Skills & Competencies for Claims Adjuster II
Claims Adjuster II job profile
Book a Demo and Receive a Sample Job ProfileJOB SUMMARY for Claims Adjuster II
Denies, settles, or authorizes payments to routine property/casualty claims based on coverage, appraisal, and verifiable damage.
JOB RESPONSIBILITIES for Claims Adjuster II
Responsible for corresponding with policyholders, claimants, witnesses, attorneys, etc. to gather important information to support contested claims. Prepares reports of investigation findings. May conduct field evaluations to inspect and document damage or loss.
Claims Adjuster II SALARY RANGE
BASE 50%
$70,838
TOTAL 50%
$73,302
Job Level
P02
Job Code
FA06000048
Education/Degree
Bachelor's Degree
Reports To
Supervisor or Manager
Claims Adjuster II Skills and Competencies List
11 hard skills or competencies (industry competencies) for Claims Adjuster II
1
Industry Competency –
Insurance Industry
Proficiency Level -2
Level 1 Behaviors
(General Familiarity)
Names the commonly used tools and techniques for insurance planning and risk management.
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Level 2 Behaviors
(Light Experience)
Reports any discrepancies encountered in reviewing policy records and documentation.
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Level 3 Behaviors
(Moderate Experience)
Works with insurance agents and team members to update and process insurance policies.
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Level 4 Behaviors
(Extensive Experience)
Recommends alternative insurance claims processing methods to minimize operational costs.
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Level 5 Behaviors
(Mastery)
Stays abreast of the changes in insurance industry laws to ensure our product and service adherence.
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2
Industry Competency –
Insurance Legal and Regulatory Environment
Proficiency Level -2
Level 1 Behaviors
(General Familiarity)
Explains the application of insurance regulatory laws to avoid civil penalties and license suspension.
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Level 2 Behaviors
(Light Experience)
Supports the execution of a legal and regulatory framework to promote strict insurance compliance.
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Level 3 Behaviors
(Moderate Experience)
Performs compliance reviews to determine possible violations and deficiencies in insurance regulations.
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Level 4 Behaviors
(Extensive Experience)
Trains teams on new laws and regulations to reduce liability risks and compliance violations.
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Level 5 Behaviors
(Mastery)
Establishes best practices in creating insurance laws and regulations to prevent frauds and malpractices.
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3
Claims Adjuster II
- Skill and Competency
Proficiency Level - 3
4
Skill and Competency -
Claims Adjuster II
Proficiency Level - 4
5
Competency for -
Claims Adjuster II
Proficiency Level - 5
1 general skill or competency (Job family competency) for Claims Adjuster II
1
Job Family Competencies –
Customer Relations
Proficiency Level -2
Level 1 Behaviors
(General Familiarity)
Lists the pros and cons of using customer relationships management systems.
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Level 2 Behaviors
(Light Experience)
Supports CRM systems and applications to interact with customers.
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Level 3 Behaviors
(Moderate Experience)
Works closely with customers to use their insights in building strong customer relationships.
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Level 4 Behaviors
(Extensive Experience)
Trains staff on best practices in relationship management to establish customer connections.
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Level 5 Behaviors
(Mastery)
Leads our organization in promoting good relations with customers to optimize overall customer experience.
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3
Claims Adjuster II
- Skill and Competency
Proficiency Level - 3
4
Skill and Competency -
Claims Adjuster II
Proficiency Level - 4
5
Competency for -
Claims Adjuster II
Proficiency Level - 5
8 soft skills or competencies (core competencies) for Claims Adjuster II
1
Core Competencies –
Gathering Information
Proficiency Level -2
Level 1 Behaviors
(General Familiarity)
Names commonly used tools and techniques for data collection.
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Level 2 Behaviors
(Light Experience)
Obtains needed information by asking skillful and persistent questions.
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Level 3 Behaviors
(Moderate Experience)
Utilizes various tools and technologies to validate information acquired from different sources.
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Level 4 Behaviors
(Extensive Experience)
Synthesizes information from various sources to enable strategic decision-making by our leadership.
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Level 5 Behaviors
(Mastery)
Takes steps to ensure that the intellectual property rights of others are not violated.
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2
Core Competencies –
Standard Operating Procedures (SOP)
Proficiency Level -2
Level 1 Behaviors
(General Familiarity)
Lists the typical processes of SOP development.
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Level 2 Behaviors
(Light Experience)
Supports the analysis of our business and operations processes for SOP design and development.
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Level 3 Behaviors
(Moderate Experience)
Researches new tools and techniques for SOP daily management.
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Level 4 Behaviors
(Extensive Experience)
Resolves complex issues arising from SOP practices; develops preventative solutions accordingly.
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Level 5 Behaviors
(Mastery)
Monitors industry for SOP trends and best practices; makes recommendations about those that benefit our business.
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3
Claims Adjuster II
- Skill and Competency
Proficiency Level - 3
4
Skill and Competency -
Claims Adjuster II
Proficiency Level - 4
5
Competency for -
Claims Adjuster II
Proficiency Level - 5
Summary of Claims Adjuster II skills and competencies
There are 11 hard skills for Claims Adjuster II, Insurance Industry, Insurance Legal and Regulatory Environment, Insurance Products, etc.
1 general skills for Claims Adjuster II, Customer Relations.
8 soft skills for Claims Adjuster II, Gathering Information, Standard Operating Procedures (SOP), Attention to Detail, etc.
While the list totals 20 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 II, 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 II, Customer Relations.
8 soft skills for Claims Adjuster II, Gathering Information, Standard Operating Procedures (SOP), Attention to Detail, etc.
While the list totals 20 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 II, 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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