Career Story: Claims Adjustment Manager For An Insurance Company

Claims Adjustment Manager For An Insurance Company

Job Title: Claims Manager

Type of Company: I work for a company that handles workers compensation claims.

Education: Some college

Previous Experience: I have twenty years experience in the insurance industry

Job Tasks: I supervise claims adjusters. My responsibility is shared with two other managers. We are responsible for the smooth running of a claims unit. At any give time, we handle approximately 3500 open cases. We have authority to settle claims up to $45,000. Any amount above that, we need to review with the Vice-President of Claims.

I devise orientation plans for new employees and approve all new hires. I am an expert in New York's workers' compensation laws and I am able to resolve all but the most difficult questions relating to high-exposure claims. I handle human resource problems which arise within my department and am responsible for training assigned staff I need to be approachable and have first rate communication skills.

I receive copies of all decisions for my adjusters to be sure they are paying timely and appropriately. It is also important that I keep current on changes in the technology departments. Updates on the computer programs are a constant. Once the upgrades are in, we need to test them to be sure they are working appropriately with the current systems.

It is very important to be flexible and to be opened to change.

Best and Worst Parts of the Job: The most rewarding part of my job is training a claims adjuster to be independent and to handle his files with confidence. To see someone develop into a professional is very rewarding.

There is nothing as constant as change. h But it can be difficult to keep up with several changes at once -- the changing laws, the updating of computer systems, training new employees.

Job Tips: My recommendation to a new adjuster would be to apprentice yourself to a seasoned adjuster to learn as much as you can from them. And take advantage of courses that the company offers.

Additional Thoughts: Not everything is black or white.

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