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Claims supervisor skills for your resume and career

Updated January 8, 2025

5 min read

Below we've compiled a list of the most critical claims supervisor skills. We ranked the top skills for claims supervisors based on the percentage of resumes they appeared on. For example, 25.0% of claims supervisor resumes contained customer service as a skill. Continue reading to find out what skills a claims supervisor needs to be successful in the workplace.

15 claims supervisor skills for your resume and career

1. 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.

Here's how claims supervisors use customer service:

Coordinated department goals, objectives and performance evaluations which ensured accuracy and quality of customer service through effective coaching and feedback.
Administered customer service by identifying customer needs and assisted with purchasing decisions, locating merchandise, resolving customer issues and concerns.

2. Corrective Action

Here's how claims supervisors use corrective action:

Identify and address individual and departmental trends in quality and production and execute appropriate corrective actions and counseling when necessary.
Provided coaching and feedback to team members including formal and corrective action, conducted weekly side-by-side monitoring sessions.

3. Claims Adjusters

Here's how claims supervisors use claims adjusters:

Developed Property Claims Adjusters to conduct field based investigations related to policyholder homeowner claims of property damage.
Direct management of 7 individual claims adjusters assessing performance and ensuring compliance with corporate standards.

4. Litigation

Here's how claims supervisors use litigation:

Established and evaluated claim-handling and staff procedures for complex coverage issues involving GL& Non-Standard Automobile liability claims and litigation issues.
Supervised four inside adjusters that handled litigation files of auto, general liability and bodily injury claims.

5. Claims Handling

Here's how claims supervisors use claims handling:

Conducted training seminars in areas of claims handling and commercial customer relations to new representatives as warranted.
Assisted in backlog reduction, client/provider education, and interdepartmental communication to expedite claims handling.

6. 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.

Here's how claims supervisors use performance reviews:

Conducted performance reviews and implemented corrective strategies leading to some terminations while improving communications, morale, and employee satisfaction overall.
Provided objective performance reviews with development of career growth paths and performance improvement action plans.

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7. Workers Compensation

Here's how claims supervisors use workers compensation:

Supervised claim representatives in auto, property, general liability, products liability, professional liability and workers compensation claims.
Adjudicated liability and personal injury and workers compensation claims for self-insured company and monitored litigated workers compensation claims.

8. Performance Management

Here's how claims supervisors use performance management:

Perform performance management oversight and manager/supervisor/employee development.
Maintained a quality assurance program to support the Total Performance Management initiative and the consistent delivery of quality claims service.

9. Direct Reports

Here's how claims supervisors use direct reports:

Maintained Representative performance standards while developing and implementing action plans to correct unacceptable quality and productivity for individual direct reports.
Provided educational training and activity meetings for direct reports and other associates.

10. Claims Processing

Claims Processing is the entire workflow involved within the insurance company to evaluate a claim before it gets approved. It has many administrative layers such as assessing insurance eligibility, investigating the medical treatments taken, and reviewing medical codes before it settles or denies a claim with the insured healthcare provider.

Here's how claims supervisors use claims processing:

Direct oversight for functional maintenance of the claims processing system including issue identification, requirements, and testing for all fixes/patches/upgrades.
Monitor strict adherence to all Policy & Procedures associated with claims processing, including regulatory compliance to both State/Federal contracts.

11. Performance Evaluations

Performance evaluation is a formal and productive process to measure an employee's work and results based on their job responsibilities over a defined period of time and to properly measure an employee's contribution to the workforce and employers and achieve a high level of quality and quantity of work produced. The evaluation also helps employees provide information about deficiencies in job performance and the company's expectations for the future.

Here's how claims supervisors use performance evaluations:

Hired and provided training and performance evaluation for six senior examiners, two junior examiners and two medical only examiners.
Performed annual performance evaluations, established written departmental policies and procedures, established source documentation for training purposes.

12. Quality Standards

Quality standards are a specific level of standards of products that are set by the companies for the customers that have to be met and maintained throughout the process until the time of delivery. Quality standards are information that includes the customer's requirements, guidelines, and characteristics for the needed final product or service.

Here's how claims supervisors use quality standards:

Review productivity and quality standards and recommends merit increases and administers disciplinary actions.
Focused on maintaining uniformity of claims practices and quality standards.

13. Medical Claims

Here's how claims supervisors use medical claims:

Resolved medical claims by approving or denying documentation; calculating benefit due; initiating payment or composing denial letters.
Managed medical claims field office with responsibilities for personnel administration and employee claims productivity.

14. 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.

Here's how claims supervisors use cpt:

Assist with testing ICD-9 & CPT code updates to system.
Analyzed claims using IDC and CPT coding and negotiated settlements with attorneys, claimants, medical providers, and insureds.

15. Coverage Issues

Here's how claims supervisors use coverage issues:

Analyzed and investigated coverage issues, made coverage recommendations and assisted in preparation of reservation of rights letters to Pool Members.
Reviewed and analyzed coverage issues, delegated authority levels, and provided training.

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List of claims supervisor skills to add to your resume

The most important skills for a claims supervisor resume and required skills for a claims supervisor to have include:

Customer Service
Corrective Action
Claims Adjusters
Litigation
Claims Handling
Performance Reviews
Workers Compensation
Performance Management
Direct Reports
Claims Processing
Performance Evaluations
Quality Standards
Medical Claims
CPT
Coverage Issues
Insurance Claims

CMS
HR
Medicaid
Settlement Authority
Process Improvement
State Regulations
Performance Standards
Bodily Injury Claims
Disciplinary Actions
TPA
Claims Examiners
Compensation Claims
Commercial Property
Staff Development
Performance Appraisals
Customer Complaints

HMO
Arbitration
Claims Issues
PIP
Litigation Management
Defense Counsel
Insurance Carriers
Personnel Issues
ICD-9
SIU
Diary Management
Liability Claims
Hazardous Waste
EDI
Independent Adjusters
Hazardous Materials

Updated January 8, 2025

Zippia Team

Editorial Staff

The Zippia Research Team has spent countless hours reviewing resumes, job postings, and government data to determine what goes into getting a job in each phase of life. Professional writers and data scientists comprise the Zippia Research Team.

Updated January 8, 2025

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