PIP/MPC Claims Adjuster

Job Description

Company: Root is a company of 700+ and (mindfully) growing. In March of 2015, we set out to build an insurance solution that did two things: 1) gave an unprecedented easy user experience and 2) used modern data to more accurately predict risk. We created a mobile car insurance app, and we changed the entire industry in the process. Culture: Root is a venture-backed technology company. Our early signs of success are in large part due to our unwavering standards in hiring. We recognize that our product is only as good as the people building it. We look for individuals who can find solutions by going through the cycle of ideation to implementation with curiosity and rigor. We expect every team member to lead with empathy and respect. Position: As a Claims Adjuster for PIP/MPC, you’ll play a critical role in enforcing the fundamental fairness values on which our company was founded. You’ll be asked to push the boundaries of what’s required and to think critically as to what our customers want and to how that best aligns with our product. By collecting information, making recommendations for claims processes to iterate towards automation and further develop our app features, you’ll be helping to build and enhance an entirely new insurance experience from the ground up. This role is vital to Root’s success as we continue to rapidly grow and is largely responsible for our bottom line.

Responsibilities:

• Delivers an industry-leading claim experience for all policyholders
• Evaluates claims/bills, reviews and/or issues payment for 1st party medical bills
• Creates accurate documentation of findings in claim for related injuries
• Makes final decisions on bills and relevant treatment and concludes claim handling
• Works with vendors to establish rapport and trust to handle with applicable regulation
• Interpret policy language and apply rules as required by jurisdiction
• Consistently makes prompt and courteous contact with every claim customer
• Maintains and updates a diary/schedule for each claim in the examiner’s pending
• 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.

Qualifications:

• California claims handling required
• 3+ years of claims handling experience, including 1st party PIP and/or MPC claims experience preferred
• Expected to obtain a Texas insurance license (if not already licensed) within 90 days of employment
• Strong understanding and application of laws, statutes, and regulations specific to PIP/MPC handling
• Strong technical understanding of 1st party injury claim process
• Ability to work in a partnership with third-party administrators
• High sense of professionalism while remaining empathetic
• Curious in nature
• Great attention to detail
• Ability to approach problems with an open mind

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