Casualty claims supervisor vs senior claims specialist

Differences between casualty claims supervisor and senior claims specialist duties and responsibilities

Casualty claims supervisor example responsibilities.

• Manage day-to-day operations of claims department and provide general oversight and direction of all claims activity.
• Train and develop staff in areas of claim investigation, negotiations, coverage and litigation management.
• Coordinate the claims refer to the SIU unit.
• Supervise subrogation and inter-company arbitration activities.
• Work autonomously investigating homeowner's liability and automobile claims in the field.

Senior claims specialist example responsibilities.

• Manage assigned third party administration (TPA) multi-jurisdictional workers' compensation; subrogation recovery claims; assign defense attorney.
• Work toward settlement with claimants and attorneys, or determine company litigation strategy, participating in mediation and arbitration when necessary.
• Maintain EDI processing table logic.
• Work with testing HIPAA transactions, reporting and processing data reporting to the state.
• Review data entry of claims receive through the EDI system for accuracy prior to processing.
• Operate within all company regulations regarding HIPAA, fraud, confidentiality, and private health information guidelines.
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