Claims adjuster supervisor vs senior claims examiner

Differences between claims adjuster supervisor and senior claims examiner 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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Senior claims examiner example responsibilities.

• Manage day-to-day operations of claims department and provide general oversight and direction of all claims activity.
• Coordinate vendor referrals for additional investigation and/or litigation management
• Maintain office records of various types of complaints, conciliation, administrative decision, private litigation resolution, gather detailed information.
• Ensure all HIPPA regulations are followed in the creation and release of all confidential records.
• Coordinate vendor referrals for additional investigation and/or litigation management