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Claims Resolution Manager Jobs in Tennessee (NOW HIRING)

CKE

Claims Specialist

Franklin, TN · On-site

Maintain accurate claim files and make informed updates to the Company's Risk Management Information System (RMIS) and related claims systems to support claim evaluation, reporting, and resolution.

US Xpress

Examiner, I Liability Claims

Chattanooga, TN · On-site

Manage claim exposures from inception to resolution. Gather and analyze facts related to property damage claims from various sources including driver and claimant interviews, police reports, and ...

The MJ Companies

Claims Consultant

Nashville, TN

Act as an advocate for the best and most expedient resolution of claims. + Analyze policy language ... management skills +Proven ability to work independently with minimal supervision as well as ...

The MJ Companies

Claims Consultant

Nashville, TN · On-site

Act as an advocate for the best and most expedient resolution of claims. + Analyze policy language ... management skills +Proven ability to work independently with minimal supervision as well as ...

Cna

Claims Consultant, Life Sciences

Nashville, TN

Establishes and manages claim budgets by achieving timely claim resolution, selecting and actively ... and claims are resolved and paid timely. * Keeps leadership informed of significant risks and ...

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All JobsClaims Resolution JobsClaims Resolution Manager JobsClaims Resolution Manager Jobs in Tennessee

Claims Resolution Manager information

What is the difference between Claims Resolution Manager vs Claims Adjuster?

AspectClaims Resolution ManagerClaims Adjuster
CredentialsInsurance licenses, sometimes management certificationsInsurance licenses, specific to claims handling
Work EnvironmentSupervisory roles, team coordinationField or office-based, claims investigation
Employer & Industry UsageInsurance companies, claims departmentsInsurance companies, third-party administrators
Search & Comparison IntentUnderstanding managerial roles in claimsDetails about claims handling and investigation

The Claims Resolution Manager oversees claims processes and manages teams, focusing on strategy and resolution. Claims Adjusters handle the investigation and evaluation of individual claims. While both roles require insurance licenses, the manager's role is more supervisory, whereas the adjuster is more hands-on with claims investigation.

Is claims processing a stressful job?

Claims resolution managers often handle complex cases and tight deadlines, which can contribute to workplace stress. The job requires strong organizational skills and attention to detail, but stress levels vary depending on workload and company support systems.

What does a claims resolution manager do?

A Claims Resolution Manager oversees the process of handling insurance claims from initiation to closure, ensuring that claims are resolved efficiently and fairly. They investigate claim details, coordinate with adjusters, clients, and third parties, and work to resolve disputes or issues that may arise during the claims process. Their goal is to ensure compliance with company policies and legal regulations while optimizing customer satisfaction and minimizing losses for the organization.

What are the key skills and qualifications needed to thrive as a claims resolution manager, and why are they important?

To thrive as a Claims Resolution Manager, you need a solid background in insurance claims processing, dispute resolution, and regulatory compliance, often supported by a bachelor's degree in business, finance, or a related field. Familiarity with claims management software, CRM tools, and relevant certifications such as AIC or CPCU is common. Strong analytical thinking, negotiation skills, and effective communication are crucial soft skills for managing complex cases and guiding teams. These abilities ensure efficient claims handling, customer satisfaction, and minimized financial risk for the organization.

How much do claims resolution managers make in the US?

Claims resolution managers in the US typically earn a median annual salary of around $70,000 to $90,000, depending on experience, location, and the size of the employer. Salaries can vary based on industry, certifications, and the complexity of claims handled.

What are the primary challenges a claims resolution manager faces when balancing client expectations with policy limitations?

Claims Resolution Managers often navigate the delicate balance between meeting client expectations and adhering to insurance policy terms. One common challenge is communicating complex policy details to clients who may be experiencing stress or frustration. Additionally, managers must ensure timely and fair claims processing while coordinating with adjusters, legal teams, and external vendors. Success in this role requires strong negotiation skills, empathy, and a thorough understanding of regulatory and company guidelines.
What are the most commonly searched types of Claims Resolution jobs in Tennessee? The most popular types of Claims Resolution jobs in Tennessee are:
What cities in Tennessee are hiring for Claims Resolution Manager jobs? Cities in Tennessee with the most Claims Resolution Manager job openings:
Claims Resolution Manager jobs near you

Claims Specialist

CKE

Franklin, TN • On-site

Full-time

Posted 10 days ago

Job description

POSITION SUMMARY
The Claims Specialist administers and evaluates general liability, automobile liability, and third-party property damage claims. This position exercises independent judgment in reviewing claim facts, assessing documentation, coordinating resolution activities, and recommending appropriate next steps to help ensure claims made against the Company are handled fairly, efficiently, proactively, and in accordance with industry best practices. The role also supports the Company's broader Risk Management and Safety strategies and initiatives.
ESSENTIAL FUNCTIONS
May perform any or all of the following duties:
  • Evaluate, document, and administer general liability, automobile liability, and third-party property damage claims from initial report through resolution.
  • Analyze claim-related information, including incident reports, witness statements, photographs, repair estimates, police reports, and other supporting documentation, to identify claim issues, exposure, and recommended next steps.
  • Exercise discretion in coordinating claim-related communications with claimants, restaurant operations, insurance carriers, third-party administrators, and vendors.
  • Maintain accurate claim files and make informed updates to the Company's Risk Management Information System (RMIS) and related claims systems to support claim evaluation, reporting, and resolution.
  • Evaluate, retrieve, preserve, and maintain video and electronic evidence necessary to support claims analysis, investigations, and resolution recommendations.
  • Prepare wage statements, records requests, and other claim-related documentation, as needed.
  • Process incoming invoices, check requests, and deposits, as needed.
  • Contribute to the Company's broader Risk Management and Safety strategies and initiatives by identifying claim trends, escalating potential risk issues, and supporting franchise and landlord certificate of insurance (COI) compliance, CCTV maintenance, and safety inspection follow-up activities.
  • Participate in company meetings, webinars, and conference calls.
  • Perform other duties and special projects as assigned in response to changing business conditions or requirements.

POSITION QUALIFICATIONS/CORE COMPETENCIES
  • Must possess approximately 5 years of any combination of experience and/or education that demonstrates advanced knowledge of claims administration, insurance, risk management, safety, or a related field.
  • BA/BS Degree preferred
  • Working knowledge of general liability, automobile liability, third-party property damage, and subrogation principles.
  • Strong organizational, communication, analytical, planning, judgment, and problem-solving skills.
  • Ability to independently manage multiple claim priorities, evaluate competing deadlines, and determine appropriate follow-up in a fast-paced environment.
  • Excellent customer service skills and ability to establish strong working relationships with internal and external partners.
  • Ability to exercise independent judgment, discretion, and confidentiality when handling sensitive claim-related matters.
  • Intermediate proficiency in Microsoft Office Suite, including Excel, Word, Outlook, and Teams.
  • Ability to learn and effectively utilize claims management, incident reporting, and safety management systems.

WORK ENVIRONMENT
  • Restaurant Support Center that operates in a fast-paced setting with a high volume of activity and a deadline-driven environment. The role follows a hybrid work model, requiring on-site presence in the office every Tuesday, Wednesday, and Thursday.

PHYSICAL DEMANDS
  • Use verbal communication and active listening skills for extended periods.
  • Sitting for extended periods of time, using telephone, typing and/or operating a computer and/or mouse.

  • Travel as needed: approximately five (5)%.

THE COMPANY RETAINS THE RIGHT TO CHANGE OR ASSIGN OTHER DUTIES TO THIS POSITION AS DEEMED APPROPRIATE WITH OR WITHOUT NOTICE.
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
This employer is required to notify all applicants of their rights pursuant to federal employment laws.
For further information, please review the Know Your Rights notice from the Department of Labor.

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