Skills & Competencies for Claims Adjuster I
Claims Adjuster I job profile
Book a Demo and Receive a Sample Job ProfileJOB SUMMARY for Claims Adjuster I
Denies, settles, or authorizes payments to routine property/casualty claims based on coverage, appraisal, and verifiable damage.
JOB RESPONSIBILITIES for Claims Adjuster I
Corresponds with policyholders, claimants, witnesses, attorneys, etc. to gather important information to support contested insurance claims. Makes recommendations for settlement of routine property/casualty claims based on coverage, appraisal, and verifiable damage. Prepares reports of investigation findings. May conduct field evaluations to inspect and document damage or loss.
Claims Adjuster I SALARY RANGE
BASE 50%
$54,895
TOTAL 50%
$56,947
Job Level
P01
Job Code
FA06000851
Education/Degree
Associate's Degree
Reports To
Supervisor or Manager
Claims Adjuster I Skills and Competencies List
11 hard skills or competencies (industry competencies) for Claims Adjuster I
1
Industry Competency –
Insurance Industry
Proficiency Level -1
Level 1 Behaviors
(General Familiarity)
Explains how reinsurance aids in meeting the long-term debts and financial obligations of a business.
See 4 More Skill Behaviors
Level 2 Behaviors
(Light Experience)
Locates resources to acquire updates regarding market shifts and regulatory changes in insurance.
See 4 More Skill Behaviors
Level 3 Behaviors
(Moderate Experience)
Prepares insurance plans based on client needs to minimize financial risk or losses during uncertain events.
See 4 More Skill Behaviors
Level 4 Behaviors
(Extensive Experience)
Monitors industry changes to improve the strategic directions of insurance operations.
See 4 More Skill Behaviors
Level 5 Behaviors
(Mastery)
Develops strategic methods for selling insurance policies to increase the profit of our organization.
See 4 More Skill Behaviors
2
Industry Competency –
Insurance Legal and Regulatory Environment
Proficiency Level -1
Level 1 Behaviors
(General Familiarity)
Describes the importance of compliance programs in maintaining an insurance legal and regulatory environment.
See 4 More Skill Behaviors
Level 2 Behaviors
(Light Experience)
Documents compliance complaints to track and escalate possible legal violations and ensure prompt resolution.
See 4 More Skill Behaviors
Level 3 Behaviors
(Moderate Experience)
Executes market conduct exams to verify the adherence of insurance operations to laws and regulations.
See 4 More Skill Behaviors
Level 4 Behaviors
(Extensive Experience)
Reviews root causes of regulatory deficiencies to create corrective action plans and ensure adherence.
See 4 More Skill Behaviors
Level 5 Behaviors
(Mastery)
Develops an insurance regulatory framework to promote consumers' protection and achieve policy objectives.
See 4 More Skill Behaviors
3
Claims Adjuster I
- Skill and Competency
Proficiency Level - 3
4
Skill and Competency -
Claims Adjuster I
Proficiency Level - 4
5
Competency for -
Claims Adjuster I
Proficiency Level - 5
1 general skill or competency (Job family competency) for Claims Adjuster I
1
Job Family Competencies –
Customer Relations
Proficiency Level -1
Level 1 Behaviors
(General Familiarity)
Explains the importance of customer relations in delivering good customer service.
See 4 More Skill Behaviors
Level 2 Behaviors
(Light Experience)
Reports customer escalations to identify and mitigate negative impacts on customer relations.
See 4 More Skill Behaviors
Level 3 Behaviors
(Moderate Experience)
Helps in integrating CRM applications to deliver seamless customer service.
See 4 More Skill Behaviors
Level 4 Behaviors
(Extensive Experience)
Monitors performance indicators of customer relationship management to support business growth.
See 4 More Skill Behaviors
Level 5 Behaviors
(Mastery)
Develops an organizational framework to efficiently manage all relations throughout our customer base.
See 4 More Skill Behaviors
3
Claims Adjuster I
- Skill and Competency
Proficiency Level - 3
4
Skill and Competency -
Claims Adjuster I
Proficiency Level - 4
5
Competency for -
Claims Adjuster I
Proficiency Level - 5
7 soft skills or competencies (core competencies) for Claims Adjuster I
1
Core Competencies –
Gathering Information
Proficiency Level -2
Level 1 Behaviors
(General Familiarity)
Explains the use of surveys and interviews in gathering the necessary information.
See 4 More Skill Behaviors
Level 2 Behaviors
(Light Experience)
Conducts basic research to identify current industry trends and best practices.
See 4 More Skill Behaviors
Level 3 Behaviors
(Moderate Experience)
Participates in various company events to gain information about current business operations.
See 4 More Skill Behaviors
Level 4 Behaviors
(Extensive Experience)
Provides training to others about new techniques and strategies for effective data collection.
See 4 More Skill Behaviors
Level 5 Behaviors
(Mastery)
Develops best practices and programs to improve data collection across our business.
See 4 More Skill Behaviors
2
Core Competencies –
Standard Operating Procedures (SOP)
Proficiency Level -1
Level 1 Behaviors
(General Familiarity)
Discusses the considerations and concerns on applying SOP for the first time.
See 4 More Skill Behaviors
Level 2 Behaviors
(Light Experience)
Gathers information on workflows and business controlling points.
See 4 More Skill Behaviors
Level 3 Behaviors
(Moderate Experience)
Initiates SOP revisions to support continuous improvement of processes.
See 4 More Skill Behaviors
Level 4 Behaviors
(Extensive Experience)
Evaluates the benefits and drawbacks of a specific SOP; oversees the corresponding enhancements.
See 4 More Skill Behaviors
Level 5 Behaviors
(Mastery)
Establishes formal policies and procedures to guide the our SOP practices.
See 4 More Skill Behaviors
3
Claims Adjuster I
- Skill and Competency
Proficiency Level - 3
4
Skill and Competency -
Claims Adjuster I
Proficiency Level - 4
5
Competency for -
Claims Adjuster I
Proficiency Level - 5
Summary of Claims Adjuster I skills and competencies
There are 11 hard skills for Claims Adjuster I, Insurance Industry, Insurance Legal and Regulatory Environment, Insurance Products, etc.
1 general skills for Claims Adjuster I, Customer Relations.
7 soft skills for Claims Adjuster I, Gathering Information, Standard Operating Procedures (SOP), Attention to Detail, etc.
While the list totals 19 distinct skills, it's important to note that not all are required to be mastered to the same degree. Some skills may only need a basic understanding, whereas others demand a higher level of expertise.
For instance, as a Claims Adjuster I, he or she needs to be proficient in Gathering Information, be proficient in Standard Operating Procedures (SOP), and be proficient in Attention to Detail.
1 general skills for Claims Adjuster I, Customer Relations.
7 soft skills for Claims Adjuster I, Gathering Information, Standard Operating Procedures (SOP), Attention to Detail, etc.
While the list totals 19 distinct skills, it's important to note that not all are required to be mastered to the same degree. Some skills may only need a basic understanding, whereas others demand a higher level of expertise.
For instance, as a Claims Adjuster I, he or she needs to be proficient in Gathering Information, be proficient in Standard Operating Procedures (SOP), and be proficient in Attention to Detail.
It's Easy to Get Started
Get the precision you need to assess, hire, and develop top talent with skills and competencies – see how with a personalized demo.