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)
Identifies the key legislation and regulations governing insurance contracts.
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Level 2 Behaviors
(Light Experience)
Records and maintains insurance policy and claims information in a database system.
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Level 3 Behaviors
(Moderate Experience)
Utilizes various tools and technologies to optimize insurance claims turnaround cycles.
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Level 4 Behaviors
(Extensive Experience)
Provides recommendations for improving methods and procedures to enhance insurance claims handling.
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Level 5 Behaviors
(Mastery)
Leads the deployment of strategic approaches to address complex insurance risk management programs.
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2
Industry Competency –
Insurance Legal and Regulatory Environment
Proficiency Level -1
Level 1 Behaviors
(General Familiarity)
Discusses the importance of insurance regulations in protecting clients' financial security and assets.
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Level 2 Behaviors
(Light Experience)
Gathers and interprets policy contracts to understand insurance legal and regulatory standards.
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Level 3 Behaviors
(Moderate Experience)
Maintains financial and market regulation to validate insurance's accounting methods and procedures.
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Level 4 Behaviors
(Extensive Experience)
Sets guidelines to promote fairness and transparency in financial markets in providing insurance products.
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Level 5 Behaviors
(Mastery)
Develops compliance and risk management standards to manage overall insurance legal and regulatory environment.
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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)
Explains the process of creating and maintaining customer relationships.
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Level 2 Behaviors
(Light Experience)
Selects appropriate resources to understand customer behavior and create good relations.
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Level 3 Behaviors
(Moderate Experience)
Maintains a high level of engagement with key customers to grow our customer base.
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Level 4 Behaviors
(Extensive Experience)
Plans customer engagement activities to create value in all interactions and increase loyalty.
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Level 5 Behaviors
(Mastery)
Forecasts trends in customer relationship management to adapt our strategies with customer behaviors.
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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)
Lists the principles and procedures of gathering information.
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Level 2 Behaviors
(Light Experience)
Determines the source of information to verify its reliability.
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Level 3 Behaviors
(Moderate Experience)
Uses survey results to identify areas that need improvement within our business.
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Level 4 Behaviors
(Extensive Experience)
Recommends improvement of our business's records retention program.
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Level 5 Behaviors
(Mastery)
Generates innovative plans for curating and managing gathered information from different sources.
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2
Core Competencies –
Standard Operating Procedures (SOP)
Proficiency Level -1
Level 1 Behaviors
(General Familiarity)
Identifies our internal and external sources for the SOPs we need.
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Level 2 Behaviors
(Light Experience)
Participates in the implementation of new SOPs and enhancement of existing ones.
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Level 3 Behaviors
(Moderate Experience)
Modifies SOPs accordingly to reflect changes in our business practices and policies.
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Level 4 Behaviors
(Extensive Experience)
Optimizes the current SOP development and implementation processes.
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Level 5 Behaviors
(Mastery)
Leads cross-functional efforts to develop and implement SOPs across our organization.
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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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