Skills & Competencies for Claims Adjuster III
Claims Adjuster III job profile
Book a Demo and Receive a Sample Job ProfileJOB SUMMARY for Claims Adjuster III
Denies, settles, or authorizes payments to more complex property/casualty claims based on coverage, appraisal, and verifiable damage.
JOB RESPONSIBILITIES for Claims Adjuster III
Examines claim forms and other records to determine coverage. Responsible for corresponding with policyholders, claimants, witnesses, attorneys, etc. to gather important information to support contested. Conducts field investigations to inspect and document damage or loss. Prepares report of findings of an investigation.
Claims Adjuster III SALARY RANGE
BASE 50%
$86,474
TOTAL 50%
$89,765
Job Level
P03
Job Code
FA06000049
Education/Degree
Bachelor's Degree
Reports To
Manager or Head of a Unit/Department
Claims Adjuster III Skills and Competencies List
11 hard skills or competencies (industry competencies) for Claims Adjuster III
1
Industry Competency –
Insurance Industry
Proficiency Level -2
Level 1 Behaviors
(General Familiarity)
Describes the current systems and scope of services provided by insurance organizations.
See 4 More Skill Behaviors
Level 2 Behaviors
(Light Experience)
Follows industry best practices when preparing reports that detail risk assessment findings in insurance claims.
See 4 More Skill Behaviors
Level 3 Behaviors
(Moderate Experience)
Makes necessary adjustments to insurance policies to meet customer needs.
See 4 More Skill Behaviors
Level 4 Behaviors
(Extensive Experience)
Handles complex insurance losses through negotiation of favorable claims settlements with insurance companies.
See 4 More Skill Behaviors
Level 5 Behaviors
(Mastery)
Develops and establishes risk reduction best practices to prevent fraudulent claims transactions.
See 4 More Skill Behaviors
2
Industry Competency –
Insurance Legal and Regulatory Environment
Proficiency Level -2
Level 1 Behaviors
(General Familiarity)
Describes the basic structure of insurance legal and regulatory environment.
See 4 More Skill Behaviors
Level 2 Behaviors
(Light Experience)
Complies with insurance legal and regulatory principles to safeguard the rights and interests of the insured.
See 4 More Skill Behaviors
Level 3 Behaviors
(Moderate Experience)
Analyzes existing legal and regulatory standards to address errors affecting insurance policies.
See 4 More Skill Behaviors
Level 4 Behaviors
(Extensive Experience)
Improves legal procedures for licensing intermediaries or producers to prevent penalties.
See 4 More Skill Behaviors
Level 5 Behaviors
(Mastery)
Designs compliance strategies and programs to prevent violations of statutes, regulations, and policies.
See 4 More Skill Behaviors
3
Claims Adjuster III
- Skill and Competency
Proficiency Level - 3
4
Skill and Competency -
Claims Adjuster III
Proficiency Level - 4
5
Competency for -
Claims Adjuster III
Proficiency Level - 5
1 general skill or competency (Job family competency) for Claims Adjuster III
1
Job Family Competencies –
Customer Relations
Proficiency Level -2
Level 1 Behaviors
(General Familiarity)
Documents the best practices and techniques used in creating customer relations.
See 4 More Skill Behaviors
Level 2 Behaviors
(Light Experience)
Collects customer feedback to measure customer satisfaction and ensure customer relations.
See 4 More Skill Behaviors
Level 3 Behaviors
(Moderate Experience)
Handles customer issues and concerns effectively to maximize customer satisfaction and relations.
See 4 More Skill Behaviors
Level 4 Behaviors
(Extensive Experience)
Facilitates strategic customer relationships to uncover and meet customer expectations.
See 4 More Skill Behaviors
Level 5 Behaviors
(Mastery)
Creates best practices to balance customer needs with our interests to create positive relationships.
See 4 More Skill Behaviors
3
Claims Adjuster III
- Skill and Competency
Proficiency Level - 3
4
Skill and Competency -
Claims Adjuster III
Proficiency Level - 4
5
Competency for -
Claims Adjuster III
Proficiency Level - 5
8 soft skills or competencies (core competencies) for Claims Adjuster III
1
Core Competencies –
Gathering Information
Proficiency Level -3
Level 1 Behaviors
(General Familiarity)
Describes the importance of gathering relevant information in making informed business decisions.
See 4 More Skill Behaviors
Level 2 Behaviors
(Light Experience)
Checks multiple sources to get complete and accurate information.
See 4 More Skill Behaviors
Level 3 Behaviors
(Moderate Experience)
Asks questions and gathers the necessary information to make informed business decisions.
See 4 More Skill Behaviors
Level 4 Behaviors
(Extensive Experience)
Monitors the overall process of records retention programs.
See 4 More Skill Behaviors
Level 5 Behaviors
(Mastery)
Designs a system for monitoring the effectiveness of data-gathering channels.
See 4 More Skill Behaviors
2
Core Competencies –
Standard Operating Procedures (SOP)
Proficiency Level -2
Level 1 Behaviors
(General Familiarity)
Describes the purposes and benefits of Standard Operating Procedures (SOP).
See 4 More Skill Behaviors
Level 2 Behaviors
(Light Experience)
Documents the SOP drafts and outlines for final approval.
See 4 More Skill Behaviors
Level 3 Behaviors
(Moderate Experience)
Implements the use of SOP throughout our business to drive efficiency.
See 4 More Skill Behaviors
Level 4 Behaviors
(Extensive Experience)
Enhances the SOP management system to improve efficiency and user experience.
See 4 More Skill Behaviors
Level 5 Behaviors
(Mastery)
Designs a Standard Operating Procedure (SOP) strategy to align with our business objectives.
See 4 More Skill Behaviors
3
Claims Adjuster III
- Skill and Competency
Proficiency Level - 3
4
Skill and Competency -
Claims Adjuster III
Proficiency Level - 4
5
Competency for -
Claims Adjuster III
Proficiency Level - 5
Summary of Claims Adjuster III skills and competencies
There are 11 hard skills for Claims Adjuster III, Insurance Industry, Insurance Legal and Regulatory Environment, Insurance Products, etc.
1 general skills for Claims Adjuster III, Customer Relations.
8 soft skills for Claims Adjuster III, 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 III, he or she needs to be skilled in Gathering Information, be proficient in Standard Operating Procedures (SOP), and be skilled in Attention to Detail.
1 general skills for Claims Adjuster III, Customer Relations.
8 soft skills for Claims Adjuster III, 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 III, he or she needs to be skilled in Gathering Information, be proficient in Standard Operating Procedures (SOP), and be skilled 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.