Full-Time

Product SME

Auto Claims

Assured

Assured

51-200 employees

Provider network credentialing and enrollment automation

Compensation Overview

$120k - $140k/yr

Remote in USA

Remote

Category
Business & Strategy (2)
,
Required Skills
Product Management

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Requirements
  • Prior experience working at a major carrier as a claims adjuster
  • Deep understanding of the end-to-end auto claims process within P&C
  • Experience working closely with product, engineering, data, and operational teams
  • Proven ability to assess complex workflows and identify high-impact improvements
  • Comfort owning ambiguous, high-leverage initiatives with measurable financial impact
  • Strong written and verbal communication skills
Responsibilities
  • Conduct an end-to-end review of the auto claims lifecycle
  • Examine the full claim journey; FNOL intake, investigation, coverage evaluation, liability assessment, damages review, reserving, negotiation, settlement, and closure, identifying friction points and opportunities for automation
  • Develop deep expertise in how claims decisions are made and supported by data
  • Understand what information adjusters rely on (statements, telematics, police reports, photos, repair estimates, medical documentation, policy data), how it is structured in the system, and where gaps or inefficiencies exist
  • Identify breakdowns in claim workflow and documentation
  • Surface inconsistencies in data capture, reserve alignment, task routing, handoffs, approval processes, customer communications, or downstream reporting that affect claim outcomes
  • Own the integrity of core claims data across systems
  • Ensure key indicators (coverage status, liability stance, damages exposure, reserve position, settlement status) are accurately captured and consistently reflected across product, operational, and financial views
  • Define standards for claims quality and defensibility
  • Establish expectations for documentation rigor, decision rationale, reserve accuracy, communication clarity, and alignment between investigation findings and financial outcomes
  • Partner cross-functionally to resolve systemic issues
  • Collaborate with Product, Engineering, Claims Operations, Analytics, and Leadership to address root causes impacting claim efficiency, accuracy, and customer experience
  • Improve both inputs and outputs across the claims process
  • Enhance how evidence and claim information are collected, structured, and surfaced to improve insights through dashboards, reporting, automation workflows, and AI models
  • Translate insights into measurable product improvements
  • Prioritize enhancements that reduce cycle time, improve loss ratio performance, minimize leakage, strengthen reserving accuracy, improve customer satisfaction, and increase operational efficiency
  • Influence roadmap decisions with financial and operational context
  • Clearly articulate business impact across indemnity spend, expense management, subrogation recovery, litigation exposure, adjuster productivity, and customer retention
  • Serve as the internal subject-matter expert on the auto claims lifecycle
  • Guide best practices for claim handling, documentation standards, investigation quality, and automation opportunities
  • Align teams around consistent process standards
  • Partner across Claims, Product, Engineering, Finance, and Customer Success to ensure shared understanding and disciplined execution
  • Communicate clearly across audiences
  • Present findings and recommendations effectively to both technical and non-technical stakeholders

Assured provides a provider network management platform for healthcare organizations that automates credentialing, licensing, and payor enrollment. The platform uses a hybrid AI automation model to improve accuracy, reduce costs, and speed provider enrollment by up to 30%. It is NCQA-certified as a Credentials Verification Organization (CVO) and offers free tools like PECOS Medicare lookup and OIG LEIE checks to attract prospects. The goal is to help practices, clinics, and larger organizations manage provider networks more efficiently, cutting administrative work and costs while accelerating enrollment.

Company Size

51-200

Company Stage

Series A

Total Funding

$25M

Headquarters

San Jose, California

Founded

2019

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Simplify Jobs

Simplify's Take

What believers are saying

  • $6M seed from First Round Capital expands AI and team for 100+ customers.
  • Cuts operational costs 50% and accelerates enrollment 30% for health systems.
  • Subscription model scales with providers managed in growing healthcare admin.

What critics are saying

  • P&C claims pivot erodes healthcare credentialing share within 6-12 months.
  • Shift Technology captures carrier partners in 12-18 months via penetration.
  • CMS fines hit AI inaccuracies in enrollment within 12-18 months.

What makes Assured unique

  • Assured automates credentialing from 90-120 days to two days using hybrid AI.
  • NCQA-certified CVO platform handles licensing and payor enrollment seamlessly.
  • Free PECOS lookup and OIG tools attract healthcare clients efficiently.

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Benefits

Competitive salary & equity packages

Medical, dental, & vision

Life Insurance

PTO (Uncapped vacation days & paid holidays)

Family Leave

401(k) contribution

Commuter Benefits (Tax-advantaged commuter benefits account)

Health & Dependent Care FSAs (Pre-tax flexible spending accounts for out-of-pocket expenses)

Growth & Insights and Company News

Headcount

6 month growth

โ†‘ 31%

1 year growth

โ†‘ 31%

2 year growth

โ†‘ 61%
Fierce Healthcare
Sep 15th, 2025
Assured secures $6M to expedite credentialing

Startup Assured secured $6M in seed funding to enhance its AI-powered platform for provider credentialing, reducing the process from 90-120 days to two business days. The platform, certified by the National Committee for Quality Assurance, automates credential verification and payer enrollment, saving time and reducing errors. The funding, led by First Round Capital, will expand AI capabilities and the team. Assured works with over 100 customers, including major health systems.