Claims vice president vs senior claims representative

Differences between claims vice president and senior claims representative duties and responsibilities

Claims vice president example responsibilities.

• Retain and manage outside counsel; develop and coordinate strategy for litigation; participate in alternative dispute resolution and negotiate settlements.
• Provide management oversight of client support at offices in Indiana, Kentucky and Ohio.
• Provide vision, oversight and direction to claims and encounter processing and claims systems configuration.
• Work with underwriting carrier to ensure that all TPA responsibilities are being handle according to the TPA guidelines.
• Establish and direct internal and external performance standards and procedures for use with TPA's or general agents.
• Negotiate claims litigation, including settling lawsuits via mediation strategies.
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Senior claims representative example responsibilities.

• Conduct detailed interviews with physicians, prepare comprehensive written reports, retain defense counsel, and effectively manage the litigation process.
• Utilize Xactimate estimating system during field inspection to properly evaluate commercial property damages.
• Update computer generate claim file (s) with medical diagnoses, current CPT and ICD codes.
• Analyze claims using IDC and CPT coding and negotiate settlements with attorneys, claimants, medical providers, and insureds.
• Set up independent medical examinations, issue denials, attend arbitration hearings.
• Coordinate and attend various mediation and arbitration hearings as well as numerous settlement hearings and conferences.
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