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Posted: 10/19/2026Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in supervising claims examiners and technical staff while ensuring compliance with quality standards and effective claims adjudication. Proficient in analyzing management reports, maintaining client relationships, and implementing process improvements.
Highest-signal resume keywords
Claims SupervisionClaims AdjudicationManagement ReportingQuality ReviewsMulti-State Jurisdiction Knowledge
About the role
Key responsibilities & impact- Supervise multiple teams of liability claims examiners and technical staff
- Monitor colleagues' workloads, provide training, and monitor individual claim activities
- Provide technical and jurisdictional direction to examiner reports on claims adjudication
- Maintain claim diaries, including frequent diaries for complex or high-exposure claims
- Identify trends, problems, and issues and recommend courses of action to management
- Inform management of new procedures and ideas for continuous process improvement
- Coordinate office projects with management
- Compile, review, and analyze management reports and take appropriate action
- Perform quality reviews on claims
- Act as second level of appeal for client and claimant issues and implement final dispositions
- Review reserves on high-cost claims and claims exceeding examiner authority
- Monitor third-party claims and review litigated, serious vocational rehabilitation, questionable, and sensitive claims
- Maintain client contact, promote professional client relationships, and make claim-status recommendations
- Provide written claim summaries to clients as requested
- Ensure direct reports are properly licensed in serviced jurisdictions
- Ensure claims files are correctly coded and adequately documented
- Interview, hire, establish performance development plans, and conduct performance discussions
- Provide support, guidance, leadership, and motivation to colleagues
- Support the organization's quality programs
- Perform other duties as assigned
Requirements
What you’ll need- High School Diploma or GED required
- Bachelor's degree from an accredited college or university preferred
- Professional certification as applicable to line of business preferred
- Six (6) years of claims experience or equivalent combination of education and experience required
- Two (2) years claims supervisor experience
- Home State licensing required
- Multi-state jurisdiction knowledge
- Ability to supervise multiple teams of examiners and technical staff
- Ability to provide technical and jurisdictional direction on claims adjudication
- Ability to review and analyze management reports
- Ability to perform quality reviews in compliance with audit, service contract, and quality standards
- Ability to review reserve amounts on high-cost claims
- Ability to maintain periodic reviews of litigated, serious vocational rehabilitation, questionable, and sensitive claims
- Ability to ensure claims files are correctly coded and adequately documented
- Ability to administer personnel policies, hire colleagues, and conduct performance discussions
- Ability to handle multiple priorities and meet deadlines
- Computer keyboarding and travel as required
Benefits
Comp & perks- Flexible work schedule
- Referral incentive program
- Opportunity to work in an agile environment
- Career development and promotional growth opportunities
- Medical, dental, vision, 401K and matching
- PTO
- Disability and life insurance
- Employee assistance
- Flexible spending or health savings account
- Other additional voluntary benefits
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 ExperienceClaims AnalysisClaims DocumentationPerformance Development PlansQuality Standards ComplianceReserve ReviewTechnical DirectionTraining ProvisionClaims CodingProblem Identification
Soft Skills
LeadershipMotivationClient Relationship ManagementCommunicationTeam Coordination
Tools & Technologies
Claims Management SoftwareMicrosoft Office SuiteData Analysis ToolsQuality Assurance Tools
Certifications & Qualifications
Professional Certification in ClaimsHome State Licensing
Industry Keywords
Liability ClaimsClaims ExaminerContinuous Process ImprovementHigh-Exposure ClaimsVocational RehabilitationAudit ComplianceService Contract Standards