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Senior Manager, First Party Medical
Root Inc.Senior Manager leading remote teams handling first-party medical claims for innovative insurtech company. Establishing best practices and ensuring high customer satisfaction.
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates strong leadership in managing geographically dispersed teams while driving technical claim handling processes. Possesses extensive experience in first-party medical claim adjudication and policy interpretation, ensuring compliance with best practices.
Highest-signal resume keywords
Leadership in Claims ManagementFirst Party Medical Claim AdjudicationPolicy InterpretationComplex Claims ManagementCollaboration and Relationship Building
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Claims AdjudicationPolicy InterpretationTechnical Claim HandlingPerformance MeasurementProcess Establishment
Soft Skills
LeadershipCollaborationCommunication
Certifications & Qualifications
Insurance Licenses
Industry Keywords
First Party ClaimsClaims Best PracticesLitigation Management
About the role
Key responsibilities & impact- Lead multiple teams within the First-Party Medical Unit in the claims organization
- Establish processes to drive technical claim handling
- Measure, evaluate and communicate individual and team performance results
- Provide leadership across geographically dispersed teams
Requirements
What you’ll need- Bachelor’s degree or equivalent experience required
- 5+ years of successful experience leading employees who complete first party medical claim adjudication
- Strong technical understanding of policy interpretation
- Experience managing complex first party claims involving litigation
- Ability to build collaborative working relationships
- Familiarity with claims best practices required
- Ability to obtain and maintain insurance licenses in several states within three months
Benefits
Comp & perks- Work where it works best for you