Insurance Claims Manager Job Description

Finding qualified, reliable individuals to join your staff is an essential step in growing your business. We’re here to make the hiring process as easy as possible for you. In this guide, we’ll cover all of the following:


WHAT TO INCLUDE IN A JOB DESCRIPTION

A good job description should include a company overview and job overview, as well as an explanation of the associated responsibilities, skills & qualifications, and work environment. Below are some general guidelines for writing each of these sections effectively.

1. COMPANY OVERVIEW

Providing an accurate, concise description of your business is a great way to attract the right employees. Think of this section as an advertisement for your company -- why should prospective employees want to join your team?

Some useful things to include here are:

  • Core company values
  • Mission statement
  • Brief history of your organization
  • Anticipated growth
  • Business goals

 

2. JOB OVERVIEW

In a few sentences, describe the purpose, importance, and fundamental qualities of the position being offered. No need to be too specific or comprehensive here -- the idea is to provide a zoomed-out image of the role the applicant would be filling in your company.

3. RESPONSIBILITIES

This is where you’ll outline the specific day-to-day responsibilities of the job. Bullet-point format is typically the most practical way to present this information.

4. NECESSARY SKILLS & QUALIFICATIONS

List in bulleted format the skills & qualifications that are absolutely essential to this position. Consider as many specific conditions of the job as possible in order to create a complete list of qualifications an applicant must have in order to succeed.

5. PREFERRED SKILLS & QUALIFICATIONS

List in bulleted format the skills & qualifications that are not essential, but would make an applicant more eligible for the position being offered.

6. WORK ENVIRONMENT

Describe the environment in which the applicant would be spending most of their time. In this description, include information about:

  • Company culture
  • Pace of work
  • Amount of collaborative vs. independent activity
  • Who the employee will report to (or vice versa)

Insurance Claims Manager Job Description

Below is our insurance claims manager job description. You can post it as-is to an online job board like ZipRecruiter, or download and customize it to match the unique aspects of your business. Keep in mind that adding a custom company overview and description of the work environment (outlined above) will help you draw in the right applicants.

Insurance Claims Manager Job Description

Job Overview:

Our insurance claims manager is tasked with overseeing the claims department to ensure that the company is completing appropriate investigations within the letter of the law. They need to be extremely detail-oriented and able to spot the subtle details that may indicate intentional fraud or otherwise false information. In order to effectively process claims, we count on our managers to provide expert input regarding our day-to-day procedures. They should feel comfortable both giving orders and soliciting feedback to get a better sense of the daily challenges. Our managers may also be tasked with handling customer disputes, working on complex cases, and determining revenue goals based on past performance.  

Responsibilities:

  • Managing a team of adjusters and examiners
  • Working with management to adjust procedures as needed
  • Handling and processing official paperwork
  • Ensuring legal compliance of the claims process
  • Building and motivating the team to hit productivity goals
  • Adjusting protocols based on company needs
  • Attending educational sessions in the event of new laws or changing business directives
  • Settling difficult or complex claims

Necessary Skills & Qualifications:

  • At least 5 years of experience in insurance claims
  • At least 1 year of experience in a leadership position
  • In-depth understanding of legal regulations
  • Excellent analytical and problem-solving skills
  • Customer service background
  • Ability to organize, document, and control both digital and physical data
  • Willingness to travel
  • Bachelor’s degree in related field

Preferred Skills & Qualifications:

  • At least 1 year of experience as an insurance claims manager
  • MBA or master’s degree in related field
  • Formal legal training or certification
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3 STEPS TO TAKE WHEN HIRING EMPLOYEES

ENSURE LEGAL COMPLIANCE

Hiring employees can be an intimidating and time-consuming process, but it doesn’t have to be. We’ve created a hiring compliance checklist to help you get over the legal hurdles with ease. From obtaining an Employer Identification Number (EIN) to confirming work eligibility, our guide covers everything you need to know.

SET UP PAYROLL

Even if your business only has a few employees, setting up a payroll service can save you time for running your business and also ensure that your company is compliant with important federal requirements, such as employee withholding.

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We recommend Gusto, a user-friendly payroll platform for small businesses. Try out their services and get one month free.

Sign up now

ACQUIRE WORKERS' COMP INSURANCE

Workers’ compensation insurance provides financial and legal protection for your business and its employees.

Whether or not you need workers’ comp insurance for your company depends on the nature of the job, the employer-employee relationship, and the unique regulations of your state.

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Find out how much the right insurance will cost you.

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