Supervisor Claims Job Description
Supervisor claims
provides oversight of Federal and State regulations and works with department leadership to ensure claims are processing in accordance.
Supervisor Claims Duties & Responsibilities
To write an effective supervisor claims job description, begin by listing detailed duties, responsibilities and expectations. We have included supervisor claims job description templates that you can modify and use.
Sample responsibilities for this position include:
Act as a resource to staff related to benefit and salary administration
Ensure services are provided on standard, specialized or complex systems
Resolve-monitor routine customer escalations as appropriate
Reviews production reporting as required to support processes
Provides production data to upper management as appropriate
In the absence of the Asst
In collaboration with the Asst
Evaluates overall performance of team individuals
Assisting with the achievement of departmental goals and expectations, including Operation Claim Key Metrics
Daily supervision of claims adjudication to ensure professional, prompt and accurate processing, responses and resolutions to member, client and provider inquiries
Supervisor Claims Qualifications
Qualifications for a job description may include education, certification, and experience.
Licensing or Certifications for Supervisor Claims
List any licenses or certifications required by the position: ASE, ICAR, I.E.A, S.I.P, AIC
Education for Supervisor Claims
Typically a job would require a certain level of education.
Employers hiring for the supervisor claims job most commonly would prefer for their future employee to have a relevant degree such as Bachelor's and Associate Degree in Education, Business, Healthcare, Business/Administration, Management, Associates, Health Care, Finance, Accounting, Medical
Skills for Supervisor Claims
Desired skills for supervisor claims include:
Team member related functions
Commercial
Medicaid and Medicare plans
Highmark products
Multiple processing systems and workflows
Claims processing methodologies
Community and State line of business
Related federal and state regulations
Contact center technology
HMO and managed care principles
Desired experience for supervisor claims includes:
Assisting in the staffing of the department and being instrumental in soliciting the ongoing support and cooperation of the department
Manages workflow system
Initiates system or coding requests as needed
Will work closely with claims auditors and leads to analyze audit errors and implement action plans as needed
Interfaces with all levels of support
Interfaces with client
Supervisor Claims Examples
1
Supervisor Claims Job Description
Job Description Example
Our innovative and growing company is hiring for a supervisor claims. We appreciate you taking the time to review the list of qualifications and to apply for the position. If you don’t fill all of the qualifications, you may still be considered depending on your level of experience.
Responsibilities for supervisor claims
- Ensure operational controls are carried out in accordance with the laid down business policies & procedures – align with Global standards Attend meetings with clients, insurers or third parties as required
- Ensure a motivated culture by developing motivational programs to increase team loyalty and to create an atmosphere of fun in the department
- Performs task analysis and develops productivity standards for employees effective and efficient methods of measuring productivity
- Maintain consistency in applying company and departmental policy decision by accurately and timely documenting employee files, including attendance, performance information, documented warnings, time off requests, coaching information, training information
- Manage the Claims Filers, reporting to the Department Manager
- Ensure timely and accurate claim filings
- Create daily/monthly production goals ensuring that the goal is met
- Hold monthly staff meetings
- Direct management of the non-FHA claim filers
- Review and cure curtailments to mitigate loss
Qualifications for supervisor claims
- Position requires full oversight of a team of quality control experts
- Conduct quality control activities to ensure data integrity, and aggregate monthly findings in a streamlined format
- Coach team and work with Claims Managers to identify gaps and opportunities for process improvement, including any necessary system enhancements
- Take a leadership role and develop mechanism to effectively communicate the implementation of all process improvements throughout the Claims Filing Department to all responsible parties throughout Servicing
- High School Diploma, GED or Foreign Equivalent is required
- 7-10 years of analytics experience with a background in mortgage insurance/investor claims
2
Supervisor Claims Job Description
Job Description Example
Our growing company is looking to fill the role of supervisor claims. We appreciate you taking the time to review the list of qualifications and to apply for the position. If you don’t fill all of the qualifications, you may still be considered depending on your level of experience.
Responsibilities for supervisor claims
- Ensure efficient use of staff during peaks and down time
- Manage a team of 9 Triage Specialists who are mostly based in the San Francisco office and have accountability for internal and external customers throughout the U.S. Therefore the hours of operations for the Department are 5 am – 5pm, Pacific Time, which may sometimes require a presence in the office during non-standard office hours
- Motivate staff - Reward and recognize associates monthly and/or as necessary for performance above and beyond expectations
- Monthly feedback sessions for staff to include performance action plans as necessary
- Ensures appropriate staff training, cross training, evaluates staff performance and recommends hiring, terminations, promotions and salary action
- Develops and oversees training and quality assurance programs to assure continuous quality and productivity improvement
- Through strong performance management practices, provides
- Feedback, coaching and skill/knowledge development to respective team members to include open file audits and process confirmations
- Ensure adequacy of claims reserves reviewing on a per-established schedule
- Monitor team members’ daily productivity goals and provide feedback where necessary
Qualifications for supervisor claims
- Proficient computer skills are required willingness and aptitude for mastering new software
- The Customer Service Supervisor role necessitates tremendous attention to detail and demonstration of initiative and creativity
- 4 years of leadership experience within a call center/contact center environment
- Knowledge of CRM and ACD systems
- 3-5 years insurance claims experience with minimum of 2 years handling higher severity/complex claims and litigation
- College degree preferred or minimum of 8 years of relevant work experience and skills required
3
Supervisor Claims Job Description
Job Description Example
Our growing company is searching for experienced candidates for the position of supervisor claims. We appreciate you taking the time to review the list of qualifications and to apply for the position. If you don’t fill all of the qualifications, you may still be considered depending on your level of experience.
Responsibilities for supervisor claims
- Responsible for overseeing Total Loss/Theft/Fire claims in all territories
- Ensures consistent and high quality service levels
- Reviews files with adjuster for authority
- Defines team goals and communicates those goals to assigned staff
- Coordinates problem resolution between internal/external customers
- Actively lead projects geared toward improving claims handling performance
- Develops or ensure development of action plans, specifications and prepares cost / benefit analysis related to organizational or process improvement recommendations
- Leads team involved with system enhancements or changes related to claims processes, including coordination with IT
- Participates in quality assurance processes to insure compliance with appropriate Company, regulatory and legal requirements
- Leads research for new technologies and/or vendor options that leverage automation solutions to improve productivity
Qualifications for supervisor claims
- Working experience in life insurance environment will be an added advantage
- Must have experience investigating and analyzing increasingly complex claims through settlement, arbitration or trial
- Directs and controls claims file creation, analysis, investigation, reserving, reporting and disposition of all claims within his/her settlement authority
- Responsible for the analysis of metrics and results
- Maintains awareness of all applicable state and federal regulations
- May be responsible for field office audits and audit procedures
4
Supervisor Claims Job Description
Job Description Example
Our innovative and growing company is searching for experienced candidates for the position of supervisor claims. Thank you in advance for taking a look at the list of responsibilities and qualifications. We look forward to reviewing your resume.
Responsibilities for supervisor claims
- Auto and home insurance discounts (payroll deduction options)
- Acts as second level of appeal for client and claimant issues regarding claim specific, procedural or special requests
- Provide timely service, which ensures prompt and fair settlement of claims in accordance with the company policies and guidelines
- Works closely with the Manager of Claims on special projects or priority cases
- Working knowledge of Procedure Codes
- Supervises a team of 0-25 associates or temporary staff
- Develops facility with claims and correspondence processing, best practices for escalation support
- Sets goals for performance and deadlines in compliance with company plans and vision, and communicates them to subordinates
- Organizes workflow and ensure that staff understand their responsibilities and delegated tasks
- Maintains working knowledge of technical concepts related to processing support software
Qualifications for supervisor claims
- Ability and experience of capacity planning and pro active management of resource to meet demand
- A technical understanding of current Xchanging Ins-sure Services and/or market processes and systems and an interest in shaping the future of these
- Ability to produce data and analyse results
- Has the confidence to be proactive and do what is necessary without instruction, make tough decisions and, if necessary, challenge the ‘status quo’
- Ability to apply a degree of independent judgment/action in problem solving activities making recommendations to resolve these issues whilst keeping the Manager informed
- Bachelors degree or 2+ years healthcare leadership experience
5
Supervisor Claims Job Description
Job Description Example
Our innovative and growing company is looking for a supervisor claims. Thank you in advance for taking a look at the list of responsibilities and qualifications. We look forward to reviewing your resume.
Responsibilities for supervisor claims
- Drafts employee communications and participates in employee/retiree outreach
- Participates in establishing and revising benefits policies
- Testifies in hearings or court on claim cost recoveries for ineligible dependents or other claimants
- Serves as an intermediary between employees and vendors on escalated issues not resolved by the vendor/service provider
- Assists with audits of vendors as needed
- Assists in the coordination of various pieces of the City’s wellness program, including City-wide screening scheduling
- Supervises staff as required
- Monitoring the progress and lifecycle of an automotive mechanical claim
- Handle escalations from consumers, repair facilities, and agents
- Administer performance coaching sessions with adjusters and design improvement plans when necessary
Qualifications for supervisor claims
- Conducts needs analyses for advanced complexity training projects
- Evaluates data and organizational needs to identify learning and development issues
- Develops/facilitates the organization's managerial/leadership training program
- Minimum 4 years experience in the legal field, default mortgage servicing and/or strong understanding of REO marketing, property preservation and disposition of assets
- Microsoft Word, Excel, Internet research knowledge, 10-key calculator
- LPS-MSP experience preferable