Claims adjuster supervisor vs claims manager

Differences between claims adjuster supervisor and claims manager duties and responsibilities

Claims adjuster supervisor example responsibilities.

• Manage file inventory by utilizing CCC pathways diary system documenting claim file activities in accordance with establish procedures
• Audit pending case loads to determine exposures involve, direct litigation management and report to excess/re-insurers pursuant to retention levels.
• Mitigate medical expenses by recognizing improper billing of CPT and ICD9 codes.
• Initiate and answer arbitration cases.
• Serve as an arbitration panelist for intercompany arbitration cases.
• Attend depositions when require and coordinate litigation files with in-house counsel.
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Claims manager example responsibilities.

• Manage multiple outsource PPO networks that enable company to increase top line revenue.
• Achieve improved structure and efficiency with initiation of pip specific unit.
• Manage day-to-day operations of claims department and provide general oversight and direction of all claims activity.
• Oversee implementation and management of litigation and expense protocols including AFA agreements and BLO oversight.
• Respond to all DOI questions and concerns.
• Work with TPA, service providers and personnel on the design, implementation, and management of wellness programs.
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