Claims Supervisor Resume Samples

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Claims Supervisors work in the insurance industry and provide daily support to staff managing claim and filing activities. Essential work duties listed on a Claims Supervisor resume sample are adhering to best practices, assigning claim tasks to employees, assisting with claim investigations, and monitoring employee performance. Based on our selection of resumes for Claims Supervisor, the most sought-after skills in the field are knowledge of claim procedures, organization and planning, attention to details, research skills, and computer competences. Most Claims Supervisors have college education in a relevant field.

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1

Claims Supervisor

  • Supervised and oversaw the day-to-day workflow operations for a team of 26 claims examiners to ensure employees' production and standards were met and claims were processed timely
  • Planned, organized and prioritized duties and assignments along with training while simultaneously meeting management duties and expectations
  • Maintained daily communication with staff, scheduled telephonic conferences to perform one-on-one performance and progress feedback
  • Tracked and monitored staff's daily attendance for payroll and accountability
  • Evaluated staff and cross-trained examiners on processing other types of claims to include: dialysis, hospital, ambulatory service center and ambulance claims
  • Provided telephonic remote support, troubleshot and resolved system error
Candidate Info
9
years in
workforce
6
months
at this job
HS
Medical Billing I & Ii
2

Liability Claims Supervisor

  • Managed 6 Commercial Liability Claims Representatives, including all personnel functions
  • Approved Coverage position letters and Liability denials to be submitted to the client
  • Produced superior results in file reviews
  • Provided exceptional training for less experienced Claim Representatives
  • Achieved 96% 24 hour contact compliance
  • Supervisory diary compliance within 90 days at 95%
  • Received Top Talent and Exceeds Expectations on all performance reviews
Candidate Info
23
years in
workforce
9
years
at this job
BS
Business Administration / Finance
3

Claims Supervisor

  • Managed a team of 30 across all areas of VISA/CBSI claims teams
  • Responsible for ensuring client timeframes were met or exceeded, that all claims were accurately addressed within a timely matter
  • Handled escalations from banks and CBSI. Balanced client expectations with a positive experience for card holders
  • Ensured all electronic and paper mail was processed efficiently and assigned to each claim within 12 hours
  • Set training and development goals for each employee and followed up to track progress
  • Identified and tracked claim related trends, gathered data, and communicated to leadership
  • Created and maintained all claims related spreadsheets to efficiently resolve issues as they arise
  • Maintained close relationships with all clients- set weekly client calls with underwriter to align and clarify policy
  • Became main POC for client relations and our clients
Candidate Info
9
years in
workforce
2
years
at this job
BS
Bachelor of Science
4

Claims Supervisor

  • Management of complex medical malpractice claims involving both hospital and physician claims
  • Supervisory responsibilities for two field representatives to assure prompt and quality handling of claims
  • Developed and implemented legal audit program aimed at controlling defense expense costs and informed selection of defense counsel
  • Participated in training program on communication (Listening, the Forgotten Skill) to conduct the program for other employees.
  • Chaired task force on healthcare reform involving coordinating meetings, assigning tasks for research, and management reporting
Candidate Info
14
years in
workforce
9
years
at this job
HS
Registered Nurse
BA
Humanities
MA
Studies Of Law
5

Claims Supervisor

  • Reviewed claims files to ensure proper claims handling
  • Developed and mentor adjusters to improve claims handling skills
  • Motivated team members to achieve a personal and company goals
Candidate Info
14
years in
workforce
7
months
at this job
Finance And Insurance
6

Claims Supervisor

Managing the day to day activities of six Leave coordinators, and two administrative assistants.

  • Managing statistical data to ensure that claims met the desire turn around times and Metrics.
  • Attending to clients meetings and calls to ensure the client's needs are being met.
  • Advising FMLA staff in proper claims decision making
  • Preparing Statistical reports for management reviews.
  • Coaching and development of Leave coordinator via monthly One on One meeting and weekly team staff meetings.
Candidate Info
11
years in
workforce
2
years
at this job
BA
Business Administration
MA
Master of Arts
MA
Master of Arts
7

Centralized Claim Services - Claims Supervisor

  • Responsible for leading and managing a high performing Team of 9+ Personal Auto Claim Professionals in a dynamic, fast paced production environment.
  • Provided effective leadership and coaching to ensure staff consistently met and exceeded claim handling metrics, quality standards and customer service expectations, while maintaining financial discipline.
  • Facilitated a high performance culture by aligning individual goals, differentiating performance through evaluation and recognition, and managing performance improvement issues swiftly and appropriately.
  • Harvest Champion for the Centralized Claims Services organization, responsible for instilling a culture of continuous improvement through collaboration with other departments to help the organization achieve and maintain superior performance.
  • Earned The Hartford's "Communications" (Core, Supervisor) Capability Badge for the consistent use of various communication methods.
  • Earned The Hartford's "Talent" (Core, Supervisor) Capability Badge for demonstrating an ability to maximize personal development and teammate's development through strategic mentoring and providing opportunities to develop staff for future roles.
Candidate Info
13
years in
workforce
1
year
at this job
BA
Economics
MA
Master of Arts
8

Claims Supervisor

  • Manage a staff of 19 examiners monitoring process to ensure accurate and timely handling of all claims
  • Develop and implemented plans for claims operational process, procedures and optimization of workflow
  • Assist in hiring and training new candidates in their job responsibilities
  • Monitor individual performance and ensure it meets expected quality and performance objectives
  • Responsible for reviewing and auditing files for compliance, results, coaching, learning and accuracy, assisting claims examiners
Candidate Info
8
years in
workforce
2
years
at this job
BS
Food Industry Management
MA
Health Service Administration
9

Claims Supervisor

Responsible for processing and managing claims.

  • Authorized and processed insurance claims for customers who needed to utilize services due to vehicle discrepancies.
  • Entered data into an inhouse database filing system.
  • Assisted front desk in renting vehicles to customers and providing customer service.
  • Performed accounts receivable and payable duties.
  • Assisted in car transport from and to other locations.
  • Executed administrative duties such as data entry, copy jobs, and faxing.
  • Responsible for conducting vehicle inventory audits daily.
Candidate Info
5
years in
workforce
1
year
at this job
10

Claims Supervisor

  • Supervise 8-10 Claims Representatives.
  • Mentor, coach, and train personnel.
  • Assess claims processes and develop strategies to maintain or improve performance.
  • Conduct case reviews and evaluate adjuster's performance by continuous review of claims statistics, open and closed
  • Monitor claims that meet a high exposure loss profile and /or files where the claims investigation has revealed
  • Adhere to the Rules and Regulations set forth by the Department of Insurance, state specific.
Candidate Info
14
years in
workforce
5
months
at this job
BBA
Finance And Marketing

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