Lost Time Adjuster

The supervisor plays a pivotal role in assuring quality claim management. Supervisors focus on managing, coaching and evaluating the performance of others. A Supervisor should provide technical expertise, recognize improvement opportunities and insure the files are properly documented and provide meaningful feedback that drives a desired claim outcome.

New Losses (14 Day Supervisor Review)

For all new claims assigned to a Lost Time adjuster the supervisor should complete a review within 7 days. Each review should focus on the following items.

Initial Contact/ Investigation –The supervisor will evaluate the timeliness and effectiveness of initial contacts and investigation. The supervisor should provide meaningful direction and provide a
(Unless facts require a more timely review).
• Supervisor will establish an ongoing diary for each claim as determined by the experience level of the adjuster and the complexity of the file not to exceed every 90 days.
• All subsequent Supervisor reviews should include direction and comment on:
1. Reserve – Does reserve reflect the value of the case?
2. RTW – Has RTW been addressed and does plan reflect proper use of RTW specialist
3. Resolution and Adjusters POA- Does the adjusters POA reflect an ongoing course of resolution and reflect the facts of the case.
4. Recovery- Has Subrogation been identified and pursued?
5. Litigation- Has litigation outcomes been controlled? Is the adjuster accurately utilizing the Attorney?
• Supervisor will establish a second TTD diary for all open TTD cases to be reviewed at a minimum of every 30 days while on active TTD. ( unless facts warrant a longer diary period)
Other Duties
• In Conjunction with Q/A the supervisor will complete 4 quarterly file reviews of each adjuster (2 open & 2 Closed) to evaluate file quality and outcome. The supervisor will provide feedback to staff and provide developmental opportunities based on identified