Litigation examiner vs claims supervisor

Differences between litigation examiner and claims supervisor duties and responsibilities

Litigation examiner example responsibilities.

• Manage litigation costs (defense/consultants/independent investigators/experts).
• Manage litigation costs (defense/consultants/independent investigators/experts).
• Complete claims involving a high level of analysis, evaluation and negotiation for arbitrations submit.
• Manage litigation costs (defense/consultants/independent investigators/experts).

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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