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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 liability claims teams, providing technical direction on claims adjudication, and managing complex claims processes. Proficient in maintaining client relationships and ensuring compliance with jurisdictional standards.
Highest-signal resume keywords
Claims SupervisionLiability Claims ExperienceEast Coast Jurisdiction KnowledgeClaims Adjudication DirectionPerformance Management
About the role
Key responsibilities & impact- Supervise multiple teams of liability claims examiners and technical operations colleagues
- Monitor workloads, individual claim activities, and complex or high-exposure claim diaries
- Provide training and technical/jurisdictional direction on claims adjudication
- Identify trends, problems, and issues and recommend courses of action
- Inform management of procedures, ideas, and continuous process improvements
- Coordinate projects with office management
- Compile, review, and analyze management reports and take appropriate action
- Perform quality reviews of claims according to audit, service contract, and quality standards
- Act as the second level of appeal for client and claimant issues and implement final dispositions
- Review reserves on high-cost and over-authority claims
- Monitor third-party claims and review litigated, serious vocational rehabilitation, questionable, and sensitive claims
- Maintain client contact, recommend actions based on claim status, and prepare written claim resumes
- Ensure direct reports are properly licensed in serviced jurisdictions
- Ensure claims files are correctly coded and adequately documented
- Administer personnel policies, staffing standards, and training recommendations
- Interview, hire, establish performance development plans, and conduct performance discussions
- Provide support, guidance, leadership, and motivation to colleagues
Requirements
What you’ll need- Bachelor's degree from an accredited college or university preferred
- Six (6) years of claims experience or equivalent combination of education and experience required
- Two (2) years of claims supervisor experience
- Experience with liability claims
- East Coast jurisdiction knowledge, with heavy NJ and PA focus
- Licenses as required; licensing is not required for this role
- Professional certifications as applicable to line of business preferred
- Ability to supervise multiple teams of examiners and technical staff
- Ability to provide technical and jurisdictional direction on claims adjudication
- Ability to manage workloads, training, quality reviews, appeals, reserves, litigated claims, and sensitive claims
- Ability to maintain client relationships and prepare written claim summaries
- Ability to administer personnel policies, interview, hire, and conduct performance discussions
Benefits
Comp & perks- Flexibility and autonomy in daily work, location, and career path
- Professional development opportunities
- Flexible work schedule
- Referral incentive program
- Opportunity to work in an agile environment
- Career development and promotional growth opportunities
- Medical, dental, and vision insurance
- 401(k) 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 AdjudicationQuality ReviewsClaims AnalysisClaims DocumentationClaims CodingPerformance Development PlansClient Relationship ManagementTraining and DevelopmentWorkload Management
Soft Skills
LeadershipMotivationCommunicationProblem-SolvingTeam Management
Certifications & Qualifications
Professional Certifications
Industry Keywords
Liability ClaimsClaims ExaminerClaims ProcessingAudit StandardsService Contract ComplianceHigh-Exposure ClaimsThird-Party ClaimsVocational RehabilitationPerformance DiscussionsContinuous Process Improvements