Medical Payments Coverage Adjuster

Root Insurance

44d•Remote

About The Position

As a MPC Adjuster, you’ll play a critical role in enforcing the fundamental fairness 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 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 one in the industry.

Requirements

Successful experience handling personal auto insurance claims across multiple states where the applicant was directly responsible for contact, issuing payments, responding to correspondence, and requesting authority from supervisor(s)
Ability to obtain additional insurance adjuster licenses within 3 months
Understanding of liability and casualty principles
Aptitude to quickly learn and apply new concepts
Coachable and committed to professional growth
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

Nice To Haves

Claims experience handling Medical Payments Coverage (MPC) and/or Personal Injury Protection (PIP) preferred

Responsibilities

Delivers an industry-leading claim experience for all policyholders
Consistently makes prompt and courteous contact with every claim customer
Handle primarily MPC features, which are lower limits and higher volume
Communicate with drivers, passengers, and/or witnesses to understand the accident and effectively manage the claim with injuries sustained. Document claim files for clear medical management from start to finish.'
Utilize third party vendor to evaluates claims/bills, if in line with claim/jurisdiction issue payment for 1st party medical bills
Interpret policy language and apply rules as required by jurisdiction
Analysis of billing notes along with reported injuries and facts of loss
Maintains and updates a diary/schedule for each claim in the adjuster’s 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
Sets and maintains a loss reserve for every claim in the adjuster's pending