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Assured

Product SME – Auto Claims

Reposted 3 Months Ago
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Remote
Hiring Remotely in USA
110K-130K Annually
Senior level
Remote
Hiring Remotely in USA
110K-130K Annually
Senior level
Lead an end-to-end evaluation of the auto claims lifecycle, identify workflow and data gaps, define claims quality standards, ensure data integrity across systems, partner with Product/Engineering/Analytics/Operations to prioritize automation and product improvements, and communicate recommendations that improve cycle time, accuracy, financial outcomes, and customer experience.
The summary above was generated by AI

Assured is on a mission to modernize insurance. Claims processing (i.e. should we pay this claim?), while often overlooked, is the foundation of the entire industry. It’s currently highly manual, involving phone calls, faxes, and gut instinct, costing tens of billions of dollars a year. We can do better.

At Assured, we provide large insurers with the software solutions they need to win in a modern, technology-driven world. From self-service claim-filing software to backend fraud detection, we’re the engine that powers claims processing for some of the largest insurers in the world.

The challenges we face are deep and diverse, from creating digital experiences that provide comfort and clarity to claimants at their most stressed and vulnerable to orchestrating large-scale ML-driven decision-making on billions of dollars of claims payments, life at Assured is dynamic, collaborative, and rewarding.

Assured Insurance Technologies is seeking a Product SME to lead a comprehensive evaluation of the end-to-end auto claims process. This role will focus on understanding how claims move from First Notice of Loss (FNOL) through resolution, how decisions are made and documented, how data flows across systems, and where operational and product improvements can meaningfully impact cycle time, accuracy, customer experience, and financial performance.

This role sits at the intersection of Product, Engineering and Analytics and is expected to drive meaningful, company-wide impact. It also carries direct management responsibility for a small team supporting this work.

What you'll do…

🔍 Conduct an end-to-end review of the auto claims lifecycle
Examine the full claim journey; FNOL intake, investigation, coverage evaluation, liability assessment, damages review, reserving, negotiation, settlement, and closure, identifying friction points and opportunities for automation.

🧠 Develop deep expertise in how claims decisions are made and supported by data
Understand what information adjusters rely on (statements, telematics, police reports, photos, repair estimates, medical documentation, policy data), how it is structured in the system, and where gaps or inefficiencies exist.

🧩 Identify breakdowns in claim workflow and documentation
Surface inconsistencies in data capture, reserve alignment, task routing, handoffs, approval processes, customer communications, or downstream reporting that affect claim outcomes.

👥 Lead and develop a small team
Manage a small team supporting the claims evaluation effort; set priorities, review work quality, and coach team members on claims judgment and documentation standards.

✅ Own the integrity of core claims data across systems
Ensure key indicators (coverage status, liability stance, damages exposure, reserve position, settlement status) are accurately captured and consistently reflected across product, operational, and financial views.

📐 Define standards for claims quality and defensibility
Establish expectations for documentation rigor, decision rationale, reserve accuracy, communication clarity, and alignment between investigation findings and financial outcomes.

🤝 Partner cross-functionally to resolve systemic issues
Collaborate with Product, Engineering, Claims Operations, Analytics, and Leadership to address root causes impacting claim efficiency, accuracy, and customer experience.

🛠️ Improve both inputs and outputs across the claims process
Enhance how evidence and claim information are collected, structured, and surfaced to improve how insights are delivered through dashboards, reporting, automation workflows, and AI models.

📊 Translate insights into measurable product improvements
Prioritize enhancements that reduce cycle time, improve loss ratio performance, minimize leakage, strengthen reserving accuracy, improve customer satisfaction, and increase operational efficiency.

🧭 Influence roadmap decisions with financial and operational context
Clearly articulate business impact across indemnity spend, expense management, subrogation recovery, litigation exposure, adjuster productivity, and customer retention.

🎓 Serve as the internal subject-matter expert on the auto claims lifecycle
Guide best practices for claim handling, documentation standards, investigation quality, and automation opportunities.

🤜🤛 Align teams around consistent process standards
Partner across Claims, Product, Engineering, Finance, and Customer Success to ensure shared understanding and disciplined execution.

🗣️ Communicate clearly across audiences
Present findings and recommendations effectively to both technical and non-technical stakeholders.

You have…

💼 Prior experience working at a major carrier as a claims adjuster

👥 5+ years of people management experience, including supervising claims teams or organizations

🧾 Deep understanding of the end-to-end auto claims process within P&C

🔗 Experience working closely with product, engineering, data, and operational teams

🧠 Proven ability to assess complex workflows and identify high-impact improvements

🚀 Comfort owning ambiguous, high-leverage initiatives with measurable financial impact

✍️ Strong written and verbal communication skills

Benefits:

🤑 Competitive Compensation: Competitive salary and equity packages for all employees

🏥 Healthcare Plan: Platinum medical, dental, and vision

🛡️ Free life insurance: Including long-term disability & short-term disability

🏄 Unlimited PTO: Uncapped vacation days & paid holidays

👶 Family Leave: Maternity & paternity

📈 401(k) Contribution: Assured contributes 3% of your income, even if you don't contribute

🏠 WFH Benefits: Lunch on us 2x/week, monthly phone stipend & other home office perks

👪 Health FSAs & HSAs: Pre-tax accounts for out-of-pocket medical expenses

🤝 Team events & Offsites: We're remote, but we regularly get together

**We have been made aware of individuals falsely posing as recruiters from Assured Insurance Technologies Inc. Please note that we only contact candidates from official @assured.claims email addresses and all interviews are conducted through verified company channels. If you are unsure whether a message is legitimate, please contact us directly at [email protected] before sharing any personal information**

Our Commitment:
We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, sex, gender, gender expression, sexual orientation, age, marital status, veteran status, or disability status. We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, perform essential job functions, and receive other benefits and privileges of employment. Please contact us to request accommodation.

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