Role Description As a Complex Adjuster, you will manage a caseload of intricate claims, where you’ll be responsible for investigating both coverage and liability. You will be expected to push the boundaries of what's required and think critically about our customers' needs and how those align with our product offerings. Our goal is to leverage technology, data, and a team of highly skilled individuals to build a claims experience recognized as the best in the industry. Salary Range: $53,800 - $60,000 Root is a “work where it works best” company. Meaning we will support you working in whatever location that works best for you across the US. We will continue to have our headquarters in Columbus, Ohio. Qualifications - Bachelor’s degree or equivalent experience required - Ability to obtain additional insurance licenses within 30 days - 3-5 years of file ownership experience in handling insurance claims - Proficient in reading and interpreting policy language - Skilled in assessing and explaining liability decisions, including scenarios involving shared negligence - Strong understanding of liability and casualty principles - Professional demeanor with empathy - Familiarity with claims best practices - High attention to detail - Open-minded approach to problem-solving - Ability to maintain high-quality claim handling while ensuring strong productivity - Quick learner with the ability to apply new concepts - Coachable and committed to professional growth - Experience managing complex personal auto claims to closure - Recognized as a resource within the team and functional area Requirements - Deliver an industry-leading claims experience for all policyholders and claimants - Verify coverage and determine liability for a wide range of accident scenarios - Consistently make prompt and courteous contact with all parties involved in a claim - Utilize exceptional time management and organizational skills to proactively manage pending claims and associated tasks - Respond to claim correspondence in a timely manner - Obtain detailed accident statements from drivers, passengers, and witnesses - Coordinate vehicle repairs and assist with rental reimbursement - Contribute to the continuous development of claims guidelines and best practices - Recommend potential product developments and process improvements - Interact and communicate effectively with customers, peers, vendors, and managers - Engage in learning opportunities to expand knowledge of personal lines claims, court decisions affecting the claims process, current claims guidelines, and policy changes and modifications Company Description As part of Root's interview process, we kindly ask that all candidates be on camera for virtual interviews. This helps us create a more personal and engaging experience for both you and our interviewers. Being on camera is a standard requirement for our process and part of how we assess fit and communication style, so we do require it to move forward with any applicant's candidacy. If you have any concerns, feel free to let us know once you are contacted. We’re happy to talk it through. Please see our Privacy Notice available HERE for more information on how we process your personal data. Consistent with the Americans with Disabilities Act (ADA) and the Civil Rights Act of 1964, it is the policy of Root to provide reasonable accommodation when requested by a qualified applicant or candidate with a disability, unless such accommodation would cause an undue hardship for Root. The policy regarding requests for reasonable accommodation applies to all aspects of the hiring process. If reasonable accommodation is needed, please contact recruiting@joinroot.com .

• Analyzing and processing claims through well-developed action plans to an appropriate and timely resolution by investigating and gathering information to determine the exposure on the claim. • Negotiating settlement of claims within designated authority. • Communicating claim activity and processing with the claimant and the client. • Reporting claims to the excess carrier and responding to requests of directions in a professional and timely manner.

• To analyze complex or technically difficult bodily injury and general liability claims to determine benefits due; • to work with high exposure claims involving litigation and rehabilitation; • to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; • to identify subrogation of claims and negotiate settlements. • Manages mid-level bodily injury and general liability claims by gathering information to determine liability exposure; assigns reserve values to claims, making claims payments as necessary, and settling claims up to designated authority level.

Role Description Claims Examiner II receives, researches, and reviews allegations of fraud or abuse by beneficiaries and providers. Responsibilities include: - Review and assess incoming appeals, applying relevant policies and guidelines to render accurate approval or denial decisions. - Organize and maintain case files, thoroughly evaluate documentation, and analyze evidence to support informed determinations. - Partner with the RN team to ensure appeals requiring medical documentation are reviewed by qualified personnel and resolved appropriately. - Prepare clear, detailed written decisions that explain the rationale for determinations and reference applicable policies and procedures. - Review incoming Appeals mail to ensure it is being submitted to the appropriate team. - Initiate adjustments, reprocesses and serve as resource for other teams. Qualifications - U.S. citizenship is required for this position due to Department of Defense restrictions. - High school diploma or equivalent. - 2 years or more in claims and customer service-related field working with public. - Ability to learn and apply governing TRICARE regulations, policies, and procedures. Requirements - 2 years or more of post-high school coursework in Accounting, Auditing, or Health Care related curriculum (preferred). - 2 years or more in Accounting, Auditing, or related field, or medical-related field such as Coding or Medical Assistant (preferred). - High speed cable or fiber internet. - Minimum of 10 Mbps downstream and at least 1 Mbps upstream internet connection. Benefits - Bargaining Unit position. - Remote and hybrid work options available. - Performance bonus and/or merit increase opportunities. - 401(k) with dollar-per-dollar match up to 6% of salary (100% vested immediately). - Competitive paid time off. - Health insurance, dental insurance, and telehealth services start DAY 1. - Employee Resource Groups. - Professional and Leadership Development Programs.