Adjuster vs claims supervisor

Differences between adjuster and claims supervisor duties and responsibilities

Adjuster example responsibilities.

• Manage strict confidentiality of documents and comply with HIPAA regulations stipulate by the facility and government.
• Review evidence obtain in liability investigations to evaluate a claim for success in recovery through litigation or arbitration.
• Document measurements and relevant data to author estimates and appraisals utilizing Xactimate 28software.
• Charge with answering and defending policy holders and company interests through independent and binding third-party arbitration proceedings.
• Review departmental reports and financial data; prepare reports of findings, negotiating settlement demands or recommending litigation.
• Prepare computerize estimates utilizing Xactimate and document all activity associate with the claim in clients web base claims management system.
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Claims supervisor example responsibilities.

• Manage, train and continuously develop a team consisting of both inside SIU investigators and field investigators.
• Apply fundamentals of insurance investigation and resolution to an introductory leadership role managing complex claim files and tort litigation files.
• Make determinations to authorize payments via XACTIMATE software.
• Assist TPA in obtaining company documentation and scheduling employee interviews in investigation of claims.
• Advise physician on any changes with CPT and ICD-9 coding to maximize reimbursements and minimize denials.
• Provide oversight and direction for highly complicate claim reviews base on policy, procedure and CMS guidelines.
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