Pie Insurance

Manage workers’ compensation medical only claims from initiation to closure, ensure compliance with statutory requirements, mitigate claim exposure, provide excellent customer service, and collaborate with internal and external partners. | At least 1 year of workers’ compensation medical only claims experience, knowledge of claim adjudication and medical management, strong communication skills, and ability to work remotely within the US. | Pie's mission is to empower small businesses to thrive by making commercial insurance affordable and as easy as pie. We leverage technology to transform how small businesses buy and experience commercial insurance. Like our small business customers, we are a diverse team of builders, dreamers, and entrepreneurs who are driven by core values and operating principles that guide every decision we make. The Claims Medical Only/Lien Adjuster will play a vital role in delivering quality claim file management and an industry-leading customer claims experience. This will be completed by adhering to Pie’s Claims Best Practices and complying with regulatory and statutory requirements. This role will work with internal and external partners to deliver best in class performance, identify and pursue claim mitigation opportunities and deliver favorable claim outcomes for Pie’s customers. How You’ll Do It Claims Technical Management: • Independently handle all aspects of the workers’ compensation medical only claims from set-up to closure. • Conduct timely 2-point contact investigation, with focus on continued medical management, potential for lost time benefits, and claim closure as facts of the case change. • Mitigate claim exposure while achieving the best outcome. • Determine timely and accurate compensability decisions within statutory requirements. • Set and adjust timely/accurate reserves within authority limits to ensure reserving activities are consistent with the case facts and company best practices. • Timely administration of statutory medical benefits throughout the life of the claim. • Use Utilization Review where appropriate and pay medical bills within the allotted timeframes • Comply with all applicable statutory guidelines, rules, and regulations. • Proactively identify and timely assign claims that meet indemnity claim conversion criteria • Consistent and timely resolution of medical treatment to resolve and close claims • Maintain a split inventory of Lien resolution claims, negotiating liens to appropriate resolution Claims Customer Service: • Serve as a point of contact for our partner agents and customers to provide general claim guidance and help set claim process expectations. • Assist as necessary in providing claim status to agents and insureds, coverage verification and loss run reports, etc. • Provide excellent customer service to internal and external customers and business partners. • Advocate to ensure that Pie has a leading claims customer experience. • Work to continuously improve our claims operations and look at opportunities and gaps in claim service, handling SOPs, protocols and processes. The Right Stuff • High School Diploma or equivalent is required. • Bachelor's Degree or equivalent experience with some college coursework is preferred. • Minimum of 1-years workers’ compensation claims experience as a medical only adjuster is required. • Experience in the following states preferred due to higher volume: CA, AZ, UT and TX • Proficient communication (written and verbal) skills, to deliver information effectively. • Awareness of your own tasks, and how it impacts the team and deliverables. • Experience using G-Suite Tools, and collaboration tools like Slack is preferred. • Demonstrated knowledge and experience in claim adjudication and medical management. • Developing ability to analyze and take necessary action in multiple focus areas, based on several data points. • Ability to use skills to overcome conflict and reach beneficial outcomes. • Ability to make claim decisions to mitigate exposure while achieving the best outcome. The use of AI in Application Review: To support a fair, efficient, and consistent hiring process, we use AI-powered tools to assist in the initial screening of applications. These tools help us identify qualifications and prior work experiences that align with the requirements of the role. All AI-reviewed applications are still subject to human oversight and decision-making at multiple stages of the process. By submitting your application, you acknowledge and consent to Pie utilizing these AI technologies to assist in our evaluation process. Base Compensation Range $60,000—$75,000 USD Compensation & Benefits • Competitive cash compensation • A piece of the pie (in the form of equity) • Comprehensive health plans • Generous PTO • Future focused 401k match • Generous parental and caregiver leave • Our core values are more than just a poster on the wall; they’re tangibly reflected in our work Our goal is to make all aspects of working with us as easy as pie. That includes our offer process. When we’ve identified a talented individual who we’d like to be a Pie-oneer , we work hard to present an equitable and fair offer. We look at the candidate’s knowledge, skills, and experience, along with their compensation expectations and align that with our company equity processes to determine our offer ranges. Each year Pie reviews company performance and may grant discretionary bonuses to eligible team members. Location Information Unless otherwise specified, this role is remote. Remote team members must live and work in the United States (territories excluded) and have access to reliable, high-speed internet. Additional Information Pie Insurance is an equal opportunity employer. We do not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, marital status, age, disability, national or ethnic origin, military service status, citizenship, or other protected characteristic. Pie Insurance participates in the E-Verify program. Please click here, here and here for more information. Pie Insurance is committed to protecting your personal data. Please review our Privacy Policy. Safety First: Pie Insurance is committed to your security during the recruitment process. We will never ask you for credit card information or ask you to purchase any equipment during our interview or onboarding process. Pie Named to 2025 America's Best Startup Employers Pie's Ford Pro Insure Coverage expanded to Pennsylvania and Texas Pie Insurance 2025 State of Workplace Safety Report #LI-REMOTE #BI-REMOTE

Lead and scale underwriting operations and customer service teams to deliver a best-in-class, effortless customer experience with strategic oversight and performance management. | 10+ years in P&C insurance with 5+ years in senior leadership roles managing customer-facing operations, strong business acumen, data-driven decision making, and excellent communication skills. | Pie's mission is to empower small businesses to thrive by making commercial insurance affordable and as easy as pie. We leverage technology to transform how small businesses buy and experience commercial insurance. Like our small business customers, we are a diverse team of builders, dreamers, and entrepreneurs who are driven by core values and operating principles that guide every decision we make. The VP, Underwriting Operations and Customer Service will lead customer advocate & customer focused executive that stewards the customer experience journey and delivers effortless experiences that live into our brand - easy as Pie. Continually creating, developing, and evolving these digital experiences at key points within the customer lifecycle and integrating the necessary compliance and automated solutions as these opportunities that arise. The VP, Underwriting Operations and Customer Service will work to develop, build and lead a best-in-class customer experience that leans into current expectations of users and partners and overarching benchmarking and best practices focused on top digital experience which is personalized, responsive, and frictionless. The VP, Underwriting Operations and Customer Service directs the overarching strategy, scale and performance of the umbrella of customer experience, which includes customer success, agent experiences, and underwriting operations . Overall top-level accountability for the CX programs and underwriting operations, along with their goals and objectives for teams. Builds the strategic outline and pathways of work for now and into the future. Manages key relationships with leaders inside and outside of the organization ensuring excellent customer experience and outcomes. Establishes high impact relationships with the team and develops leaders to ensure excellence is maintained throughout the business sector. Overall responsibility for the development of CX forecasts, planning and measurement of key data points, to include financial and productivity and key performance metrics. How You’ll Do It Team Leadership: • Building, scaling team - organizational development, working on building teams with intention • Work with Directors to be able to position for changing dynamics • Advocate for the needs of the team to manage timelines and deliverables for the organizational overall goals • Managing leaders to deliverables and timelines • Coaching on teambuilding, support and team execution • Relationship building, collaboration, and fostering positive business partnerships with vendors, customers, agents, internal stakeholders, and Pie-oneers, and Co-Pielots. • Foster collaboration within team and across customer lifecycle support areas Overall Operations strategy, oversight, support and monitoring: • Work with the team leadership to scale, recruit and develop team processes and deliverables. Includes policies, endorsements, escalations and resolutions, renewal, retention and cancellation activities. • Monitor the operations of the business and managing high level and complex issues/risk • Use data to inform the development of processes to ensure we are delivering on analytics. • Develop, implement, and curate the overarching customer and agent experience — effortless experience , responsive, self-service. Drive Teamwork with Customer Experience in Mind: • Accountable for setting and meeting metrics and deliverables around policy services and customer experience • Build brand experience strategy to ensure outstanding customer experience and manage results • Advocate for the customers, agents, and teams, and actively represent the needs of our users to deliver a best-in-class experience. Develop and Drive Customer Experience Strategic Initiatives: • Managing partners at the highest level • Establishing and measuring metrics and extensive business KPIs. • Strategize for growth and future lines of business • Accountable for overall deliverables, OKRs, and key measurements - the data to inform decisions/path • Inspire customer success across the company, aligning with all levels of leadership and teams to drive company-wide understanding of what defines customer and company success The Right Stuff • Bachelor’s Degree in related field is required • 5 years in a senior operating role leading as a Director, VP or Executive level for customer facing organizations • 10 years overall P&C Insurance Industry experience is required • Proven track record of leading senior leaders. • Executive presence, business acumen, drive strategy and deliverable outcomes and driving results and measuring results is important. • Ability to manage influence through persuasion, negotiation, and consensus building • Ideally combined background of post-sale and sales experience in a high volume, transactional focused environment • Advanced knowledge of the insurance industry is required • Knowledge of workers’ compensation is highly preferred • Excellent process management and data analysis skills • High ability to use data and metrics for decision making and strategic process mapping • Strong empathy for customers and team members, and a passion for revenue and growth • Deep understanding of value drivers in recurring revenue business models • Analytical and process-oriented mindset • Demonstrated desire for continuous learning and improvement • Enthusiastic and creative leader with the ability to inspire others • Excellent communication and presentation skills Base Compensation Range $195,000—$250,000 USD Compensation & Benefits • Competitive cash compensation • A piece of the pie (in the form of equity) • Comprehensive health plans • Generous PTO • Future focused 401k match • Generous parental and caregiver leave • Our core values are more than just a poster on the wall; they’re tangibly reflected in our work Our goal is to make all aspects of working with us as easy as pie. That includes our offer process. When we’ve identified a talented individual who we’d like to be a Pie-oneer , we work hard to present an equitable and fair offer. We look at the candidate’s knowledge, skills, and experience, along with their compensation expectations and align that with our company equity processes to determine our offer ranges. Each year Pie reviews company performance and may grant discretionary bonuses to eligible team members. Location Information Unless otherwise specified, this role is remote. Remote team members must live and work in the United States (territories excluded) and have access to reliable, high-speed internet. Additional Information Pie Insurance is an equal opportunity employer. We do not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, marital status, age, disability, national or ethnic origin, military service status, citizenship, or other protected characteristic. Pie Insurance participates in the E-Verify program. Please click here, here and here for more information. Pie Insurance is committed to protecting your personal data. Please review our Privacy Policy. Safety First: Pie Insurance is committed to your security during the recruitment process. We will never ask you for credit card information or ask you to purchase any equipment during our interview or onboarding process. Pie Named to 2025 America's Best Startup Employers Pie's Ford Pro Insure Coverage expanded to Pennsylvania and Texas Pie Insurance 2025 State of Workplace Safety Report #LI-REMOTE #BI-REMOTE

Lead and develop the People Operations team, manage HR technology stack including Workday, oversee payroll and compliance, and drive strategic people operations initiatives aligned with company goals. | 12+ years progressive HR experience with 5+ years people management, expertise in Workday and people operations tech, payroll and compliance management, strategic leadership, and preferably insurance or fintech background with BA/BS or equivalent experience. | Pie's mission is to empower small businesses to thrive by making commercial insurance affordable and as easy as pie. We leverage technology to transform how small businesses buy and experience commercial insurance. Like our small business customers, we are a diverse team of builders, dreamers, and entrepreneurs who are driven by core values and operating principles that guide every decision we make. With approximately 350 team members today, and scaling through people and technology for the future, Pie is seeking an exceptional Director of People Operations and Technology (Dir, POps & Tech) to join the People leadership team. This role will elevate our human resources function through the strategic use of AI, technology, and a blend of business- and people-centered approaches. The Dir, POps & Tech reports to the Chief People Officer (CPO). This Director role will serve as a critical member of the People, Talent & Executive Support (PTE) leadership team, working in a highly collaborative environment as a thought and execution partner. The Director of People Operations and Technology is responsible for the ownership of post-hire team member lifecycle delivery and experience, providing the structure, data, and analysis necessary for Pie's leaders and our People Talent teams to execute against Pie's people-driven strategies. Given the range of capabilities and responsibilities of the role, this position will also align with multiple centers of excellence across the organization, such as business intelligence, finance, analytics, and culture ambassadorship. The Dir, POps & Tech will own the development of multi-year strategies that shape team direction, inform functional strategy, and are aligned to company objectives. The Director leads a broad scope of people operations functions including people operations and tech strategy co-development with the CPO and execution through a multi-year roadmap; Tier 1 team member support; payroll management; management of the People and Talent technology stack with a strong focus on Workday configuration, maintenance, and data integrity; People workflow, process design and SOP management; reporting and analytics; and compliance. At the outset, the role is also expected to partner closely with the Dir, Talent to support Talent Operations. Aligning all of these areas around cohesive, strategic narratives that connect to Pie's market positions and competitive differentiation will be key to our collective success. How You'll Do It Strategic Leadership, Team Leadership & Cross-Functional Collaboration • Ensure an innovative, effective, and inclusive work culture to retain and grow the best talent for the People Team and Pie as an organization • Directly manage the People Operations team, currently comprised of three full-time team members with varying levels of experience and responsibility • Responsible for all aspects of people management, including development, coaching, training, performance management, and the expected future growth of the team • Lead and develop new People team leaders in order to build bench strength as the business grows over time • Proactively establish and maintain strong collaborative working relationships across the organization with a focus on the following stakeholders: Finance & Accounting, Enterprise Technology, Internal Communications, Legal & Compliance, Product, the Pie Executive Team, the Senior Leadership Team, and the Office of the CEO • Proactively partner with People Partners, Total Rewards, Talent, and the Executive Support and Space teams on strategy development and outstanding execution across all aspects of the People, Talent & Exec Support functions • Leveraging Pie's Collaboration and Decision Making Framework, you will often serve in a lead execution role, as well as in supporting and consultative roles on cross-functional, complex project and program management initiatives People Operations Management • Lead the People Operations team through strategic processes, projects, and complex situations • Design, deliver, and monitor the strategic roadmap for the People Operations function on a monthly, quarterly, and annual basis • Oversee payroll approval for the biweekly pay cycle for non-exempt and exempt team members Tech Stack Management • Own the strategic design, delivery, and administration of our HRIS (Workday) and have oversight for the People tech stack and resources (Culture Amp, Continu, Ethena, Carta (shared), etc.) • Manage the People Operations and Technology budget as well as People-specific vendor relationships and service providers • Serve as the security admin for Workday, managing user and role-based security groups • Own configuration, testing, and deployment updates, process improvements, and business process updates in HCM, Compensation, Advanced Compensation, Benefits, Time Tracking, Absence, US Payroll, and Talent • Manage the bi-annual Workday release cycle • Serve as the integration administrator to troubleshoot integration enhancements, issues, errors, or vendor requests Project & Program Management • Partner across the PTE team and key stakeholders organization-wide to identify and prioritize system development needs • Align system configuration goals with PTE goals to optimize the HRIS' value • Plan and execute moderate to complex projects, partnering with cross-functional SMEs • Oversee Tier 1 team member support provided by the People Operations team • Develop capabilities to provide Tier 2+ support for end-users, inclusive of the People Partnering team and Tier 2 team member relations • Continuously uplevel thought leadership specific to People Operations and Technology, leveraging emerging frameworks and technologies • Keep our house clean through comprehensive documentation of process, workflow, system configuration, and integration • Establish and train the team using best practice methods for People systems • Lead, execute, contribute to and/or consult on projects, programs and work as needed Data Integrity, Management & Analysis • Monitor, audit, maintain, and troubleshoot the HRIS system to ensure data integrity and system compliance • Maintain data integrity by developing routine audit procedures, creating audit reports, analyzing data, and defining corrective solutions • Respond to requests for systems support and reports • Develop data management protocols and standards, including data entry, integration, validation, and quality assurance procedures • Establish and document audit procedures for the People Systems tech stack • Ensure People Systems align with internal technology, procurement, and retention policies • Build custom reports and dashboards for key metrics; fulfill ad-hoc report requests • Analyze complex datasets to ensure system functionality and set-up The Right Stuff Experience • 12 or more years of progressive experience in People (HR) with specific experience in people operations and tech stack ownership (Workday required), tier 1 team member relations, team member resource development and delivery, payroll management, and regulatory and compliance management • 5 or more years of direct people management experience, including building, developing, and leading teams to consistent achievement of excellent business outcomes • Prior experience preferred in a high-growth tech-forward environment with a mix of private and public company experience preferred • * You know what great looks like in a 1,000- to 5,000-person company and can also thrive in an earlier-stage environment that requires flexibility and building tools and resources, sometimes from scratch • Prior experience in insurance, insurtech, fintech, healthtech, lending, or financial services preferred • Workday certification(s) preferred • Bachelor's degree or equivalent experience required Knowledge & Capabilities • Deep knowledge of HR workflow, regulatory, and compliance requirements across the employee lifecycle, with the capability to develop rigorous, highly efficient, compliant workflows, processes, and standard operating procedures • Demonstrated capability of developing, testing, and implementing tech- and AI-enabled solutions that create a flywheel of continuous improvement for the team and company, both independently and with stakeholders • Demonstrated capability to plan and execute HR transformation and/or system implementation projects leveraging agile and iterative methodologies • Outstanding technical and analytical capabilities with specific experience in People (HR), Talent and organizational technology, metrics, reporting, and data visualization • Has the knowledge, and cultivates the relationships, necessary to provide thoughtful insights on market trends, best practices, and benchmarking Expected Competencies • Ownership: Leads with a one-team, extreme ownership mindset, We Are The They • Collaboration & Influence: Develops high-trust relationships org-wide and works collaboratively with cross-functional stakeholders to identify and consider a wide range of needs, creatively designing solutions that solve for the most needs • Critical Thinking: Leverages first principles, integrative thinking, and Pie's Collaboration and Decision-Making Framework (CDMF) for designing the data-driven, maximum win/win solutions, considering all stakeholder needs • Strategy: Demonstrates the ability to think integratively as an organizational leader, develops multi-year strategies and aligns multiple functions around cohesive strategic narratives; cultivates internal and external networks for identifying emerging opportunities and novel strategies that open new possibilities for their team and function; prepares for scale while identifying inefficiencies that solve functional challenge • Growth Mindset: Leads with questions and curiosity, demonstrating self-awareness and humility, models continuous learning and growth through integration of personal, team, and cross-functional feedback, flexing and adapting as needs and context change; recognizes when behavior/thinking is below the line, and actively works to uplevel self • Grit & Resilience: Persists through complex challenges while role modeling resiliency and supporting the team and peers • Communication: Writes and speaks with accuracy, clarity and confidence with audiences at all levels of the company, including the CEO and Senior Leadership Team; demonstrates emotional control and role models Pie's communication and feedback model; engages in constructive debate while actively listening; seeks and receives real-time candid feedback with kindness and positive intent • Execution: Has high standards for performance and execution that continues to increase as you and the function develop and as the business requires it; willing and able to operate in detail mode, knowing when and how to flex between the strategic birds-eye view and the tactical details and providing direction and guidance to the team; fosters a culture of high accountability within team, leading by example • Team Organization & Planning: Designs organizational structures that address business needs, team effectiveness, and team development and that can scale; develops operational rhythms that ensure functional alignment, develops monitoring systems that reduce complexity and provide real-time visibility into performance and enable risk identification • Team Building & Performance Management: Builds and executes talent strategies to enable the function to achieve and maintain a level of performance; sets and measures against clear expectations at the individual and team level on a monthly, quarterly, and bi-annual basis The use of AI in Application Review: To support a fair, efficient, and consistent hiring process, we use AI-powered tools to assist in the initial screening of applications. These tools help us identify qualifications and prior work experiences that align with the requirements of the role. All AI-reviewed applications are still subject to human oversight and decision-making at multiple stages of the process. By submitting your application, you acknowledge and consent to Pie utilizing these AI technologies to assist in our evaluation process. Compensation & Benefits • Competitive cash compensation • A piece of the pie (in the form of equity) • Comprehensive health plans • Generous PTO • Future focused 401k match • Generous parental and caregiver leave • Our core values are more than just a poster on the wall; they're tangibly reflected in our work Our goal is to make all aspects of working with us as easy as pie. That includes our offer process. When we've identified a talented individual who we'd like to be a Pie-oneer , we work hard to present an equitable and fair offer. We look at the candidate's knowledge, skills, and experience, along with their compensation expectations and align that with our company equity processes to determine our offer ranges. Each year Pie reviews company performance and may grant discretionary bonuses to eligible team members. Location Information Unless otherwise specified, this role is remote. Remote team members must live and work in the United States (territories excluded) and have access to reliable, high-speed internet. Additional Information Pie Insurance is an equal opportunity employer. We do not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, marital status, age, disability, national or ethnic origin, military service status, citizenship, or other protected characteristic. Pie Insurance participates in the E-Verify program. Please click here, here and here for more information. Pie Insurance is committed to protecting your personal data. Please review our Privacy Policy. Safety First: Pie Insurance is committed to your security during the recruitment process. We will never ask you for credit card information or ask you to purchase any equipment during our interview or onboarding process. Pie Named to 2025 America's Best Startup Employers Pie's Ford Pro Insure Coverage expanded to Pennsylvania and Texas Pie Insurance 2025 State of Workplace Safety Report #LI-REMOTE #BI-REMOTE