Claims Supervisor - New York Automobile Claims

Location: Remote support the Philadelphia, PA team (Eastern Time Zone Preferred)
Employment Type: Full-Time, Exempt
Work Arrangement: Remote
Reports To: Branch Manager

About Our Client

Our client is an established national provider of claims administration and risk management services. The organization supports public-sector entities, self-insured organizations, and commercial clients with complex claims-management needs. It is known for its technical expertise, structured claims processes, and commitment to regulatory compliance and high-quality client service.

Position Summary

Our client is seeking an experienced Claims Supervisor to manage a claims unit focused primarily on New York automobile and No-Fault claims, including claims involving governmental entities.

Under minimal supervision, the Claims Supervisor will direct the daily activities of claims examiners and administrative personnel while ensuring claims are handled accurately, efficiently, and in compliance with applicable state laws, client requirements, and internal procedures.

Qualified candidates must have working knowledge of Article 51 of the New York Insurance Law, New York No-Fault requirements, and New York Insurance Regulation 68.

Supervisory Responsibilities

The Claims Supervisor will directly supervise Claims Examiners and Claims Assistants and may also supervise administrative and clerical personnel.

Responsibilities include:

• Monitoring attendance, productivity, work quality, and overall employee performance

• Conducting performance evaluations and addressing disciplinary matters when necessary

• Providing coaching, technical guidance, and ongoing professional development

• Ensuring daily caseload and staffing requirements are met

• Providing claims coverage during employee vacations, absences, and vacancies

Primary Responsibilities

• Manage the daily operations and performance of the assigned claims unit.

• Review initial and periodic claim evaluations, delays, denials, reserve changes, awards, payments, and other scheduled claim activities.

• Review and approve reserve changes within assigned authority, up to $250,000.

• Review and approve claim payments within assigned authority, up to $10,000.

• Conduct monthly and client-required file reviews to monitor compliance with applicable laws, internal procedures, and client service instructions.

• Ensure compliance with New York automobile and No-Fault claim requirements, including Article 51 and Regulation 68.

• Supervise and approve priority payments.

• Respond to concerns raised by claimants, clients, medical providers, vendors, and other involved parties.

• Monitor vendor performance and recommend modifications to vendor panels when necessary.

• Ensure all client-specific servicing instructions and reporting requirements are followed.

• Prepare, review, and evaluate weekly and monthly client reports.

• Coordinate and facilitate internal, external, client, and regulatory audits.

• Lead training sessions regarding updated laws, claims procedures, client requirements, and company policies.

• Conduct and document internal and external educational sessions.

• Participate in client meetings and claim-file reviews.

• Work with corporate leadership and client-service teams on requests for proposals and service-related matters.

• Perform other duties as assigned.

Required Qualifications

• High school diploma or GED

• Three to five years of related automobile claims experience

• Previous claims leadership, supervisory, or team-lead experience

• Valid New York adjuster license and any other licenses required by applicable state regulations

• Strong knowledge of New York automobile and No-Fault claims

• Knowledge of Article 51 of the New York Insurance Law and Regulation 68

• Technical knowledge of applicable statutory regulations and medical terminology

• Familiarity with Arbitration Forums and the American Arbitration Association

• Experience working with a diary system, prioritizing assignments, and meeting strict deadlines

• Strong analytical and claim-file review skills

• Proficiency with Microsoft Word and Excel

• Excellent written and verbal communication skills

• Ability to explain technical claim information clearly to claimants, clients, employees, and other stakeholders

• Ability to supervise, coach, and develop employees with varying levels of experience

• Strong interpersonal, organizational, and problem-solving skills

Preferred Qualifications

• Bachelor's degree in business, insurance, risk management, or a related field

• Experience managing claims involving governmental or public-sector entities

• Experience participating in client audits and claim-file reviews

• Experience preparing client reports and delivering claims-related training

Equivalent combinations of education and relevant professional experience may be considered.

If you are an experienced Claims professional looking for a great leadership opportunity, submit your resume now!