Claims Supervisor Job Description

Claims Supervisor Job Description, Skills, and Salary

Get to know about the duties, responsibilities, qualifications, and skills requirements of a claims supervisor. You can use our job description template in this article to produce your own. We also provide you with information about the salary you can earn as a claims supervisor.

 

Who is a Claims Supervisor?

A Claims Supervisor is responsible for managing the team and the process for handling insurance claims, guaranteeing accuracy and efficient operation. Their duties often include communicating with important clients and other agencies, supporting employees during negotiations, confirming the legitimacy and completeness of all applications, keeping an eye on the finances, and resolving complicated problems. Additionally, a claims supervisor must set an example for the team, support them in achieving their objectives, and ensure they follow all corporate rules and procedures.

With businesses looking for methods to lower their insurance costs, the self-insured model is becoming more popular. Businesses may save a lot of money on premiums by using this strategy, which enables them to assume more risk themselves. Claims supervisors will need to be conversant with the procedure for handling claims without assistance from an insurance carrier as the self-insured model becomes popular. They must also be able to recognize possible hazards and create mitigation plans for them.

In the insurance sector, preventative measures are becoming more and more crucial. This is because insurers now understand they can save money by avoiding the need for claims in the first place. As a claims supervisor, you should concentrate on creating preventative strategies to keep your business’s expenses low. This can entail developing new safety measures or teaching staff members how to prevent accidents and injuries.

Technology is being used more and more in the workplace. This is especially true in the insurance sector, where technological dependence on claims management systems has increased. You must be knowledgeable about the most recent technological developments and how to utilize them to manage claims more effectively as claims supervisors. This involves being familiar with software like document management tools, electronic signatures, and CRM systems.

 

Claims Supervisor Job Description

Below are the claims supervisor job description examples you can use to develop your resume or write a job description for your employee. Employers can also use it to sieve out job seekers when choosing candidates for interviews.

The duties and responsibilities of the Claims Supervisor include the following:

  • Give claim workers daily assistance in managing and filing claims.
  • Make that the claiming team adheres to state laws and operational standards.
  • Assist with coverage research, liability analysis, and settlement negotiations from claim personnel.
  • Create best practices to improve the accuracy of claim processing.
  • Assess the claim staff’s professional abilities and give them the proper claims.
  • Develop a reserve for claim investigation costs.
  • Fix coverage problems and provide your approval for coverage denials.
  • Negotiate the claim and determine the settlement amount.
  • Record the actions of submitting and evaluating claims accurately.
  • Oversee the assigned claims’ medical, insurance, and legal elements.
  • Engage in dialogue with the claimant, attorneys, police, and other members of the public to settle the dispute.
  • Assist in recruiting and educating new hires on the duties of their position.
  • Check each person’s performance to ensure it satisfies the quality and performance standards required.
  • Create professional development programs for your staff to boost productivity.
  • Assist with actions related to hiring, firing, and promoting employees.

 

Qualifications

  • Have a high school diploma, GED, or its equivalent
  • Possess a bachelor’s degree in business management, accounting, or a similar discipline (Preferable)
  • Years of experience with an excellent record in a claims position
  • In-depth understanding of estimating software
  • Earned the Associate in Claims (AIC) certification

 

Essential Skills

Here are the skills you require to excel in your career as a Claims Supervisor:

  • Analytical
  • Accuracy
  • Detail-orientation
  • Auditing
  • Claims Management
  • Common Sense
  • Effective Working Skill
  • Empathy
  • Solid Evaluation
  • Fraud Investigation
  • Excellent Judgement
  • Knowledgeable About the Job
  • Organizational
  • Project Management

Analytical

The ability for information gathering and analysis, problem-solving, and decision-making according to company laws and regulations are known as analytical skills. To increase a company’s efficiency, a claims supervisor should employ staff members that follow clear, logical methods and have outstanding judgment to consider all sides of a situation before acting. They should also be analytical in handling certain tasks.

Accuracy

Accuracy is the degree to which a measured value resembles a standard or recognized value established by governing legislation. To promote precise and accurate information in every department and to foster a genuine atmosphere that the employees will respect, a claims supervisor must always be exact with the numbers and data utilized and necessary in the office without any guessing or assumptions.

Detail-orientation

The ability to do work accurately and thoroughly is known as attention to detail. This is a solid quality that a claims supervisor must possess and use for customers and employees to appreciate the need of paying close attention to every detail to avoid costly mistakes that are prevalent in the workplace.

Auditing

A company’s financial records are examined and evaluated during an audit o ensure they are correct. You might have to audit your employer’s records as a claims supervisor to ensure that all claims were properly processed and that there was no fraud. You may take steps to address any problems with your organization’s claims procedures by using auditing skills to detect any problems.

Claims Management

Claims supervisors are in charge of overseeing the whole claims procedure. This entails analyzing received claims, allocating them to a team of adjusters and investigators, keeping in touch with clients over the claim’s lifecycle, and ensuring that all claims are paid in full. As a claims supervisor, you need solid organizational skills and attention to detail to manage several cases at a time. Additionally, you must be able to advocate for your customers during negotiations with insurance carriers.

Common Sense

The ability to see the gaps in a situation or project and fill them without having to be allocated or requested is known as using common sense. A claims supervisor must creatively instruct their staff to constantly identify the missing aspect from every project or workplace and seize the chance to do business.

Effective Working Skill

The worth of the work or goods generated by the employees and the working conditions they get together make up the quality of the work.

The four important outcomes for quality work; employee retention, customer happiness, profitability, and productivity calls for a claims supervisor to be creative in helping all teams find skills to help produce a high-quality product, boost efficiency, and increase productivity.

Empathy

Empathy is the ability to put yourself in another person’s shoes and experience their feelings to comprehend their situation from their point of view.

A claims supervisor should develop empathy with the workers by being a good listener, knowing what they are going through, and choosing to feel it using their imagination. They should also make accommodations to support them in the best way possible.

Solid Evaluation

The ability to discern a person’s distinctive perspective and see their individuality in others is the ability to evaluate others.

A claims supervisor must be skilled in assessing others to assist his employees in identifying their strengths and matching those strengths to the appropriate position without trying to evaluate them based only on their behaviors, which may lead to a misunderstanding of who they are.

Fraud Investigation

The ability to recognize and look into fraud cases is known as a fraud investigation. You might have to look into staff misbehavior or fictitious customer claims as a claims supervisor. Your fraud investigation abilities can assist you in determining if a customer’s claim is valid or whether an employee has committed insurance fraud. This can lower your company’s risk of financial loss and help you ensure that it only pays for legitimate claims.

Excellent Judgement

The ability to make a sensible decision or create an opinion, particularly in issues involving action, common sense, and discretion, is known as judgment.

A Claims Supervisor must possess sound judgment, act appropriately under pressure, and have the foresight to set priorities that will allow them to concentrate on the most crucial tasks while delivering exceptional outcomes.

Knowledgeable About the Job

Every employee has to have a solid awareness of how their roles fit into the wider structure to minimize negligence and laxness.

When choosing an employee, a claims supervisor must be able to assess this criterion and be familiar with the typical characteristics of a person who has either appropriate or insufficient understanding of their position early enough to either keep them or fire them. They should also know what their role entails and execute well.

Organizational

Organizational skills are essential for a company’s long-term success because they provide structure and order that effectively fosters teamwork.

A claims supervisor must be great in general organizing, planning, communication, time management, scheduling, resource coordination, and meeting deadlines They use this skill to help the team to be well-structured and effectively manage the business.

Project Management

Your ability to handle big projects and ensure they are successful depends on your project management skill. As a claims supervisor, you may be the one to manage the handling of insurance claims, which may entail collaboration between several departments on various projects. You can successfully manage and maintain these projects with good project management skills.

 

How to Become a Claims Supervisor

Below are the steps to becoming a Claims Supervisor:

Step One: Complete High School

Graduating from high school is the minimum qualification to becoming a claims supervisor, while some businesses may hire the ones without a post-secondary education, some prefer those with a post-secondary education.

Step Two: Acquire a Degree

Many employers prefer claims supervisors with at least a bachelor’s degree in business, accounting, or a similar discipline. Hence, it is advisable to get a degree in any of those if your goal is to work as a claims supervisor and to increase your chances of getting it.

Step Three: Request a License

Countries and States have different standards for claims experts’ licenses. Many states need that the applicant possesses an examiner license; to do so, one must either finish a pre-licensing course or, in some cases, pass a license test. The requirement list may not include an examiner license for every state. Research the regulations in your state or country to know whether you need a license.

Step Four: Gain Experience

Work in the field to hone your skills. You will be qualified for increases and more responsibilities as you acquire experience.

Being new to the field, one might not understand the tasks or responsibilities to carry out. For this, one should enroll in an internship program, where one will obtain the necessary experience and have a greater chance of landing a permanent position. Depending on the candidate’s success, the internship may end up becoming a permanent position in many cases.

Step Five: Get an Entry-level Claims Job

After completing all of the necessary procedures, one may finally take a step toward a permanent career in this profession. Many private companies provide rewarding positions to claim officers, and it’s even conceivable that one may land a job in the federal or state government.

Step Six: Apply for Promotion or to a New Company for a Supervisory Role

After you have worked for years and gathered skills and experience, you can apply for promotion to a supervisory role if there is an opening in the company you work for. You can also choose to apply for the position in another company.

 

Where to Work as a Claims Supervisor

Claims supervisors often operate in an office setting with an open floor plan or a cubicle. They typically put in a 40-hour work week, but during busy times they might have to put in more. They might also be available for emergencies around-the-clock, seven days a week. Claims supervisors may be required to teach new hires while working with a group of claims processors. To handle claims, they collaborate with insurance companies and adjusters. Claims supervisors must meet deadlines and deal with challenging clients, which makes their job challenging.

 

Claims Supervisor Salary Scale

The salary range for a claims supervisor in the United States normally ranges from $64,916 to $87,431 per year. The average income is $74,941.

In the United Kingdom, a Claims Supervisor makes approximately £73,900 per year. The range of salaries is £36,200 to £115,000.

Claims Supervisors make an average yearly income of CA$76,291 in Canada.

In Germany, the average salary for a claims supervisor is around €5,300 per month. From €2,440 to €8,430 is the salary range.

In Australia, the average annual salary for a claims supervisor is between AU$67,000 and AU$100,000.

Claims Supervisors in Ireland earn a yearly salary of €57,772.

In Nigeria, the average salary for a claims supervisor is about ₦365,000 per month. The salary range is from ₦192,000 to ₦600,000 is the salary range.

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