Job Description of a Claims Manager

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The claims department in any insurance company is responsible for responding to the claims made by insurance customers. Claims adjustors, examiners and investigators work in the claims department to analyze and investigate claims before the insurance company makes a payment to the customer. A manager must ensure that the claims staff is following company procedure and that benefits are paid to those who are eligible.

Function

  • A manager that oversees the claims department of an insurance company is responsible for the work of the adjusters, examiners and investigators. The claims manager is an administrative role, but the person in the position usually has a great deal of experience in the field before moving into the position.

Job Duties

  • The manager of the claims department oversees the payment of claims on the basis of the coverage of the insurance customer, the proof of damage and an insurance appraisal. Management ensures that claims are valid according to the company policy and consults with legal representation when it is necessary.

    A claims manager determines the staffing needs of the department and hires workers to handle claims from insurance customers.

Skills

  • A claims manager must have leadership skills to run the claims department of an insurance company. Written and verbal communications skills are needed to direct the activities of workers. The manager should have computer skills and the ability to create reports from claims data.

    Medical claims managers must be familiar with medical procedures, new medical technologies and prescription drugs that change insurance coverage. The claims manager must be familiar with changing legislation and insurance related court decisions that could impact the way that claims are processed. Claims managers in automobile claims must be familiar with the different techniques used to repair automobiles and the various makes and models of cars.

Education and Qualifications

  • A bachelor's degree is usually required for a management position in an insurance company. Claims managers also must have several years of experience in the claims department in various capacities. Claims adjusters, examiners and investigators can often rise to the position of a claims manager.

    Some states may require insurance claims workers to be licensed.

Average Salary

  • The median salary for a claims manager is $83,118 as of November 2009, according to Salary.com. The salary of a claims manager depends on experience and the size of the insurance company.

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References

  • Photo Credit manager image by Alexey Klementiev from Fotolia.com
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