The Claims Supervisor will manage and supervise insurance claims representative and also make sure the claims are accurately reported. To perform this core job task, the Claims Supervisor Resume mentions the associated tasks to be performed and such are – reviewing the claims relating to property, casualty, damages or personal; understanding fraudulent or illegal practices, reviewing claim file, investigating claims if necessary, promptly negotiating settlements, attending court hearings, ensuring the settlement made reflects the actual claimant losses, and making sure the insurer is protected from invalid claims.
A College education preferably in business administration or other suitable fields of study is required. Experience in risk management and insurance management is also needed. Strong communication skills, experience with MS Office is also needed. Employers prefer applicants who have extensive experience and skills with claims processing software. In addition, the ability to deal with people directly and fairly will also be required.
Headline : Accomplished Claims Supervisor with over 7 years of experience in managing complex claim processes and ensuring compliance with regulations. Adept at training teams and implementing quality control measures to enhance operational efficiency. Committed to delivering exceptional service while driving down costs and improving outcomes for all stakeholders.
Skills : Regulatory Compliance, Claims Management, Team Leadership, Process Improvement
Description :
Direct and oversee the handling of claims processes, ensuring quality control to achieve optimal economic outcomes for the organization.
Collaborate with program supervisors to address unit activities and resolve any emerging issues.
Participate in legal claims roundtables to discuss claims status, settlement options, and denials.
Established a centralized database for tracking non-employee claims, improving accessibility and reporting.
Evaluate claims for denial, settlement, or payment authority based on coverage and verifiable damage.
Represent the organization in Small Claims Court for recovery actions.
Review student injury and theft reports, providing actionable recommendations for improvement.
Experience
5-7 Years
Level
Management
Education
BBA
Senior Claims Supervisor Resume
Summary : Dynamic professional with 10 years of extensive experience in claims supervision, specializing in optimizing claim processes and ensuring regulatory compliance. Proven track record in mentoring teams, enhancing operational workflows, and improving service efficiency while minimizing costs. Passionate about driving team performance and achieving superior outcomes for clients and stakeholders.
Skills : Claims Analysis, Coordination Skills, Communication Skills, Attention To Detail, Report Generation
Description :
Supervise claims processing team to ensure timely and accurate claim resolutions.
Oversee the coordination and documentation of nationwide field assessments of damages.
Ensure the accuracy of records for reporting and audit purposes, maintaining compliance with regulations.
Utilize Salesforce.com to effectively track and update insurance adjuster information.
Review report processors' spreadsheets for accuracy in documentation and photo submissions.
Develop and implement claims handling procedures to improve efficiency.
Convert spreadsheets and photos into PDF files to expedite the resolution of pending claims.
Experience
7-10 Years
Level
Senior
Education
B.S.B.A.
Claims Supervisor Resume
Objective : Dedicated Claims Supervisor with 2 years of focused experience in overseeing claims operations and ensuring regulatory compliance. Proven ability to enhance team performance through effective training and quality assurance initiatives. Passionate about optimizing workflows and providing exceptional service to clients while minimizing operational risks.
Led a team of claims adjusters, ensuring adherence to best practices and enhancing customer satisfaction.
Implemented training programs to improve team competency in handling complex claims.
Monitored claims processes for compliance with industry regulations and company policies.
Facilitated regular team meetings to discuss workflow improvements and address performance issues.
Analyzed claims data to identify trends and areas for operational improvement.
Conducted one-on-one coaching sessions to support staff development and engagement.
Managed budget allocations for the claims department, optimizing resource utilization.
Experience
0-2 Years
Level
Entry Level
Education
B.S.B.A.
Associate Claims Supervisor Resume
Objective : Results-oriented claims professional with 2 years of experience in claims supervision and operations management. Skilled in enhancing team performance through targeted training and implementing process improvements. Dedicated to ensuring compliance and optimizing workflows to deliver exceptional service and meet performance targets.
Skills : Data Analysis, Advanced Microsoft Office Skills, Reporting And Analytics, Claims Process Improvement, Risk Assessment, Quality Assurance
Description :
Managed a team of claims processing specialists to ensure efficient operations and compliance with regulations.
Supervised daily activities of teams ranging from 7 to 35 personnel, focusing on performance and productivity.
Led the transition from a paper claim system to an electronic resolution system, enhancing operational efficiency.
Monitored claims inventory and workflow to ensure adherence to contractual performance guarantees.
Served as a subject matter expert, providing guidance and support for team members.
Analyzed individual and team performance metrics, implementing action plans for improvement.
Developed and executed strategies to enhance service levels and meet customer performance guarantees.
Experience
0-2 Years
Level
Entry Level
Education
B.S.B.A.
Claims Supervisor Resume
Objective : Strategic Claims Supervisor with 5 years of expertise in managing claims operations and ensuring adherence to regulatory standards. Skilled in enhancing team performance through targeted training and process optimization. Proven ability to drive efficiency and improve service delivery while maintaining a focus on compliance and stakeholder satisfaction.
Ensure adherence to departmental policies and interface with Quality Assurance to maintain compliance standards.
Implement operational changes to enhance service delivery and departmental efficiency.
Oversee special projects assigned by leadership and manage project-related tasks effectively.
Monitor performance metrics and proactively address issues to maintain optimal workflow.
Recruit, train, and supervise claims staff, fostering professional growth and team cohesion.
Ensure staff meet productivity and quality benchmarks while adhering to regulatory guidelines.
Identify trends in claims processing and recommend improvements to enhance operational performance.
Experience
2-5 Years
Level
Management
Education
B.S. in BA
Claims Supervisor II Resume
Headline : Seasoned Claims Supervisor with 7 years of experience overseeing complex claims management and ensuring regulatory compliance. Expertise in training and developing teams to optimize claim processing and enhance service delivery. Driven to implement innovative solutions that improve operational efficiency and foster positive stakeholder relationships.
Oversaw a team of 9 associates handling general liability and property damage claims.
Ensured compliance with state and federal regulations for claims management across 48 states.
Analyzed claims data to identify trends and implement efficiency improvements, leading to a significant reduction in re-investigation cases.
Supervised adherence to compliance guidelines, enhancing the quality of claims handling for damages.
Fostered cross-departmental collaboration to improve processes and relationships with field managers.
Utilized analytics to decrease claim inventory by over 60% in one quarter, ensuring timely and quality handling.
Generated custom reports for management, enhancing operational visibility and decision-making.
Experience
5-7 Years
Level
Management
Education
B.S. in BA
Claims Supervisor Resume
Objective : Proficient Claims Supervisor with 2 years of experience in overseeing claims operations and ensuring compliance with industry regulations. Skilled in enhancing team performance through targeted training and process improvements. Eager to optimize workflows and deliver exceptional service to clients while effectively managing operational risks.
Assisted management in implementing quality improvement measures based on regulatory audit results.
Led a team of 10 claims adjusters, improving processing efficiency by 25% through streamlined workflows.
Implemented training programs that reduced claim processing errors by 30%, enhancing overall team performance.
Monitored claims performance metrics, achieving a 15% increase in customer satisfaction ratings over one year.
Developed and enforced new claims policies, resulting in a 20% decrease in fraudulent claims detected.
Coordinated cross-departmental initiatives, reducing claim resolution time by 40% and improving service delivery.
Conducted regular audits of claims files, ensuring compliance with regulatory standards and reducing penalties by 50%.
Experience
0-2 Years
Level
Entry Level
Education
B.S.B.A.
Property Claims Supervisor Resume
Headline : Results-driven Property Claims Supervisor with over 7 years of experience in overseeing property claims management and ensuring compliance with industry regulations. Skilled in leading teams, optimizing workflows, and enhancing service delivery to achieve outstanding client satisfaction. Dedicated to continuous improvement and fostering a culture of excellence in claims processing.
Monitored and documented individual and team performance, providing timely feedback and conducting performance evaluations.
Oversaw daily operations, assigning work to staff members, including processing special circumstance claims.
Communicated urgent issues, priorities, and recommendations to management.
Evaluated staffing needs, participated in recruitment, and made resource recommendations.
Maintained confidentiality of sensitive business information and claims data.
Ensured claims compliance with regulatory and accreditation standards.
Trained and mentored new hires to facilitate quicker integration into the team.
Experience
5-7 Years
Level
Management
Education
B.S. in B.A.
Claims Supervisor Resume
Objective : Results-focused Claims Supervisor with 5 years of experience in streamlining claim operations and ensuring compliance with industry regulations. Proven abilities in team leadership and training, driving process improvements that enhance productivity and service quality. Passionate about fostering a collaborative work environment and achieving optimal outcomes for clients and stakeholders.
Skills : Problem Solving, Time Management, Technical Proficiency, Decision Making, Staff Supervision, Interpersonal Skills
Description :
Oversaw a daily inventory of approximately 10,000 claims, ensuring timely and accurate processing.
Established performance metrics to enhance quality and efficiency for remote staff.
Collaborated with IT to implement system enhancements, improving auto-adjudication rates significantly.
Managed claim inventory levels to maintain a 98% processing rate within 30 days.
Enhanced communication with remote teams by creating collaborative platforms and regular meetings.
Reduced employee turnover to below 5% through supportive leadership and regular performance evaluations.
Trained staff on best practices, resulting in increased productivity and morale.
Experience
2-5 Years
Level
Management
Education
B.S.B.A.
Associate Claims Supervisor Resume
Objective : Dedicated claims professional with 2 years of experience in claims supervision and team leadership. Proven expertise in streamlining claims processes, ensuring regulatory compliance, and enhancing operational efficiency. Focused on delivering exceptional service while fostering a collaborative team environment to achieve organizational goals.
Skills : Advanced Excel Skills, Effective Presentation Skills, Crisis Management, Proficient In Microsoft Word
Description :
Supervised health claims department, ensuring accurate and timely processing of claims.
Led recruitment, training, and performance management initiatives to build a high-quality team.
Provided HR support in hiring, coaching, and managing attendance and compliance issues.
Monitored employee productivity and managed labor hours efficiently.
Conducted one-on-one training sessions and performance evaluations to enhance team capabilities.
Collaborated with cross-functional partners to improve service delivery and claims processing.
Addressed inquiries from members, providers, and regulatory bodies to resolve issues effectively.
Experience
0-2 Years
Level
Junior
Education
B.S.B.A.
Claims Supervisor Resume
Objective : Results-oriented Claims Supervisor with two years of specialized experience in managing claims operations and ensuring compliance with regulatory standards. Demonstrated ability to enhance team productivity through effective training and process optimization. Committed to delivering high-quality service while mitigating risks and improving operational workflows.
Supervise and manage a small claims team, ensuring high levels of performance and compliance.
Oversee daily operations of the claims department, ensuring adherence to regulatory requirements.
Ensure claims adjudication aligns with State, Federal, and Health Plan regulations.
Develop and implement training programs to enhance team skills and improve claims processing.
Ensure timely and accurate adjudication of claims according to established guidelines.
Respond to provider and member inquiries regarding claims disputes in a professional manner.
Analyze and process provider reconsideration requests efficiently.
Experience
0-2 Years
Level
Entry Level
Education
B.S. in BA
Claims Supervisor Resume
Summary : Driven Claims Supervisor with a decade of expertise in overseeing claims operations and ensuring compliance with industry regulations. Recognized for enhancing team performance and streamlining processes to maximize efficiency and reduce costs. Passionate about fostering a culture of excellence and delivering outstanding service to clients while optimizing operational outcomes.
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