... Regional Office (SAJRO), Out-based office locations, VetSuccess On Campus (VSOC) school sites, or ... R. and the USVI. The VREO provides management and direction to staff on a wide range of ...
... Regional Office (SAJRO), Out-based office locations, VetSuccess On Campus (VSOC) school sites, or ... R. and the USVI. The VREO provides management and direction to staff on a wide range of ...
... Regional Office (SAJRO), Out-based office locations, VetSuccess On Campus (VSOC) school sites, or ... R. and the USVI. The VREO provides management and direction to staff on a wide range of ...
... Regional Office (SAJRO), Out-based office locations, VetSuccess On Campus (VSOC) school sites, or ... R. and the USVI. The VREO provides management and direction to staff on a wide range of ...
Regional Claims Manager information
What does a regional claims manager do?
A Regional Claims Manager oversees the claims operations within a specific geographic area for an insurance company or similar organization. They are responsible for managing a team of claims adjusters, ensuring claims are processed efficiently and in accordance with company policies and regulations. The role also involves monitoring performance metrics, resolving complex or escalated claims, and implementing strategies to improve customer satisfaction and operational effectiveness. Regional Claims Managers often collaborate with other departments and provide training or guidance to their teams.
What skills and qualifications are needed to be a regional claims manager?
To thrive as a Regional Claims Manager, you need expertise in insurance claims processes, risk assessment, and regulatory compliance, typically supported by a bachelor’s degree and several years of claims management experience. Familiarity with claims management software, data analysis tools, and relevant industry certifications like AIC or CPCU is highly valuable. Strong leadership, negotiation, and communication skills are crucial for effectively managing teams and client relationships across multiple locations. These competencies ensure efficient claims resolution, regulatory adherence, and high customer satisfaction in a competitive insurance market.
How does a regional claims manager collaborate with branch offices and other departments?
A Regional Claims Manager regularly works with branch office staff, underwriters, legal teams, and customer service representatives to ensure claims are processed accurately and efficiently. This collaboration often involves reviewing complex or escalated claims, providing guidance on company policy, and implementing process improvements based on regional trends. Effective communication across departments is crucial, as the manager must balance customer satisfaction with risk management and regulatory compliance. Regular meetings and reporting help keep all parties aligned and support continuous improvement in claims handling.
What is the difference between Regional Claims Manager vs Claims Supervisor?
| Aspect | Regional Claims Manager | Claims Supervisor |
|---|---|---|
| Credentials | Typically requires a bachelor's degree in insurance, business, or related field; industry certifications like CPCU or AIC are common | Usually requires a high school diploma or associate degree; some certifications may be preferred but are less common |
| Work Environment | Oversees multiple claims offices or regions, managing teams and policies across a broad area | Manages claims teams within a specific office or region, focusing on daily claims processing |
| Employer & Industry Usage | Common in insurance companies, adjusting firms, and large corporations with regional operations | Found in insurance companies, often within claims departments, focusing on team supervision |
The main difference is that a Regional Claims Manager oversees multiple claims teams across regions, focusing on strategy and compliance, while a Claims Supervisor manages daily claims activities within a specific team or office. The Regional Claims Manager role typically requires more experience and higher credentials, with broader responsibilities.
What cities in Puerto Rico are hiring for Regional Claims Manager jobs?
Cities in Puerto Rico with the most Regional Claims Manager job openings:
Supervisory Vocational Rehabilitation Counselor (VR&E Officer)
San Juan, PR • On-site
$125K/yr
Full-time, Part-time
Posted 7 days ago
Key responsibilities
Oversee a team of Vocational Rehabilitation Counselors and staff in providing rehabilitation counseling and case management services to Veterans with service-connected disabilities.
Provide management and direction to staff regarding rehabilitation counseling and case management activities.
Ensure the delivery of rehabilitation services across various locations including regional offices, school sites, and military installations.
Job description
The VREO oversees a team of VRCs and other staff in the Veterans Benefits Administration (VBA) San Juan Regional Office (SAJRO), Out-based office locations, VetSuccess On Campus (VSOC) school sites, or Integrated Disability Evaluation System (IDES) locations on military installations, within P.R. and the USVI. The VREO provides management and direction to staff on a wide range of rehabilitation counseling and case management services provided to Veterans with service-connected disabilities.Qualifications:To qualify for this position, applicants must meet all requirements by the closing date of this announcement:09/04/2026.
TIME-IN-GRADE REQUIREMENT: As a current Federal, GS employee you must meet time-in-grade requirements by the closing date of this announcement.
MINIMUM QUALIFICATION REQUIREMENT: To qualify for this position, you must meet both the Basic Requirements (Individual Occupational Requirements) and the specialized experience requirements described below:
In addition to meeting the basic requirements above, you must have at least one (1) year of specialized experience to at least the next lower grade GS-13 in the normal line of progression for the occupation in the organization. Specialized experience is defined as experience in Vocational Rehabilitation and Employment programs: 1) expertise with employment and vocational rehabilitation programs; 2) possessing knowledge and expertise in the procedures for vocational and rehabilitation law; 3) the expertise to administer and counsel in the areas of counseling, rehabilitation, psychology, career development, and job placement entitlements; 4) the expertise to control budgetary resources for approving and monitoring financial expenditures.
Volunteer Experience: Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religions; spiritual; community; student; social). Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience.
Full vs. Part-Time Employment: Full-time employment is considered to be at least 35 hours per week. Part-time experience will be credited on a pro-rated basis; when including part-time employment in your resume you must specify the average hours worked per week.
Physical Requirements: This position is primarily sedentary with some walking, standing, bending, stooping and carrying of lightweight items (i.e. folders, claims files). This position requires mental rather than physical exertion.
For more information on these qualification standards, please visit the United States Office of Personnel Management's website at http://www.opm.gov/policy-data-oversight/classification-qualifications/general-schedule-qualification-standards/.Education:Transcripts is need only if you are using education to qualify.
(Unofficial and/or Official) must also show that the degree has been awarded/conferred and the date awarded.
Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.ed.gov/accreditation/. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit: https://www.ed.gov/about/initiatives/international-affairs/recognition-of-foreign-qualifications.
You may submit unofficial transcripts when applying. However, if you are selected for the position, you will be required to provide an official transcript or a statement from the institution (e.g., from the registrar, dean, or other appropriate official) or equivalent documentation prior to the start date.Employment Type: OTHER
TIME-IN-GRADE REQUIREMENT: As a current Federal, GS employee you must meet time-in-grade requirements by the closing date of this announcement.
- For a GS-14 position you must have served 52 weeks at the GS-13 level.
MINIMUM QUALIFICATION REQUIREMENT: To qualify for this position, you must meet both the Basic Requirements (Individual Occupational Requirements) and the specialized experience requirements described below:
1. Individual Occupational Requirements (Basic Requirements):
To be eligible for this position, you must meet one of the following:
A). Degree: Successful completion of a full 4-year course of study in an accredited college or university leading to a bachelor's or higher degree in behavioral or social science, or a related discipline appropriate to the position. OR;
B). Combination of education and experience: A combination of education and experience that provided you with the knowledge of one or more of the behavioral or social sciences equivalent to a major in the field. OR;
C). Experience: Four years of appropriate experience that demonstrates you have acquired knowledge of one or more of the behavioral or social sciences equivalent to a major in the field.
Note: You must submit transcripts if you are qualifying based on education or a combination of education and experience.
In addition to meeting the basic requirements above, you must have at least one (1) year of specialized experience to at least the next lower grade GS-13 in the normal line of progression for the occupation in the organization. Specialized experience is defined as experience in Vocational Rehabilitation and Employment programs: 1) expertise with employment and vocational rehabilitation programs; 2) possessing knowledge and expertise in the procedures for vocational and rehabilitation law; 3) the expertise to administer and counsel in the areas of counseling, rehabilitation, psychology, career development, and job placement entitlements; 4) the expertise to control budgetary resources for approving and monitoring financial expenditures.
Volunteer Experience: Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religions; spiritual; community; student; social). Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience.
Full vs. Part-Time Employment: Full-time employment is considered to be at least 35 hours per week. Part-time experience will be credited on a pro-rated basis; when including part-time employment in your resume you must specify the average hours worked per week.
Physical Requirements: This position is primarily sedentary with some walking, standing, bending, stooping and carrying of lightweight items (i.e. folders, claims files). This position requires mental rather than physical exertion.
For more information on these qualification standards, please visit the United States Office of Personnel Management's website at http://www.opm.gov/policy-data-oversight/classification-qualifications/general-schedule-qualification-standards/.Education:Transcripts is need only if you are using education to qualify.
(Unofficial and/or Official) must also show that the degree has been awarded/conferred and the date awarded.
Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.ed.gov/accreditation/. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit: https://www.ed.gov/about/initiatives/international-affairs/recognition-of-foreign-qualifications.
You may submit unofficial transcripts when applying. However, if you are selected for the position, you will be required to provide an official transcript or a statement from the institution (e.g., from the registrar, dean, or other appropriate official) or equivalent documentation prior to the start date.Employment Type: OTHER
About Veterans Benefits Administration
Sourced by ZipRecruiter
Industry
Public administration
Company size
1 - 10 Employees
Headquarters location
Washington, DC, US