Property & Casualty Claims Supervisor
About The Position
Under minimal supervision, this position manages and directs the activity of a claims unit, ensuring high-quality results and management of claims in compliance with state laws and company procedures. This includes adherence to Article 51 – New York State No Fault law and New York Insurance Department Regulation No. 68. The role requires significant interaction with the NYS Office of General Services, management, other Claims Examiners, and TRISTAR staff, making consistent physical presence in the office a requirement. The supervisor is responsible for preparing and evaluating weekly and monthly client reports, facilitating internal and external audits, conducting and documenting educational sessions, attending client file reviews, and partnering with the corporate office and sales/service team for RFPs and client service issues. Other duties as assigned are considered essential job functions.
Requirements
- High School Diploma or GED required.
- Three (3) to five (5) years related experience.
- Technical knowledge of statutory regulations and medical terminology.
- Ability to work on a diary system, prioritize tasks and meet strict deadlines.
- Strong analytical skills.
- Proficient in Word and Excel.
- Excellent written and verbal communication skills, including ability to convey technical details to claimants, clients and staff.
- Ability to manage employees of various skill levels.
- Excellent interpersonal skills.
- Knowledge of Arbitration Forum and American Arbitration Association.
- Certifications and/or licenses as required by State regulation including a valid New York adjuster license.
Nice To Haves
- Bachelor’s degree in related field.
Responsibilities
- Directly supervises examiners and clerical staff, including monitoring attendance, job performance, evaluations, and disciplinary issues.
- Reviews and addresses scheduled claims issues, such as initial and periodic reviews, delays, and denials.
- Reviews and approves reserve changes, awards, and payments within Company guidelines up to reserve authority of $250,000.00 and payment authority of $10,000.
- Performs file reviews to monitor compliance with policies and laws (completed file by file, monthly reviews as required by client and agency file reviews).
- Coordinates and leads training sessions for staff on updated laws, policies, and procedures.
- Ensures daily caseload staffing requirements are met.
- Supervises and approves priority payments.
- Responds to claimant and vendor concerns and issues as needed.
- Monitors effectiveness of vendors and modifies panels as needed.
- Ensures client servicing instructions are being adhered to.
- Provides coverage for examiner vacancies due to vacation or vacancies.
- Prepares and evaluates weekly and monthly client reports.
- Facilitates internal and external audits.
- Conducts and documents in-house and outside educational sessions.
- Attends client file reviews.
- Partners with corporate office and sales/service team for RFPs and client service issues.
- Performs other duties as assigned.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
