's pending

What we're looking for.

• Bachelors degree preferred
• Successful experience handling personal auto insurance claims across multiple states where the applicant was directly responsible for coverage decisions, injury analysis, issuing payments, taking recorded statements, responding to correspondence, requesting authority from supervisor(s), and medically managing injury claims across multiple states
• Ability to obtain additional insurance adjuster licenses within 3 months
• Demonstrated high quality claim handling balanced with strong productivity
• Strong technical understanding of liability and casualty principles
• Aptitude to quickly learn and apply new concepts
• Coachable and committed to professional growth
• Experience managing first party auto claims through closure
• Viewed as a resource within team and functional area
• High sense of professionalism while remaining empathetic
• Familiarity with claims best practices required
• Curious in nature
• Great attention to detail
• Ability to approach problems with an open mind

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

Were harnessing the power of technology to revolutionize insurance. Using machine learning and mobile telematic platforms, weve built one of the most innovative FinTech companies in the world.

And were 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 youll hear similar reasons for why they joined :

Autonomy for assertive self-starters, the opportunities to contribute are limitless. Impact by challenging the way its 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.

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Last updated : 2024-05-14