Personal Injury Protection (PIP) Claims Team Lead

Reserv is an insurtech creating and incubating cutting-edge AI and automation technology to bring efficiency and simplicity to claims. Founded by insurtech veterans with deep experience in SaaS and digital claims, Reserv is venture-backed by Bain Capital and Altai Ventures and began operations in May 2022. We are focused on automating highly manual tasks to tackle long-standing problems in claims and set a new standard for TPAs, insurance technology providers, and adjusters alike.

We have ambitious (but attainable!) goals and need adjusters who can work in an evolving environment. If building a leading TPA and the prospect of tackling the long-standing challenges of the claims role sounds exciting, we can’t wait to meet you.

As a Personal Injury Protection Team Lead at Reserv, you will be a working leader providing support to a claims manager with leadership and claim technical responsibilities. Leadership responsibilities will include overseeing work done within the personal injury protection auto claims adjusting staff. We want your background and experience to deliver operational effectiveness, particularly in leveraging technology and analytics to drive better efficiencies and performance. You will serve a critical role with the team, the customers, and the client. This role will balance management responsibilities and individual contributor responsibilities when volume dictates the need for assistance with a claim.

• Highly motivated and growth-oriented, impactful and influential
• Claims professional - you are knowledgeable and have a track record of success in personal injury protection and medical payment claims adjudication.
• Strong leader - through formal management experience or a proven track record of peer and project leadership, you have demonstrated the ability to motivate, support, and teach a team to help them excel in their roles.
• Tech-oriented - You are excited by the prospect of building a tech-driven claims organization while delivering an excellent service and have proven results leveraging technology and analytics.
• Passionate - Claims professional who cares about their team, the customer, and their experience
• Empathetic leader - You exercise empathy and patience towards everyone you interact with
• Sense of urgency - at all times. That does not mean working at all hours
• Creative - You challenge existing assumptions and find ways of leveraging technology and the talents of your team to address problems
• Curious - You want to know the whole story so you can make the right decisions early and be decisive when it counts.
• Problem solver - You have the ability to take a ‘deep dive’ into the details of the business while staying focused on the big picture.
• Anti-status quo - You don’t just wish things were done differently; you act on it
• Communicative - You are comfortable with and understand the importance of phone communications throughout the claims process.
• And did we mention a sense of humor? Claims are hard enough as it is!

We need you to do all the things typical to the role:

• Flexibility - you will need to be able to switch from claims handling to coaching and feedback
• Agility - you must have an agile mindset and the ability to pivot from focus to focus in a moment’s notice
• Be consistently dependable in achieving or exceeding goals and overcoming obstacles
• Implement and maintain best practices for claims handling, including claim intake, investigation, evaluation, settlement, and recovery
• Align team with client and customer expectations of the claims process
• Serve as a resource for escalated claims
• Foster a positive work environment, promote teamwork, and encourage professional growth and development
• Attract, hire, retain, and provide a high level of training with the support of the rest of the leadership team
• Prepare and present comprehensive claims reports, metrics, and analyses to clients and customers; advise clients on claim trends and loss mitigation

Job Duties: 

• Serve as backup/leader when the Manager is out of office
• Responsible for having direct reports
• Responsible for initial onboarding tasks/ access and new hire cultural immersion
• SME for first-line questions, escalations, roundtable discussions
• Increased reserve and payment authority with the ability to assist with moderate reviews
• Identify topics and trends to discuss in team Huddles and Elevated Claims Experience Workshops lead/ co-lead by Team Leads, Managers, and other Reserv employees
• Customer Obsession Champions- Active advocates who help leadership cultivate a customer-centric mindset

• 5+ years of insurance claims experience in multiple lines of business with personal injury protection and medical payments experience
• 3+ years of leadership experience with a preference for experience managing in a remote environment
• Experience with commercial and personal lines of personal injury protection and medical payment claims is highly preferred
• Comfortable with technology and the ability to evolve the claims systems and processes to drive better efficiencies and outcomes
• Demonstrated commitment to quality, accuracy, and attention to detail
• Integrity, ethics, and a strong sense of accountability in handling confidential and sensitive information

• Generous health-insurance package with nationwide coverage, vision, & dental
• 401(k) retirement plan with employer matching
• Competitive PTO policy – we want our employees fresh, healthy, happy, and energized!
• Generous family leave policy
• Work from anywhere to facilitate your work life balance 
• Apple laptop, large second monitor, and other quality-of-life equipment you may want. Technology is something that should make your life easier, not harder!

Additionally, we will

• Listen to your feedback to enhance and improve upon the long-standing challenges of an adjuster and the claims role
• Work toward reducing and eliminating all the administrative work from an adjuster role
• Foster a culture of empathy, transparency, and empowerment in a remote-first environment

At Reserv, we value diversity and believe that a variety of perspectives leads to innovation and success. We are actively seeking candidates who will bring unique perspectives and experiences to our team. We welcome applicants from all backgrounds and encourage those from underrepresented groups to apply. If you believe you are a good fit for this role, we would love to hear from you!