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Pie Insurance

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Pie Insurance wants to make purchasing workers’ compensation insurance “easy as pie” for small businesses. Since its founding in 2017, the Washington, DC,

36 open rolesTeam 350Since 2017Latest: May 22, 2026, 11:18 PM UTCCompany Site
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36 Jobs

Pie Insurance logo

Senior Claims Learning & Development Specialist

Pie Insurance

Pie Insurance wants to make purchasing workers’ compensation insurance “easy as pie” for small businesses. Since its founding in 2017, the Washington, DC,

Full TimeRemoteSeniorTeam 350Since 2017

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 Senior Claims Learning & Development Specialist is responsible for facilitating and supporting the design, delivery, and continuous improvement of Claims Learning & Development programs, including the creation of a Claims Skills School. This position will administer training and learning programs for workers' compensation claims, both in person and virtually, applying effective training methodologies and learning theory. The role partners closely with the Claims Quality & Compliance, Claims Adjudication, and Claims Technology teams, as well as other subject matter experts across the organization, to ensure training content reflects current processes, regulatory requirements, system capabilities, and industry best practices. How You’ll Do ItContent Delivery - Deliver training and facilitate learning sessions across in-person and virtual environments. - Facilitate development and skill building through exercises and activities that enhance the learning process. - Deliver just-in-time training and support during system implementations and process rollouts in partnership with the Claims Technology team. - Adapt training delivery methods based on learner feedback and performance data to maximize retention and application. - Facilitate knowledge-sharing sessions and best practice forums among claims team members. - Coach and mentor new claim adjusters through their onboarding journey, including claim trainees. Program Management - Collaborate with Claims leadership to identify training priorities and align learning initiatives with department goals and performance metrics. - Manage the development, implementation, iteration, and measurement of claims programs such as new hire onboarding, adjuster development, Claims Skills School, and other core claims programs. - Track and analyze key performance indicators related to training effectiveness such as adjuster proficiency levels, quality scores, and time to productivity for new hires. - Create and maintain a knowledge base or resource library for claims processes, system guides, and reference materials. - Deliver Claims All Hands presentations and communications related to learning initiatives, new programs, and skill development opportunities. - Support performance review processes by providing training recommendations and development plans for claims team members. Curriculum Design - Conduct training needs analyses to determine solutions to talent gaps. - Create engaging learning activities and compelling course content. - Design scenario-based learning modules that simulate real-world claims handling situations, including complex indemnity claims and reserve management decisions. - Develop specialized training curricula for workers' compensation claim processes, including jurisdiction-specific requirements and regulations. - Ensure all training materials comply with regulatory requirements, data privacy standards, and company policies. - Develop competency frameworks and learning paths for adjuster development at various levels. - Regularly review and update resources reflecting process changes and industry developments. Cross-Functional Collaboration - Partner with the Claims Quality & Compliance team to incorporate audit findings, quality trends, and regulatory updates into training programs, ensuring training addresses identified knowledge gaps and reinforces compliance requirements. - Collaborate with the Claims Adjudication team to ensure training content reflects current claim handling practices, Claims Best Practices, and operational workflows. - Partner with the Claims Technology team (including the Senior Claims Application Manager and Senior Claims Business Systems Analyst) to develop and deliver end-user training for system enhancements, new features, and platform updates, ensuring training is ready at go-live. - Engage with subject matter experts across Claims Operations, Regulatory Compliance, Managed Care, and Vendor Management to ensure training content reflects current processes and best practices. - Support change management efforts for system rollouts, process changes, and organizational initiatives. Communication & Stakeholder Engagement - Communicate effectively to a variety of audiences in both written and verbal form. - Deliver complex information or new concepts in a manner conducive to learning. - Develop and maintain training calendars, scheduling in-person and virtual sessions to accommodate diverse learner needs and business requirements. - Follow up with Claims leadership post-training to measure effectiveness of training sessions. - Report on impact of training programs to demonstrate value and inform continuous improvement. The Right Stuff - High School diploma or GED required. Bachelor's degree preferred; Graduate degree (Master's, JD, or Ph.D.) preferred - Minimum 8 years of related experience required. - Proven experience designing and delivering training programs in a claims or insurance environment. - 5+ years of experience in instructional design, curriculum development, and training delivery preferred. - 8+ years of Workers' Compensation claim handling experience preferred. - California jurisdiction knowledge preferred. 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. We may also use AI assistant video tools during interviews to support note-taking and candidate evaluation. All AI-powered outputs 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 $100,000—$125,000 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 Making every part of working with us "Easy as Pie" - including our offer process. When we find someone we'd like as a Pie-oneer (a member of our team), we move quickly to put together a fair offer based on your skills, experience, location, and compensation expectations. 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 InformationPie 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 Insurance 2025 State of Workplace Safety Report #LI-REMOTE #BI-REMOTE

United States
$100K - $125K / year
Pie Insurance logo

Senior Claims Adjuster, Workers Compensation

Pie Insurance

Pie Insurance wants to make purchasing workers’ compensation insurance “easy as pie” for small businesses. Since its founding in 2017, the Washington, DC,

Full TimeRemoteSeniorTeam 350Since 2017

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 Senior Claims Adjuster will play a critical 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 ItClaims Technical Management: - Independently handle all aspects of the workers’ compensation claims from set-up to closure. - Evaluate and handle high dollar, high exposure, complex claims. - Conduct timely 3-point contact investigation, with focus on continued investigation as facts of the case change. - Mitigate the complex 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. - Ability to present claims to senior management, internal and external stakeholders. - Timely administration of statutory medical and indemnity benefits throughout the life of the claim. - Comply with all applicable statutory guidelines, rules, and regulations. - Control legal activity with defense counsel through the litigation process while managing legal fees and costs. - Prioritize early resolution opportunities, evaluate claim exposure and negotiate settlement. 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 5-years workers’ compensation claim adjusting experience is required (carrier background, preferred). - Preferred claims experience in the following jurisdictions: Maryland, New Jersey and Pennsylvania. - Ability to evaluate and identify high dollar, high exposure, complex claims. - Requires active licensing in applicable states Strong communication (written and verbal) skills, to deliver more complex information effectively. - Strong problem-solving skills to be able to manage complex tasks and work through to solutions with little guidance and direction. - 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. - Advanced knowledge of jurisdictional regulatory and statutory requirements and CMS/MSA requirements. - Advanced knowledge and experience in claim adjudication, medical, and litigation management. - Advanced ability to analyze and take necessary action in multiple focus areas based on several data points. - Ability to make claim decisions to mitigate exposure while achieving the best outcome. - Ability to use skills to overcome conflict and reach beneficial outcomes. - Ability to mentor junior adjusters. 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. We may also use AI assistant video tools during interviews to support note-taking and candidate evaluation. All AI-powered outputs 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 $85,000—$110,000 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 Making every part of working with us "Easy as Pie" - including our offer process. When we find someone we'd like as a Pie-oneer (a member of our team), we move quickly to put together a fair offer based on your skills, experience, location, and compensation expectations. 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 InformationPie 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 Insurance 2025 State of Workplace Safety Report #LI-REMOTE #BI-REMOTE

United States
$85K - $110K / year
Pie Insurance logo

Senior Manager, Underwriting

Pie Insurance

Pie Insurance wants to make purchasing workers’ compensation insurance “easy as pie” for small businesses. Since its founding in 2017, the Washington, DC,

Underwriter3 days ago
Full TimeRemoteSeniorTeam 350Since 2017

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 Senior Manager, Underwriting is the operational leader of the New Business Underwriting team, responsible for translating strategic direction from the Director of New Business Underwriting into day-to-day execution. This role owns team performance, service delivery, and underwriter development — ensuring the team operates with consistency, quality, and efficiency. The Senior Manager is a seasoned underwriting professional whose technical expertise is sought out by team members, and who can make sound, independent decisions in complex or ambiguous situations without waiting for direction. How You’ll Do ItLead Day-to-Day Underwriting Operations - Own team adherence to service levels, underwriting guidelines, and quality standards; proactively surface and resolve operational bottlenecks before they escalate. - Serve as the primary internal escalation point for complex submissions, risk evaluations, and underwriting judgment calls within the team. - Manage workload distribution and capacity across the team to maintain SLA performance during volume fluctuations or staffing changes. - Oversee training and SOP currency; ensure team members are up to date on appetite, product changes, pricing models, and industry developments. Develop Underwriting Talent - Directly manages a team of underwriters that may include senior individual contributors, Team Leads, and/or other managers depending on organizational structure. - Coaches and develops team members with a focus on building independent decision-making, accountability, and technical proficiency — creating the conditions for others to operate with greater autonomy over time. - Partners with the People team and the Director throughout the full team member lifecycle, including performance management, coaching plans, hiring, and offboarding. - Identifies hiring needs and leads recruiting for high-quality underwriters; shapes team composition with a view toward future capability needs. Execute on Operational Process and Improvement - Identify, develop, and implement process improvements that drive efficiency, underwriting quality, and conversion within the team. - Gather feedback from underwriters and internal partners to surface operational gaps; bring forward well-scoped recommendations to the Director. - Provide reporting and performance data to the Director and leadership; use data to frame team results and highlight trends requiring action. - Support implementation of new underwriting tools, best practices, and product or pricing changes as directed by the Director and cross-functional partners. Support Partner and Stakeholder Relationships - Serve as an operational point of contact for partner agents on day-to-day underwriting matters, escalating relationship-level issues to the Director as appropriate. - Partner with Business Development to support retention and partner engagement at the team level. The Right Stuff - High school diploma/GED required; Bachelor's degree or equivalent experience preferred. - Minimum 8 years of commercial insurance experience required; workers' compensation underwriting experience strongly preferred. - Minimum 4 years of progressive leadership experience in commercial insurance underwriting; experience leading managers or team leads is a plus but not required. - Disciplinary expertise sought out by peers and team members; strong technical underwriting judgment with the ability to handle complex risks independently. - Proven ability to manage operational execution across a team, balancing throughput, quality, and team development simultaneously. - Skilled at translating strategic direction into operational plans and guiding a team through execution — including during periods of change or ambiguity. - Strong data fluency: able to track team performance metrics, identify trends, and communicate findings clearly to leadership. - Effective cross-functional communicator; builds trust with internal partners and escalates appropriately without over-relying on the Director. - Advanced problem-solving skills with the ability to navigate multi-layered situations and anticipate downstream impacts. - Experience with performance management, coaching plans, and talent development. - Knowledge of insurance underwriting best practices, service metrics, and customer experience operations. - Progress toward or attainment of a professional designation (CPCU, ARe, or equivalent) is a plus and encouraged as a development milestone for those on a Director-track trajectory. - Proficiency in G-Suite tools and collaboration platforms (Slack preferred). 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. We may also use AI assistant video tools during interviews to support note-taking and candidate evaluation. All AI-powered outputs 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 $130,000—$165,000 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 Making every part of working with us "Easy as Pie" - including our offer process. When we find someone we'd like as a Pie-oneer (a member of our team), we move quickly to put together a fair offer based on your skills, experience, location, and compensation expectations. 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 InformationPie 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 Insurance 2025 State of Workplace Safety Report #LI-REMOTE #BI-REMOTE

United States
$130K - $165K / year
Pie Insurance logo

CA - Claims Adjuster, Workers Compensation

Pie Insurance

Pie Insurance wants to make purchasing workers’ compensation insurance “easy as pie” for small businesses. Since its founding in 2017, the Washington, DC,

Full TimeRemoteMid LevelTeam 350Since 2017

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 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 ItClaims Technical Management: - Independently handle all aspects of the workers’ compensation claims from set-up to closure. - Conduct timely 3-point contact investigation, with focus on continued investigation 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 and indemnity benefits throughout the life of the claim. - Comply with all applicable statutory guidelines, rules, and regulations. - Control legal activity with defense counsel through the litigation process while managing legal fees and costs. - Prioritize early resolution opportunities, evaluate claim exposure and negotiate settlement. 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. - Participate in interactions with TPA adjusters and claims partners to drive optimized claims outcomes and top-notch claims experience. - 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 2-years workers’ compensation claims experience is required. - Claims experience working in CA is required. - Strong communication (written and verbal) skills, to deliver more complex information effectively. - Strong problem solving skills to be able to manage complex tasks and work through to solutions with little guidance and direction. - 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. - Knowledge of jurisdictional regulatory and statutory requirements and CMS/MSA requirements. - Demonstrated knowledge and experience in claim adjudication, medical management and litigation 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. We may also use AI assistant video tools during interviews to support note-taking and candidate evaluation. All AI-powered outputs 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 $80,000—$100,000 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 Making every part of working with us "Easy as Pie" - including our offer process. When we find someone we'd like as a Pie-oneer (a member of our team), we move quickly to put together a fair offer based on your skills, experience, location, and compensation expectations. 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 InformationPie 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 Insurance 2025 State of Workplace Safety Report #LI-REMOTE #BI-REMOTE

United States
$80K - $100K / year
Pie Insurance logo

Director, Premium Audit

Pie Insurance

Pie Insurance wants to make purchasing workers’ compensation insurance “easy as pie” for small businesses. Since its founding in 2017, the Washington, DC,

Director7 days ago
Full TimeRemoteLeadTeam 350Since 2017

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. Under limited supervision, serves as premium audit subject matter expert and strategic leader of the Premium Audit department. Drives departmental transformation and operational excellence through oversight of functional strategy, leadership development, and execution of the new Premium Audit model. Partners with Senior Directors and cross-functional leaders to integrate premium audit strategies with broader organizational objectives while leading the department through its transformation to eliminate backlog and implement next-generation audit capabilities. How You’ll Do ItStrategic Leadership & Organizational Transformation - Lead Department Transformation: Direct the implementation of the new Premium Audit Playbook, ensuring successful transition from current state operations to the reimagined department structure with professional-level roles - Departmental Strategy Development: Develop and execute comprehensive premium audit strategies that align with Pie's business objectives, contributing to broader organizational strategic planning while maintaining focus on functional excellence - Cross-Functional Collaboration: Partner with Leaders across Underwriting, Product, Technology, and Business Development to integrate premium audit strategy with broader business strategies and operational initiatives - Industry Leadership: Serve as an authority figure in premium audit best practices, staying current with industry trends and regulatory changes while positioning the department as a center of excellence - Change Leadership: Lead departmental change initiatives, ensuring successful adoption of new processes, technologies, and operating models while maintaining team performance and engagement throughout transformation Department Leadership & Management Excellence - Multi-Level Management: Direct premium audit operations through Senior Managers, Managers, Team Leads, and individual contributors across multiple specialized teams (Premium Auditors, Premium Audit Operations Specialists, and support functions) - Performance Management: Establish and monitor department-wide KPIs and quality standards, ensuring achievement of audit accuracy, customer satisfaction, collection rates, and productivity targets that support organizational goals - Organizational Design: Design, implement, and lead departmental structure changes, role creation, and succession planning strategies that support current transformation and future scaling within the premium audit function - Resource Management & Budget Oversight: Own departmental budget planning and resource allocation, making strategic decisions about technology investments, training programs, and staffing models within approved parameters - Vendor & Partnership Oversight: Manage strategic relationships with external audit vendors, technology providers, and bureau partners to ensure service excellence and cost-effective operations Premium Audit Operations & Process Excellence - Operational Leadership: Oversee end-to-end premium audit processes across all platforms, ensuring regulatory compliance, quality standards, and continuous improvement within the functional area - Technology & Process Innovation: Lead adoption and optimization of audit technologies and process improvements that enhance departmental efficiency, accuracy, and customer experience - Quality Assurance & Compliance: Ensure comprehensive quality programs, regulatory compliance across all jurisdictions, and successful bureau inspections while maintaining operational excellence - Customer Experience Enhancement: Drive improvements in policyholder interactions and service delivery within the audit function that enhance satisfaction while maintaining audit integrity and compliance - Analytics & Insights: Leverage audit data and departmental analytics to identify trends, process improvements, and insights that inform functional decisions and support business objectives Leadership Development & Team Building - Leadership Pipeline Development: Coach and develop Senior Managers and Managers to build departmental leadership capability and prepare successors for key roles within the function - Team Development & Capability Building: Establish psychological safety and learning environments that enable teams to develop premium audit expertise and advance within the functional area - Training & Development Strategy: Design and oversee training programs for the new audit model, ensuring team members develop necessary skills for customer-facing roles and advanced audit techniques - Performance Culture: Foster a departmental culture of continuous improvement, professional growth, and results delivery that aligns with Pie's values while driving functional excellence - Talent Management: Create clear development pathways and manage talent retention strategies that support departmental stability during transformation and future growth The Right StuffEducation & Experience - Bachelor's degree or equivalent work experience required - 10+ years of premium audit, insurance operations, or related industry experience - 8+ years Workers’ Compensation experience required - 5+ years of progressive leadership experience, with proven ability to lead and scale large, complex organizations Technical & Industry Expertise - Expert Premium Audit Knowledge: Authority-level understanding of premium audit principles, NCCI systems, state bureau requirements, and regulatory compliance across multiple jurisdictions - Industry Certifications: Professional designations such as CPCU, ARe, FLMI, or equivalent preferred - Technology Proficiency: Advanced skills in data analytics tools and process automation platforms - Regulatory Expertise: Deep knowledge of workers' compensation regulations, bureau requirements, and compliance standards Leadership & Management Competencies - Strategic Thinking: Mastery in making final decisions on implementation and ensuring operational effectiveness while translating business segment strategy into functional plans and guiding execution - Team Development: Authority-level coaching of teams and team members to develop new methods and solve complex matters, establishing psychological safety for innovation and growth within the function - Collaboration: Mastery in demonstrating interpersonal awareness, building partnership and cooperation, and achieving cross-functional goals with complex proposals and projects - Communication: Authority-level ability in direct and empathetic communication, effectively presenting complex information to diverse stakeholders and fostering open dialogue - Critical Thinking: Mastery in testing and learning, creativity, and relentless commitment to improvement, anticipating and solving highly complex problems within the functional area - Growth Mindset: Authority-level demonstration of curiosity, tenacity, flexibility, and adaptability while leading by seeking to understand and remaining open to change Operational & Business Skills - Departmental Change Management: Advanced ability to lead functional transformation and manage complex change initiatives within the premium audit area - Process Excellence: Mastery-level skills in process improvement, optimization, and operational design specific to premium audit functions - Financial Management: Strong understanding of departmental budget management, resource allocation, and cost optimization within approved parameters - Customer & Stakeholder Focus: Proven record of enhancing customer experience and stakeholder satisfaction while maintaining operational efficiency and compliance - Complex Problem Solving: Advanced ability to navigate multi-layered challenges within the functional area and develop innovative solutions that support broader business objectives Communication & Interpersonal Skills - Executive Communication: Highly advanced oral and written communication skills, including presentations to senior leadership and external partners - Stakeholder Management: Advanced ability to build relationships and influence outcomes across diverse internal and external stakeholders - Negotiation: Advanced persuasion and negotiating skills when working with vendors, partners, and internal teams Emotional Intelligence: Demonstrated ability to remain calm under pressure, manage difficult conversations, and maintain professional relationships during challenging situations 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. We may also use AI assistant video tools during interviews to support note-taking and candidate evaluation. All AI-powered outputs 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 $140,000—$180,000 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 Making every part of working with us "Easy as Pie" - including our offer process. When we find someone we'd like as a Pie-oneer (a member of our team), we move quickly to put together a fair offer based on your skills, experience, location, and compensation expectations. 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 InformationPie 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 Insurance 2025 State of Workplace Safety Report #LI-REMOTE #BI-REMOTE

United States
$140K - $180K / year
Pie Insurance logo

CA - Team Lead, Claims Workers' Compensation

Pie Insurance

Pie Insurance wants to make purchasing workers’ compensation insurance “easy as pie” for small businesses. Since its founding in 2017, the Washington, DC,

Full TimeRemoteMid LevelTeam 350Since 2017

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 Team Lead, Claims is responsible for leading a team of Adjusters and Specialists by monitoring their workloads, providing supervisory oversight for individual claim activities, and providing technical and jurisdictional direction on claims adjudication to ensure Pie is providing optimal claim outcomes and experiences for our clients. Additionally, this role is responsible for performance management and development of direct reports. The Team Lead will report to and work directly with the Claims Manager to achieve team and departmental goals. The Team Lead will need to be able and pivot quickly in a fast growing company and department. How You’ll Do ItClaims Technical Oversight: - Perform claim audits to ensure consistency and accuracy in statutory/regulatory compliance, internal procedures and guidelines, and quality expectations. - Ensure reserves are adequately set for the ultimate probable outcome of the claim - Perform regular leader reviews and provide feedback and recommendations for individual claims files. Operational Management: - Resolve escalated agent, broker, policyholder complaints and/or concerns. - Identify trends that could be problematic and take steps to develop processes to correct. - Additional project assignments at manager's discretion. People Management: - Develop & lead a team of adjusters by ensuring the quality, accuracy, and timely resolution of claims. Oversee of all claim activity. - Promote department goals and objectives to the team of Adjusters. - Monitor workflows, claims processes, claim metrics, claim triage and caseloads - Build and promote customer service excellence. - Hire and develop adjusters by identifying opportunities to grow and strengthen new skills. The Right Stuff - 2+ years of adjusting claims at a senior level. - Claims experience working in California is required. Experience in Arizona, Florida, Illinois, Pennsylvania, New Jersey or Georgia is preferred. - Licensing may be required in additional jurisdictions based on business needs. - Comprehensive knowledge of workers compensation in multiple states along with general insurance policy coverage and the state case Laws. - Advanced communication (written, verbal and presentation) skills, to deliver complex information effectively and align people with the needs of the project/team. - Advanced problem solving skills, to be able to manage complex situations with multiple layers, and resolve to solution anticipating needs now and into the future. - Intermediate awareness of your own tasks, and how it impacts the team and deliverables - Advanced leadership skills, focusing on the growth and development of direct reports. - G-Suite Tools, Collaboration tools, Microsoft Office suite. - High School diploma or GED required, Bachelor's Degree preferred. 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. We may also use AI assistant video tools during interviews to support note-taking and candidate evaluation. All AI-powered outputs 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 $110,000—$135,000 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 InformationPie 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 Insurance 2025 State of Workplace Safety Report #LI-REMOTE #BI-REMOTE

United States
$110K - $135K / year
Pie Insurance logo

Staff Business Systems Analyst

Pie Insurance

Pie Insurance wants to make purchasing workers’ compensation insurance “easy as pie” for small businesses. Since its founding in 2017, the Washington, DC,

Systems Engineer19 days ago
Full TimeRemoteSeniorTeam 350Since 2017

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 Staff Business Systems Analyst is a Salesforce-centric role with broad exposure to the platforms that power a modern insurance company. You'll be the go-to expert for complex CRM challenges, a trusted partner to business stakeholders across sales, service, and operations, and a collaborative teammate who makes the people around you more effective. The split is roughly 60% hands-on platform work and 40% stakeholder engagement—we need someone who's excellent at both. How You’ll Do ItSalesforce Platform Ownership - Administer, configure, and develop solutions across our Salesforce environment. - Maintain and evolve a mature Sales Cloud foundation with strong pipeline instrumentation. - Help architect and scale an emerging Service Cloud landscape. - Provide end-to-end platform support, including: - User support - Data quality management - Complex automation - Custom development Cross-Platform Integration - Partner across systems that integrate with Salesforce, including: - Zuora (billing and payments) - Workato (integrations) - Sage Intacct (ERP) - Marketing Cloud - Snowflake EDW - Understand and monitor how data flows between systems. - Troubleshoot integration and data sync issues when they arise. Stakeholder Partnership - Translate business needs into technical solutions. - Translate technical constraints into clear business terms. - Partner directly with key stakeholders, including: - Sales leadership - Service operations - Finance - Other cross-functional teams - Build credibility and drive adoption through strong relationships and consistent follow-through. Requirements and Documentation - Gather, analyze, and document requirements for enhancements and new capabilities. - Create clear specifications that internal or external developers can execute against. - Maintain durable documentation that supports future teammates and long-term platform scalability. Team Collaboration - Work alongside our Zuora BSA and collaborate with contractors supporting the broader platform ecosystem. - Share knowledge and best practices across the team. - Provide guidance to less experienced team members. - Contribute to a collaborative team culture as the team grows and scales. The Right Stuff - High School Diploma or GED required; Bachelor's degree preferred. - 12+ years of experience in business systems analysis, Salesforce administration, or a related field. - 5+ years experience in Salesforce across multiple orgs, with hands-on experience in Sales Cloud and ideally Service Cloud. - Salesforce Certified Administrator required; Advanced Administrator and Platform Developer I preferred. Experience in billing platforms, ERPs, marketing automation, data warehouses, or iPaaS tools. 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. We may also use AI assistant video tools during interviews to support note-taking and candidate evaluation. All AI-powered outputs 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 $130,000—$165,000 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 InformationPie 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 Insurance 2025 State of Workplace Safety Report #LI-REMOTE #BI-REMOTE

United States
$130K - $165K / year
Pie Insurance logo

Manager, GAAP Accounting

Pie Insurance

Pie Insurance wants to make purchasing workers’ compensation insurance “easy as pie” for small businesses. Since its founding in 2017, the Washington, DC,

Full TimeRemoteSeniorTeam 350Since 2017

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. You’ll be primarily responsible for handling Pie’s monthly close operations (including internal and external reporting) with a roll-up-your-sleeves approach. You’ll be responsible for regularly identifying and implementing process improvements and controls. You’ll also have valuable opportunities to help improve existing accounting processes, develop new accounting procedures, implement new financial systems, and take ownership of the company’s financial statements. How You’ll Do It - Lead the monthly accounting close process. Manage the close calendar and monitor close status. Review journal entries, reconciliations, and variance analyses in accordance with U.S. GAAP and internal company policies. Deliver accurate information on time. - Participate in larger projects around (a) automation, (b) system implementation, modification and integration and (c) implementation of best practices to drive efficiency in the accounting department. - Account for and document accounting estimates that are complex in nature (for example, share based compensation, contingent commission estimates, accounting standard implementations, etc). - Review and evaluate accounting systems and software for improvements and upgrades. - Manage areas of the year-end financial statement audit with external auditors, ensuring compliance with audit requirements and timely completion. - Lead accounting staff, fostering a culture of continuous improvement and establishing performance metrics. - Prepare and review monthly, quarterly, and annual financial statements and footnotes. - Analyze historical results to improve information quality and provide insights to management, both independently and through partnership with the finance team. - Assist with ad hoc projects and requests as needed. - Support other internal teams with their accounting-related, operational needs. The Right Stuff - B.A./B.S. in Accounting or Finance from an accredited college or university is required. - 6+ years of relevant experience, including 2-3 years at a Big 4/large regional accounting firm, is required. - A minimum of 2 years of people management experience is required. - Active CPA or currently pursuing certification is strongly preferred. - Solid proficiency in U.S. GAAP. - Ability to apply technical accounting knowledge to real-world business transactions. - Proven ability to identify, develop and implement process improvements. - Self-starter and self-motivated to work independently in a fast-paced environment. - Organized, detail-oriented and deadline-driven. - Ability to collaborate effectively with cross-functional team members. - Strong communication skills of all types. - Strong Excel skills and ability to work with large data sets. 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. We may also use AI assistant video tools during interviews to support note-taking and candidate evaluation. All AI-powered outputs 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 $110,000—$135,000 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 InformationPie 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 Insurance 2025 State of Workplace Safety Report #LI-REMOTE #BI-REMOTE

United States
$110K - $135K / year
Job Closed
Pie Insurance logo

Claims Adjuster, Workers Compensation

Pie Insurance

Pie Insurance wants to make purchasing workers’ compensation insurance “easy as pie” for small businesses. Since its founding in 2017, the Washington, DC,

Full TimeRemoteJuniorTeam 350Since 2017

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 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 ItClaims Technical Management: - Independently handle all aspects of the workers’ compensation claims from set-up to closure. - Conduct timely 3-point contact investigation, with focus on continued investigation 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 and indemnity benefits throughout the life of the claim. - Comply with all applicable statutory guidelines, rules, and regulations. - Control legal activity with defense counsel through the litigation process while managing legal fees and costs. - Prioritize early resolution opportunities, evaluate claim exposure and negotiate settlement. 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. - Participate in interactions with TPA adjusters and claims partners to drive optimized claims outcomes and top-notch claims experience. - 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 2-years workers’ compensation claims experience is required. - Claims experience working in at least two of these states is preferred: Alabama, Arkansas, Colorado, Connecticut, Delaware, DC, Indiana, Iowa, Kansas, Kentucky, Louisiana, Minnesota, Mississippi, Nebraska, New Hampshire, Rhode Island, Vermont, West Virginia, Wisconsin. - Strong communication (written and verbal) skills, to deliver more complex information effectively. - Strong problem solving skills to be able to manage complex tasks and work through to solutions with little guidance and direction. - 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. - Knowledge of jurisdictional regulatory and statutory requirements and CMS/MSA requirements. - Demonstrated knowledge and experience in claim adjudication, medical management and litigation 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. We may also use AI assistant video tools during interviews to support note-taking and candidate evaluation. All AI-powered outputs 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 $70,000—$90,000 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 InformationPie 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 Insurance 2025 State of Workplace Safety Report #LI-REMOTE #BI-REMOTE

United States
$70K - $90K / year
Pie Insurance logo

CA - Claims Adjuster, Workers Compensation

Pie Insurance

Pie Insurance wants to make purchasing workers’ compensation insurance “easy as pie” for small businesses. Since its founding in 2017, the Washington, DC,

Full TimeRemoteJuniorTeam 350Since 2017

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 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 ItClaims Technical Management: - Independently handle all aspects of the workers’ compensation claims from set-up to closure. - Conduct timely 3-point contact investigation, with focus on continued investigation 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 and indemnity benefits throughout the life of the claim. - Comply with all applicable statutory guidelines, rules, and regulations. - Control legal activity with defense counsel through the litigation process while managing legal fees and costs. - Prioritize early resolution opportunities, evaluate claim exposure and negotiate settlement. 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. - Participate in interactions with TPA adjusters and claims partners to drive optimized claims outcomes and top-notch claims experience. - 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 2-years workers’ compensation claims experience is required. - Claims experience working in CA is required. - Strong communication (written and verbal) skills, to deliver more complex information effectively. - Strong problem solving skills to be able to manage complex tasks and work through to solutions with little guidance and direction. - 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. - Knowledge of jurisdictional regulatory and statutory requirements and CMS/MSA requirements. - Demonstrated knowledge and experience in claim adjudication, medical management and litigation 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. We may also use AI assistant video tools during interviews to support note-taking and candidate evaluation. All AI-powered outputs 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 $80,000—$100,000 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 InformationPie 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 Insurance 2025 State of Workplace Safety Report #LI-REMOTE #BI-REMOTE

United States
$80K - $100K / year

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