FL PIP Claims Manager (FPM Manager II)

Job Description

The Position. As a FL PIP Claims Manager (FPM Manager II), you will be responsible for the results of a team of adjusters handling PIP 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 importances 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.

What you'll be doing.

• Leads a team of PIP/MPC Claims Adjusters who are responsible for the handling of first-party medical claims.
• 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 we're looking for.

• Experience with FL PIP claim handling
• At least two years of PIP leadership experience
• FL insurance licenses or professional insurance designations preferred
• Strong understanding and application of laws, statutes, and regulations specific to FL PIP handling
• 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

Who we are. Root Insurance is the nation’s first licensed insurance carrier powered entirely by mobile. We were founded on the belief that the services you need for everyday life should serve you better. That’s why we base insurance coverages on you, not your demographic. It’s the way insurance should be. And it’s all conveniently in an app. What draws people to Root. We’re a venture-backed technology company. Our early success is in large part due to our unwavering standards in hiring. We recognize that our product is only as good as the people building and promoting it. We look for individuals who find solutions by going through the cycle of ideation to implementation with curiosity, rigor, and a highly analytical lens. Ask anyone who works here and you’ll hear similar reasons for why they joined: Autonomy. For assertive self-starters, the opportunities to contribute are limitless. Impact. By challenging the way it’s 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. Apply for this job