Senior Manager, Major Case Investigative Unit – Medical & Provider Fraud
Employment Information
Report this job
Job expired or something wrong with this job?
Job Description
Senior Manager leading the Major Case Investigative Unit at Root Insurance. Overseeing investigations on complex provider fraud and driving cross-functional business solutions.
Responsibilities:
- oversee the strategy and handling of complex cases
- direct projects and initiatives related to major case and provider fraud initiatives
- monitor trends with lawsuit filings for FPM and Injury
- engage in coaching appropriate behaviors with leaders
Requirements:
- 5+ years of progressive leadership experience in P&C Insurance
- deep subject matter expertise in medical provider fraud
- extensive experience managing medical claims and fraud investigations
- bachelor's degree or equivalent experience required
Benefits:
- work where it works best
- health insurance
- retirement plans
- competitive salary
Similar Jobs
Senior Manager, Internal Audit
Senior Manager of Internal Audit leading internal audit program for Circle National Trust. Ensuring compliance with OCC regulations and overseeing fiduciary audits and internal controls.
Athletics Travel Manager
Account Manager providing athletic travel support for ECU Athletics in a fully remote role. Handling individual and team travel arrangements for coaches, athletes, and staff.
Business Development Manager
Business Development Manager driving sales for Array Technologies focused on solar EPCs, developers, and IPPs. Engaging in strategic partnerships and market opportunities for distributed generation.
Manager, Animal Health Clinical Support
Manager leading clinical support team for veterinary applications with technical expertise at ICU Medical. Overseeing operations and ensuring best practices in customer service and regulatory compliance.
North Region Channel Development Manager
Channel Development Manager with responsibility for sales strategy execution in the North Region for ABB. Leading channel partner relationships and achieving sales growth objectives.
Manager, Support – Managed Services
Manager of global support team ensuring quality interactions and reliability for AI-native OS in materials science. Lead operations, manage incidents, and coordinate with engineering teams.
Claims Manager – Trucking
Claims Manager leading a team of claims professionals at an insurtech focused on AI and automation. Managing multi lines of business, ensuring operational effectiveness and compliance with standards.
Senior Developer – Adobe Experience Manager
Senior Adobe Experience Manager Developer in Tech Financial Services at EY. Collaborating on international projects to build scalable digital solutions with high performance.
Cataract Refractive Manager
Surgical Field Sales Associate responsible for achieving sales targets for ophthalmic products at Alcon. Building relationships and providing support to customers in designated territories.
Manager – Escalation Management
Manager of Escalation Management at Snowflake providing exceptional support for critical customers. Leading a high-performance team in a dynamic environment with a focus on results.
Senior Manager, Site Start Up
Senior Manager managing study start-up activities and CRO partnerships for clinical trials at Parexel. Focused on timelines, compliance, and effective communication across teams.
Intelligence and Threat Assessment Manager, EMEA
Managing global threat assessments and workplace violence prevention to safeguard Concentric's employees and executives. Collaborating with cross-functional teams for comprehensive security measures.
Area Business Manager – Dupixent
Area Business Manager engaging Pulmonologists within assigned territories to enhance product growth. Focus on asthma and COPD while collaborating with multiple stakeholders in the pharmaceutical field.
Area Business Manager – Allergy, ENT
Area Business Manager responsible for engaging Allergists and ENTs for Sanofi's specialty treatments. Driving revenue growth and delivering product goals related to various health conditions.
GSI Portfolio Quality Leader
Project Quality Leader at GE Vernova overseeing quality deliverables for projects in North America. Leading a team to ensure compliance with GSI NAM’s Quality program and standards.
Manager II, Identity Access Management – PAM
Manager II leading day-to-day operations and strategic direction of PAM program at Navy Federal Credit Union. Overseeing a team securing privileged identities and access across platforms while ensuring compliance.
Quality Manager – Utilities, Civil
Quality Manager overseeing quality management for underground utility construction projects. Leading compliance and improvement initiatives with a focus on large-scale infrastructure.
BAS Technical Manager
BAS Technical Manager supporting DLB's mission critical projects with a focus on building automation systems. Leading technical and project responsibilities in a collaborative, remote work environment.
Web Optimization Manager
Web Optimization Manager focusing on enhancing the website experience through data analysis and testing strategies. Collaborate with cross-functional teams to drive conversion improvements.
Case Manager
Case Manager supporting the Pennsylvania Center of Excellence program. Coordinating client care and navigating community-based services in a remote capacity.