CLAIMS SUPERVISOR SKILLS, EXPERIENCE, AND JOB REQUIREMENTS

Published: July 15, 2024 - The Claims Supervisor possesses a strategic and creative approach to business operations, including pricing, products, and achieving desired outcomes. This role involves effective delegation and hands-on execution of tasks to ensure timely completion by the team, coupled with a strong leadership presence that supports senior management in surpassing goals. Commanding a deep understanding of company policies and procedures, the position requires excellent communication skills, both verbal and written, adeptness in presentations, and a keen analytic capacity to resolve complex issues.

Essential Hard and Soft Skills for a Standout Claims Supervisor Resume
  • Claims Processing
  • Policy Interpretation
  • Legal Compliance
  • Data Analysis
  • Risk Assessment
  • Reporting Skills
  • Insurance Software Proficiency
  • Financial Forecasting
  • Fraud Detection
  • Regulatory Knowledge
  • Communication
  • Leadership
  • Problem-Solving
  • Decision-Making
  • Empathy
  • Negotiation
  • Team Management
  • Adaptability
  • Attention To Detail
  • Conflict Resolution

Summary of Claims Supervisor Knowledge and Qualifications on Resume

1. BA in Risk Management with 4 years of Experience

  • Prior workers’ compensation leadership experience
  • Multi-state workers’ compensation claims experience
  • Strong technical knowledge of claims investigation techniques, compensability, insurance coverage and negotiation skills 
  • Ability to stay current on statutes for assigned states
  • Ability to obtain and maintain licensing and state certification 
  • Demonstrated commitment of outstanding claims service and account management to internal and external customers
  • Excellent communication, organization, planning and prioritization skills
  • Certification in EPIC Resolute Professional Billing Insurance Follow-Up

2. BA in Business Administration with 5 years of Experience

  • Have recent workers' compensation claims handling experience
  • Experience in a Workers’ Comp claims lead or supervisor position
  • Proficiency in determining case value and negotiating settlements
  • Experienced Indemnity Claims Adjuster Designation, provided by an insurer, as defined in California Code of Regulations, Title 10, Chapter 5, Subchapter 3, Section 2592.
  • Administrators Certificate from Self-Insurance Plans
  • Completion of IEA or equivalent courses
  • Solid and in-depth knowledge of workers’ compensation laws, policies and procedures
  • Excellent organizational skills and ability to multi-task
  • Reasoning ability, including problem-solving and analytical skills
  • Proven ability to research and analyze facts, identify issues and make appropriate recommendations and solutions for resolution
  • Ability to be trustworthy, dependable, and team-oriented for fellow employees and the organization

3. BA in Insurance Studies with 8 years of Experience

  • ClaimsXpress program experience
  • Skilled at presenting in small and large group settings
  • Exhibit passion and energy for ensuring that all employees are respected and treated in a manner
  • Ability to research and resolve problems and meet multiple deadlines and plan and effectuate short and long-range Company and department objectives.
  • Handles stressful situations and deadline pressures well
  • Must demonstrate accuracy and thoroughness in work product
  • Must be flexible, adaptable, and positive. 
  • Computer literate and experienced in navigating various computer systems, including MS Word, Excel and Outlook and database management. 
  • Skilled at developing and maintaining effective relationships with others (co-workers, customers, vendors, management and other key stakeholders)
  • Exercise independent judgment and analytic ability in solving complex and sensitive problems

4. BA in Finance with 5 years of Experience

  • Have relevant experience or previous experience in a leadership role
  • Proven ability to communicate with, coach, and lead a team of professionals
  • Proven critical thinking skills and ability to focus and pay attention to detail
  • Good organization and excellent verbal and written communication skills
  • Ability to work as a part of team as well as individually
  • Self–starter able to perform with moderate to limited supervision
  • Ability to communicate with internal and external clients with ease and clarity
  • Licensed in Property & Casualty and Accident & Health
  • Strong attention to detail and organizational skills 

5. BA in Economics with 3 years of Experience

  • Professional liability/casualty/medical malpractice claims experience
  • Strong written and verbal skills with above-average computer skills
  • Comfortable to work in a smaller team-oriented environment
  • Strong adherence to new policies and procedures directed by senior management.
  • Licensed Claims Adjuster or ability to obtain license within 6 months
  • Professional experience handling claims in the logistics industry
  • Have previous experience in leading and managing a team
  • Strong customer service skills
  • Strong analytical mindset for fair resolution of claims
  • Desire to learn and ability to be collaborative and flexible

6. BA in Legal Studies with 7 years of Experience

  • Experience in Accounting/Claims Processing
  • Advanced knowledge of Microsoft Excel and excellent organizational skills
  • Knowledge of Tableau or similar data visualization tools with understanding of SQL 
  • Able to manage key stakeholders and cross-functional key performance indicators
  • Able to work well with others collaboratively and respectfully.
  • Able to multi-task, and deal with complexity frequently.
  • Able to work under pressure and time constraints.
  • Able to arrive for work on time and maintain a good attendance record.
  • Ability to maintain a professional demeanor and confidentiality
  • Ability to multitask, set priorities, and meet deadlines
  • Strong analytical skills and ability to conduct research, creatively solve problems, and deal with ambiguity

7. BA in Accounting with 4 years of Experience

  • Have experience in crop insurance and leadership
  • Must be an exceptional communicator, emphasizing confidentiality, tact, and diplomacy.
  • Knowledgeable of industry changes, legal updates, and technical developments related to applicable areas of the Company’s business
  • Be able to proactively respond to changing business environment
  • Must know about adjusting practices, standards and procedures.
  • Must have the ability to work independently 
  • The ability to work under pressure and handle multiple tasks with accuracy.
  • Required to travel outside normal work location. 
  • Working Conditions require field, vehicle and office work environment.
  • The ability to build trust and relationships with key constituencies

8. BA in Management with 3 years of Experience

  • Experience working in a leadership role (supervision) and the Healthcare Insurance Industry
  • Proficient in MS Office with strong computer skills (e.g. multiple systems experience, keyboarding skills, Microsoft Word, PowerPoint)
  • Proficient in verbal and written English skills
  • Experience analyzing and identifying trends
  • Ability to interpret electronic data and apply it to health care claim processing
  • Ability to drive performance management and have inventory management experience
  • Experience working with a Claims management system
  • Intermediate proficiency and experience using Microsoft Office package (Excel, Access, PowerPoint, Word).
  • Essential to perform all functions of the job accurately and promptly.

9. BA in Actuarial Science with 6 years of Experience

  • Successful experience in supervision, training and leading projects.
  • Strong writing and PC skills and good working knowledge of MD Workers’ Comp Law.
  • Ability to manage caseload at various levels of complexity.
  • Understanding of medical terminology.  
  • Thorough understanding of workers' compensation calculations, including average weekly wage, disability ratings and reserves.
  • Bilingual skills and additional experience working for a Third Party Administrator (TPA)
  • Have insurance knowledge and ability to multi-task
  • Knowledge of policies and insurance
  • Be bilingualism (French and English)

10. BA in Human Resources with 7 years of Experience

  • Experience in one or a combination of the following: financial services, wire transfer, Bank Secrecy Act, anti-money laundering.
  • Experience in coaching and leading
  • Ability to prioritize work, meet deadlines, and achieve high productivity and quality standards
  • Ability to work under pressure in a fast-paced and result-driven team environment
  • High proficiency in English, both verbal and written
  • Flexible to work on any schedule and high level of accountability
  • Ability to facilitate team meetings or present information to an audience
  • Workforce management experience including directing activities of team members, performance management, mentoring, and career development planning.
  • Intermediate Microsoft Office Skills

11. BA in Healthcare Administration with 5 years of Experience

  • Progressive insurance adjuster experience.
  • Have chartered Insurance Professional Designation.
  • Have superior customer service skills.
  • Excellent organizational, and problem-solving skills
  • Strong analytical communication skills (written & oral).
  • Excellent sense of prioritization, rigorous with deadlines and follow-ups.
  • The ability to work in a fast-paced environment.
  • Strong leadership and team spirit.
  • Excellent knowledge of automobile, residential, farm, and commercial policies.
  • Excellent knowledge of medical and legal terminology and negotiation skills.

12. BA in Public Administration with 7 years of Experience

  • Thinks strategically and creatively about business (pricing, products, and outcomes)
  • Partnering with the team to ensure on-time task completion
  • Able to be done through delegation and leading by example, executing tasks rather than just instructing to execute tasks
  • Embrace the leadership role and can be counted on to help senior management drive towards the desired results and to exceed goals successfully
  • Command of company and department policies, practices and procedures including supervision, training, and performance evaluation
  • Able to track claims activity and properly document all actions
  • Highly developed verbal, interpersonal and written communication skills
  • Skilled at presenting in small and large group settings
  • Strong mathematical calculating skills
  • Exercise independent judgment and analytic ability in solving complex and sensitive problems
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