Claims adjuster supervisor vs claims supervisor

Differences between claims adjuster supervisor and claims supervisor 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 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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