Claim supervisors oversee a staff of service representatives as they do intake on claims that clients present to the company. These supervisors help reduce the backlog of claims, communicate with their employees and clients about claim issues, instruct their employees and clients on the terms of service for insurance policies, and make decisions regarding the nature and validity of claims that are difficult for front-line employees to judge. Claims supervisors are also in charge of monitoring the progress of their staff and reporting that progress to upper management. Additionally, they may also train new subordinates.
Claims supervisors often review recorded client calls and documents to check for accuracy on behalf of the employee and validity on behalf of the client. They must also be ready to handle client calls or inquiries in need of elevation, whether at the request of the subordinate or the client. These positions require an extensive knowledge of policies, benefits, and terms of the firm's services. Claims supervisors work in a variety of fields, though most of these positions related to health, automotive, home, and other types of insurance services. These individuals usually work a full-time shift during regular business hours in an office environment.
Claims supervisors typically need an associate's degree or at least three years of related work experience for this position. Employers may also prefer previous management experience, as well as a bachelor's degree in a related field. Communication skills and proficiency in basic computer software are also preferred.
Claims Supervisor Tasks
- Investigate, evaluate, negotiate, and settle high level claims.
- Review claim files to ensure compliance with company policy and quality standards.
- Supervise staff making determinations about insurance policy coverage and claims.
- Oversee the work of outside vendors, appraisers, and adjusters.