Claims supervisor vs auto claims adjuster

Differences between claims supervisor and auto claims adjuster duties and responsibilities

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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Auto claims adjuster example responsibilities.

• Manage file inventory by utilizing CCC pathways diary system documenting claim file activities in accordance with establish procedures
• Work closely with staff attorneys to develop litigation strategies and prepare for depositions.
• Provide feedback and implement strategies on claim investigation, reserving, settlement and litigation.
• Research and review delinquent mortgage cases, financial scenarios and individual homeowner situations to develop solutions compliant with investor policy.
• Prepare written arguments for arbitration and provide all supporting documentation and evidence.
• Compile and submit arbitration applications against the insurers of at-fault parties who refuse liability.
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