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%
$54,636
TOTAL 50%
$56,676
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)
Defines the key terminologies and components of an insurance policy.
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Level 2 Behaviors
(Light Experience)
Enters new information about insurance premiums and payments to update insurance policy records.
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Level 3 Behaviors
(Moderate Experience)
Examines insurance applications and letters from clients to determine necessary policy changes.
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Level 4 Behaviors
(Extensive Experience)
Evaluates existing claims handling process to identify fraud and opportunities for optimization of outcomes.
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Level 5 Behaviors
(Mastery)
Champions the adoption of AI and automation technologies to streamline insurance operations.
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2
Industry Competency –
Insurance Legal and Regulatory Environment
Proficiency Level -1
Level 1 Behaviors
(General Familiarity)
Cites examples of the legal principles of insurance applicable to multiple types of insurance products.
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Level 2 Behaviors
(Light Experience)
Assists in assessing regulatory risks to ensure insurance operations meet compliance and regulatory obligations.
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Level 3 Behaviors
(Moderate Experience)
Adopts legal and regulatory initiatives to assess possible risks and maintain insurance solvency.
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Level 4 Behaviors
(Extensive Experience)
Directs the regulation of insurance products to ensure insurance policy provisions comply with state laws.
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Level 5 Behaviors
(Mastery)
Builds policy and regulatory tools to monitor and assess compliance levels with insurance laws and regulations.
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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)
Cites examples of advantages and disadvantages of customer relationships.
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Level 2 Behaviors
(Light Experience)
Assists in creating customer loyalty programs that fosters customer relations.
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Level 3 Behaviors
(Moderate Experience)
Aligns our values with the customer relationship management framework to create positive interactions.
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Level 4 Behaviors
(Extensive Experience)
Designs and manages programs that promote and maintain collaborative relationships with customers.
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Level 5 Behaviors
(Mastery)
Builds strategic action plans to improve the overall process of customer relationship management.
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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)
Cites examples of methods used to collect and compile information.
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Level 2 Behaviors
(Light Experience)
Applies techniques and tools to gather, organize, and archive pertinent information.
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Level 3 Behaviors
(Moderate Experience)
Analyzes employees' feedback to determine necessary changes to be implemented within our business.
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Level 4 Behaviors
(Extensive Experience)
Implements strategies to streamline the data collection process.
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Level 5 Behaviors
(Mastery)
Champions the adoption of advanced tools and methods to simplify the information-gathering process.
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2
Core Competencies –
Standard Operating Procedures (SOP)
Proficiency Level -1
Level 1 Behaviors
(General Familiarity)
Cites examples of SOP practices in our business operations.
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Level 2 Behaviors
(Light Experience)
Assists in the preparation of internal standard operating procedures (SOP).
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Level 3 Behaviors
(Moderate Experience)
Analyses our business and operations to identify room for improvement on the related standard operating procedures.
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Level 4 Behaviors
(Extensive Experience)
Coaches others on the implementation of SOP to reduce errors and improve quality.
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Level 5 Behaviors
(Mastery)
Builds a monitoring system to evaluate the effectiveness of our SOPs.
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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.
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