Insurance Claims Supervisor Job Description

INSURANCE CLAIMS SUPERVISOR SUMMARY OF FUNCTIONS

The Insurance Claims Supervisor manages Insurance Claims Representatives and ensures accurate reporting of claims for personal, casualty, or property loss or damages; reviews claims reps’ analyses of the extent of the insurance company’s liability; tries to negotiate out-of-court settlements with the client, where possible.

INSURANCE CLAIMS SUPERVISOR ESSENTIAL DUTIES AND RESPONSIBILITIES

• Understanding of fraudulent and illegal practices.
• Quickly  and effectively investigates claims, negotiates equitable settlements, and authorizes prompt payments to policyholders.
• Reviews insurance forms for accuracy and completeness.  Calls or writes to the insured party or others involved to secure missing information.
• Reviews the claim file and the insurance policy to determine coverage.  Transmits routine claims for payment; informs claims supervisor of those claims needing further investigation.
• Investigates claims as necessary, through use of physical evidence, securing testimony  from relevant parties, and examining reports.
• Promptly negotiates settlements, making sure that the settlement reflects the actual claimant losses while also being certain that the insurer is protected from invalid claims.
• Attends court hearings if litigation becomes necessary.

ORGANIZATIONAL RELATIONSHIPS

Reports directly to Vice President of Finance and Administration.

INSURANCE CLAIMS SUPERVISOR QUALIFICATIONS

A college degree, preferably in business administration or other suitable field of study, is required, as is experience in insurance and risk management. Good oral and written communication skills are required. Experience with MS-Office (especially Word and Excel) is required.  Prefer candidates who have experience with claims processing software. Must have significant claims experience and be able to manage people directly and fairly.

Laws/regulations and consumers’ rights must be clearly understood. Comprehension of claims processes and policy or contract law is needed. Must be able to travel to sites of catastrophes on occasion to support unusually large volumes of claims.

INSURANCE CLAIMS SUPERVISOR PHYSICAL DEMANDS

Some automobile travel may be required (about 10%). Ability to communicate orally with agents, management, and other co-workers, both individually and in front of a group is crucial. Regular use of the telephone and e-mail for communication is essential.

Sitting for extended periods is common. Hearing and vision within normal ranges is essential for normal conversations, to receive ordinary information and to prepare or inspect documents.

No heavy lifting is expected. Exertion of up to 20 lbs. of force occasionally may be required. Good manual dexterity for the use of common office equipment such as computer terminals, calculator, copiers, and FAX machines.

Good reasoning, organizational, and analytical abilities are required to solve a wide range of business problems. Must be able to understand and utilize financial reports and legal documents to conduct business.

WORK ENVIRONMENT

The job is typically performed indoors in a traditional office setting, though offsite work and travel may be required. Activities include extended periods of sitting and extensive work at computers and other productivity devices.