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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates extensive experience in claims management processes and procedures, with a strong focus on supervising teams and providing technical direction. Proven ability to analyze claims data, maintain client relationships, and ensure compliance with quality standards.
Highest-signal resume keywords
Claims ManagementTeam SupervisionAnalytical SkillsLeadership SkillsCommunication Skills
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Claims AdjudicationQuality ReviewProcess ImprovementPerformance CompetenciesClaims Coding
Soft Skills
Interpersonal SkillsNegotiation SkillsOrganizational SkillsMotivational SkillsTeam Collaboration
Tools & Technologies
Microsoft Office
Certifications & Qualifications
Licenses as Required
Industry Keywords
Personal Injury ProtectionClaims ExperienceTechnical OperationsManagement ReportsClient Relationships
About the role
Key responsibilities & impact- Supervise personal injury protection examiner teams and technical staff for clients
- Monitor colleagues' workloads and individual claim activities
- Provide training and technical/jurisdictional direction on claims adjudication
- Supervise multiple examiner teams, product line examiners, and/or technical operations colleagues
- Identify and advise management on trends, problems, issues, and recommended actions
- Coordinate projects with management and support continuous process improvement
- Compile, review, and analyze management reports and take appropriate action
- Perform quality reviews on claims in compliance with audit, service contract, and quality standards
- Act as second level of appeal for client and claimant issues and implement final dispositions
- Maintain client contact, promote professional client relationships, and provide claim summaries
- Ensure direct reports are properly licensed and claims files are correctly coded and documented
- Administer personnel policies, interview and hire colleagues, establish performance plans, conduct performance discussions, and provide leadership and motivation
Requirements
What you’ll need- Six (6) years of claims experience or equivalent combination of education and experience required, including two (2) years of claims supervisor experience
- Licenses as required
- Thorough knowledge of claims management processes and procedures for multiple product lines
- Excellent oral and written communication, including presentation skills
- PC literate, including Microsoft Office products
- Leadership, management, and motivational skills
- Analytical and interpretive skills
- Strong organizational skills
- Excellent interpersonal skills
- Excellent negotiation skills
- Ability to work in a team environment
- Ability to meet or exceed Performance Competencies
Benefits
Comp & perks- Work-life balance
- Caring culture
- Diversity, equity, and inclusion workplace
- Equal Opportunity Employer
- Drug-Free Workplace
