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Claims adjuster supervisor skills for your resume and career
15 claims adjuster supervisor skills for your resume and career
1. Coverage Issues
- Interpreted policy language and assisted marketing personnel and agents in coverage issues and policy language interpretation.
- Researched and resolved claims involving complex coverage issues.
2. Customer Service
Customer service is the process of offering assistance to all the current and potential customers -- answering questions, fixing problems, and providing excellent service. The main goal of customer service is to build a strong relationship with the customers so that they keep coming back for more business.
- Introduced concept of capturing customer service performance on quality audits.
- Researched and resolved customer service inquiries.
3. Litigation
- Audit pending case loads to determine exposures involved, direct litigation management and report to excess/re-insurers pursuant to retention levels.
- Attended depositions when required and coordinated litigation files with in-house counsel.
4. Auto Claims
Auto claims are claims made to insurance companies or firms in cases of accidents, collisions, or damages to determine payments made. Insurance companies hire auto claim adjusters to help inspect, assess, and determine the state of damager on an auto vehicle and the costs that would incur.
- Adjusted all lines of Personal Auto Claims, including PD, BI, UM, etc.
- Resolve auto claims in a timely manner.
5. CPT
CPT is a medical term that stands for Current Procedural Terminology. Whenever a procedure like surgery or diagnosis occurs or some other medical service is rendered to a patient, it is reported to the concerned physician, insurance company, or organization. The aforementioned practice is widely referred to as CPT.
- Advise physician on any changes with CPT and ICD-9 coding to maximize reimbursements and minimize denials.
- Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
6. Appeals
- Respond promptly to escalated cases, appeals and account adjustment with through research and viable solutions to utilized existing client relationships.
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- Conducted investigations, made liability/coverage determinations and negotiated settlement of property damage and bodily injury claims, including attorney represented cases.
- Investigated and settled personal injury claims, both in office and on street.
8. Training Materials
- Drafted training materials for future leadership positions unfamiliar with processes and industry specific jargon and acronyms.
- Designed training materials.Managed claims personnel from new-applicant interviews/ assessments through training completion.
9. Workers Compensation
- Investigated and settled Workers Compensation, Automobile and Public Liability Claims Supervised staff of 3-50
- Handled workers compensation, auto, general liability and major property losses.
10. Claims Handling
- Experienced auto adjuster with understanding in estimating, claims handling software, auto body repair and customer service demonstrating true professionalism.
- Managed the entire claims handling process including investigation, evaluation, liability determination, financial analysis, and settlement of claim.
11. Insurance Claims
- Adjusted insurance claims by telephone/in person.
- Managed team of five insurance claims professionals with cases ranging from minor property damage to severe injuries.
12. TPA
- Send all necessary information to TPA whenever an incident occurs and build consistent communication with adjusters.
- Achieved consistent passing audits by our partner Carriers, and Excess Carriers on claims handled by our TPA.
13. Arbitration
- Served as a panel member for Arbitration Forums Inter-Company Arbitration.
- Served as an arbitration panelist for intercompany arbitration cases.
14. Direct Reports
- Supervised 20 direct reports including both on-site and telecommuters.
- Responded to specific provider payment issues and worked with direct reports and executive management to ensure resolution of payment issues.
15. Performance Reviews
Performance reviews refer to the official evaluation of a worker's performance done by the manager. The evaluation then helps the superior identify the worker's strengths and weaknesses and offers valuable feedback to help him overcome his shortcomings. This assessment also helps a worker set a future goal for himself and identify ways to better his future performance. Performance Reviews may be done on a monthly or yearly basis, depending on the company.
- Conducted performance reviews, assigned classes and monitored quality.
- Complete performance reviews, salary increases and disciplinary actions in a timely basis.
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List of claims adjuster supervisor skills to add to your resume
The most important skills for a claims adjuster supervisor resume and required skills for a claims adjuster supervisor to have include:
- Coverage Issues
- Customer Service
- Litigation
- Auto Claims
- CPT
- Appeals
- Injury Claims
- Training Materials
- Workers Compensation
- Claims Handling
- Insurance Claims
- TPA
- Arbitration
- Direct Reports
- Performance Reviews
- PIP
- Commercial Property
- Medical Bills
- BI
Updated January 8, 2025