Claims adjuster vs claims supervisor

Differences between claims adjuster and claims supervisor duties and responsibilities

Claims adjuster example responsibilities.

• Achieve targeted performance goals to manage costs and support Allstate's industry-leading operational standards.
• Maintain a full caseload of WC files for a Louisiana customer, for six months, while managing this team.
• Manage California branch operations including supervision of 5 WC adjusting and support staff
• Apply strong customer service, organizational and multitasking skills to efficiently manage auto insurance claims.
• Manage strict confidentiality of documents and comply with HIPAA regulations stipulate by the facility and government.
• Manage file inventory by utilizing CCC pathways diary system documenting claim file activities in accordance with establish procedures
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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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