Also referred to as:
Claims Administration Supervisor II, Claims Processing Supervisor II
Requirements and Responsibilities
Claims Supervisor II supervises activities in the claims department to ensure efficient and accurate handling of assigned claims. Assigns and monitors caseloads to balance workload and meet established service and quality standards. Being a Claims Supervisor II reviews claims decisions, reserves, and settlements to verify accuracy and adherence to authority limits. Provides coaching, training, and day-to-day technical guidance to support staff development and performance. Additionally, Claims Supervisor II resolves escalated claims issues and complex inquiries from claimants, policyholders, and providers. Ensures compliance with company procedures, regulatory requirements, and documentation standards. Requires a bachelor's degree. Typically reports to a manager. The Claims Supervisor II supervises a group of primarily para-professional level staffs. May also be a level above a supervisor within high volume administrative/production environments. Makes day-to-day decisions within or for a group/small department. Has some authority for personnel actions. To be a Claims Supervisor II typically requires 3-5 years experience in the related area as an individual contributor. Thorough knowledge of functional area and department processes.
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