Experienced with managing claims processes and leading teams to ensure efficient and accurate handling. Utilizes strong analytical skills and attention to detail to identify issues and implement effective solutions. Track record of fostering teamwork and maintaining high standards in claims management.
Multi-line Claims Supervisor dedicated to quality investigation, adjustment and supervision of diverse cases. Blends strategic planning and leadership strengths to establish top-performing claims departments. Trains and mentors staff, optimizing compliance with policies, procedures and applicable laws.
Overview
15
15
years of professional experience
1
1
Certification
Work History
Claims Supervisor
Customized Services Administrator Dba Trip Mate
03.2010 - 01.2025
Assisted in the recruitment and selection of new claims examiners, ensuring they possessed the necessary skills and expertise to excel in their roles.
Monitored performance metrics regularly, identifying areas for improvement and implementing corrective measures accordingly.
Reduced claim processing time by implementing efficient workflow improvements and streamlining processes.
Established and checked procedures, monitored reports and updated internal files.
Developed strong relationships with external partners such as carrier representatives and regulatory agencies to facilitate effective information exchange during claim investigations.
Complied with established internal controls and policies.
Handled claims consistent with client and corporate policies, procedures, best practices and regulations.
Championed insurance claims process by providing expert knowledge and building positive, trusting relationship to support clients during challenging times.
Documented and communicated timely claims information while supporting accurate outcomes.
Determined proper course of action for claims processing.
Collaborated with various departments to develop and implement strategies for improving overall claims handling process.
Resolved complex claims issues with thorough investigation, resulting in fair settlements for all parties involved.
Conducted regular audits of claim files, ensuring compliance with company policies and industry regulations.
Investigated, evaluated and adjusted multi-line claims in accordance with standards and laws.
Achieved high customer satisfaction ratings by maintaining open lines of communication and addressing concerns promptly.
Monitored team performance, enforcing compliance with corporate claims processes and procedures.
Ensured timely resolution of escalated claims by working closely with claims support and various other departments.
Optimized resources allocation by monitoring workload distribution among team members, leading to increased efficiency within the department.
Education
High School Diploma -
William Chrisman
Independence, MO
05-1989
Skills
Specialized Knowledge in Claims Administration
Regulatory Interpretation
Audit Oversight
Team Morale Boosting
Claims Administration
Team management
Experienced with MS Office Suite
Quality assurance
Performance monitoring
Procedure implementation
Regulatory Compliance
Customer Satisfaction Oversight
Claims investigation and research
Insurance Compliance Knowledge
Collaborative Teamwork
Effective Time Management
Detail-Oriented Mindset
Analytical Problem-Solving
Effective Multitasking
Steadfast Reliability
Analytical Problem-Solving
Organizational skills
Effective communication
Adaptability and flexibility
Decision-making
Self motivation
Conflict resolution
Recruitment and hiring
Goal setting
Professionalism
Written communication
Certification
Licensed in Accident & Health and Property Causality lines of insurance.
Timeline
Claims Supervisor
Customized Services Administrator Dba Trip Mate
03.2010 - 01.2025
Licensed in Accident & Health and Property Causality lines of insurance.
High School Diploma -
William Chrisman
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