Insurance claims supervisors are responsible for managing their claims adjusters to ensure they are performing their duties to the supervisor’s satisfaction. They also help evaluate claims cases to decide whether payment would be justified; if they believe payment is justified, then the supervisor or their subordinates process the claims and submit the payment. These supervisors also meet with legal counsel if a case requires litigation. Another task performed by insurance claims supervisors is interviewing individuals who submit claims, as well as other people who are involved with the case, such as doctors, employers, and witnesses.
It is important for the supervisor to review cases to make sure that overpayment or underpayment has not occurred. Additionally, it is typical for the supervisor to fill out paperwork and file reports based on the outcome of the claims cases. Insurance claims supervisors usually work in an office setting during regular business hours. They work with their claims adjusters, as well as the people submitting claims, legal counsel, and committee members, among others. Employers typically prefer that insurance claims supervisors have a bachelor’s degree in a related field; some will hire individuals with a high school diploma or equivalent in combination with relevant experience.
Claims Supervisor, Insurance Tasks
- Supervise the claims staff; interpret and ensure consistence application of departmental and company policies, practices and procedures.
- Investigates out of guidelines inquiries, and ensures compliance to procedures, proper services and settlement of claims.
- Assist in hiring, training and reviewing performance of staff.
- Perform routine quality control inspections of work performed.