James Waters
Shamong
Summary
Professional in claims management, prepared to lead and enhance claims operations. Strong focus on team collaboration and achieving impactful results. Skilled in analyzing claims, resolving discrepancies, and ensuring compliance with regulations. Reliable and adaptable, consistently meeting evolving needs and challenges. Effective communicator with keen eye for process improvement and proactive approach to problem-solving.
Overview
37
37
years of professional experience
1
1
Certification
Work History
Claims Supervisor
CSAA Insurance Group
05.2017 - 12.2025
- Supervised daily claims operations, ensuring adherence to policies and procedures.
- Mentored team members, fostering skill development and improving service delivery.
- Analyzed claim trends to identify areas for process improvement and efficiency gains.
- Collaborated with cross-functional teams to resolve complex claims issues effectively.
- Conducted performance evaluations, providing constructive feedback to enhance team productivity.
- Monitored performance metrics regularly, identifying areas for improvement and implementing corrective measures accordingly.
Claims Supervisor
Liberty Mutual Insurance
11.1988 - 05.2017
- Supervised claims processing team to ensure timely resolution of customer inquiries.
- Developed training programs that improved staff performance and enhanced service delivery.
- Implemented process improvements that streamlined claims handling, reducing turnaround times.
- Monitored adherence to regulatory requirements, ensuring compliance across all claims operations.
- Developed strong relationships with external partners such as medical providers, attorneys, and investigators to facilitate effective information exchange during claim investigations.
- Assigned to sales staff as claims liaison for account acquisition.
- Assigned to Northeast territory as claims liaison for dedicated group of accounts, attended quarterly meetings.
Education
Bachelor of Science - Criminal Justice/Psychology
Rutgers University
Camden, NJSkills
- Claims auditing
- Policy interpretation
- Claims management expertise
- Team motivation
- Quality assurance
- Legal compliance
- Expense control
- AI Integration
Certification
Adjuster Property & Casualty License in the following states:
Connecticut - North Carolina
Delaware - Oklahoma
Florida - Rhode Island
Georgia - South Carolina
Indiana - Vermont
New Hampshire - West Virginia
New Mexico - Wyoming
Timeline
Claims Supervisor
CSAA Insurance Group
05.2017 - 12.2025
Claims Supervisor
Liberty Mutual Insurance
11.1988 - 05.2017
Bachelor of Science - Criminal Justice/Psychology
Rutgers University