Assured
Product SME - Workers Compensation
Remote. Posted 4 months ago
The role
You will translate Workers' Compensation claims expertise into product requirements, workflows, and decision frameworks. You will partner with Product, Engineering, Analytics, and Claims Operations to improve workflows, data, and automation.
What you will do
- Translate claims expertise into product requirements, workflows, edge cases, and decision frameworks
- Connect medical, operational, regulatory, and financial pictures for product teams
- Shape how claim information is captured and structured
- Improve workflows, reporting, automation, and product experiences
- Partner across Product, Engineering, Analytics, Claims Operations, Finance, Customer Success, and Leadership
- Prioritize changes that improve claim outcomes
- Serve as an internal authority on Workers' Compensation claims
- Communicate findings, tradeoffs, and recommendations to technical and non-technical audiences
- Map the claim lifecycle to identify friction points
- Identify gaps in injury, wage, medical, employer, and jurisdictional data
Required qualifications
- Deep, hands-on Workers' Compensation claims experience
- Experience as a field or desk adjuster, examiner, supervisor, or claims leader at a P&C carrier, TPA, or Workers' Compensation focused organization
- Strong knowledge of the full claim lifecycle: FNOL, investigation, compensability, medical management, indemnity, wage calculation, reserving, return to work, settlement, and closure
- Familiarity with jurisdictional complexity
- Ability to evaluate complex workflows and identify root causes
- Comfort owning ambiguous, high-leverage work with significant operational and financial impact
- Curiosity about how automation and AI can improve claims workflows
Nice to have
- Experience with any particular software or internal tool
Benefits
- Competitive salary and equity packages
- Platinum medical, dental, and vision
- Free life insurance including long-term disability and short-term disability
- Unlimited PTO
- Uncapped vacation days and paid holidays
- Maternity and paternity leave
- 401(k) contribution of 3% of income
- Lunch 2x/week
- Monthly phone stipend
- Other home office perks
- Health FSAs and HSAs
- Team events and offsites
About the company
Assured provides large insurers with software solutions to modernize insurance. They provide tools ranging from self-service claim-filing software to backend fraud detection.