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)
Describes the current systems and scope of services provided by insurance organizations.
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Level 2 Behaviors
(Light Experience)
Follows industry best practices when preparing reports that detail risk assessment findings in insurance claims.
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Level 3 Behaviors
(Moderate Experience)
Identifies cost-effective solutions to address regulatory compliance challenges in insurance services.
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Level 4 Behaviors
(Extensive Experience)
Facilitates discussions with agents and underwriters on evolving exposures and risk management practices.
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Level 5 Behaviors
(Mastery)
Designs and executes innovative strategies and techniques to optimize the claims-handling process.
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2
Industry Competency –
Insurance Legal and Regulatory Environment
Proficiency Level -1
Level 1 Behaviors
(General Familiarity)
Describes the basic structure of insurance legal and regulatory environment.
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Level 2 Behaviors
(Light Experience)
Complies with insurance legal and regulatory principles to safeguard the rights and interests of the insured.
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Level 3 Behaviors
(Moderate Experience)
Analyzes existing legal and regulatory standards to address errors affecting insurance policies.
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Level 4 Behaviors
(Extensive Experience)
Improves legal procedures for licensing intermediaries or producers to prevent penalties.
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Level 5 Behaviors
(Mastery)
Designs compliance strategies and programs to prevent violations of statutes, regulations, and policies.
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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)
Documents the best practices and techniques used in creating customer relations.
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Level 2 Behaviors
(Light Experience)
Collects customer feedback to measure customer satisfaction and ensure customer relations.
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Level 3 Behaviors
(Moderate Experience)
Ensures accurate and prompt responses to customer complaints to maintain optimal customer relations.
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Level 4 Behaviors
(Extensive Experience)
Determines key opportunities to build and maintain customer relationships and drive business results.
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Level 5 Behaviors
(Mastery)
Champions the adoption of advanced systems and tools to improve the development of customer relations.
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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)
Describes the importance of gathering relevant information in making informed business decisions.
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Level 2 Behaviors
(Light Experience)
Checks multiple sources to get complete and accurate information.
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Level 3 Behaviors
(Moderate Experience)
Asks questions and gathers the necessary information to make informed business decisions.
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Level 4 Behaviors
(Extensive Experience)
Monitors the overall process of records retention programs.
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Level 5 Behaviors
(Mastery)
Creates confidentiality agreements to ensure accurate submission of information from employees.
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2
Core Competencies –
Standard Operating Procedures (SOP)
Proficiency Level -1
Level 1 Behaviors
(General Familiarity)
Describes the purposes and benefits of Standard Operating Procedures (SOP).
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Level 2 Behaviors
(Light Experience)
Compiles and maintains SOPs under our current policies and directions.
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Level 3 Behaviors
(Moderate Experience)
Ensures internal SOPs are in compliance with industry standards and regulations.
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Level 4 Behaviors
(Extensive Experience)
Develops and delivers training programs to ensure our SOPs are fully communicated and adhered to.
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Level 5 Behaviors
(Mastery)
Champions the adoption of SOP to foster efficiency and consistency.
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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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