Sr. Manager, Major Case Investigative Unit (medical & Provider Fraud)

Root Inc

Remote, US
Base: $117,300 - $146,600; bonus/equity: bonus & l...
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5+ years leadership in p&c insurance
First party medical claims oversight
Medical provider fraud expertise
** Root Inc is seeking a Senior Manager for their Major Case Investigative Unit to lead efforts in identifying and combating medical fraud, particularly in high-risk jurisdictions. The ideal candidate will possess over five years of leadership experience in property and casualty insurance and have a deep understanding of medical provider fraud. **

Job Summary

  • This newly created role bridges the gap between First Party Medical operations and the Special Investigative Unit to aggressively combat medical fraud.
  • The ideal candidate will lead a specialized team of claims leaders while ensuring investigations are thorough, efficient, and fully compliant with laws and ethics.
  • Root offers a flexible 'work where it works best' environment supporting remote work across the US with a salary range of $117,300 to $146,600.

Matching Summary

Match Score: 75

** Root Inc is seeking a Senior Manager for their Major Case Investigative Unit to lead efforts in identifying and combating medical fraud, particularly in high-risk jurisdictions. The ideal candidate will possess over five years of leadership experience in property and casualty insurance and have a deep understanding of medical provider fraud. **

Salary

Base: $117,300 - $146,600; Bonus/Equity: Bonus & LTI Eligible; Benefits: Not specified

Skills & Requirements

Must-have

  • 5+ years leadership in P&C Insurance
  • First Party Medical claims oversight
  • Medical provider fraud expertise
  • SIU management experience
  • High-risk jurisdiction knowledge NY MI NJ FL

Nice-to-have

  • Strong coaching and employee development skills
  • Ability to work independently in remote setting
  • Curious nature with attention to detail
  • Empathetic communication style
  • Experience managing geographically dispersed teams

Key Requirements

  • Bachelor's degree or equivalent experience
  • Maintain insurance licenses in multiple states including Texas
  • Deep subject matter expertise in upcoding and unbundling

Work Rights

Must be authorized to work in the US

Tailored Resume

Cover Letter