Skills & Competencies for Claims Director
Claims Director job profile
Book a Demo and Receive a Sample Job ProfileJOB SUMMARY for Claims Director
Directs and oversees the operations of an insurance claims department to meet operational, financial, and service requirements.
JOB RESPONSIBILITIES for Claims Director
Establishes policies and procedures for the administration of insurance claims for personal, property, or casualty loss based on coverage, appraisal, and verifiable damage. Responsible for the strategic processing and payment of claims. Maintains up-to-date- knowledge of legislation, regulations, and industry events which pertain to insurance claims. Provides expert guidance and consultation to staff on the most complex claims.
Claims Director SALARY RANGE
BASE 50%
$182,463
TOTAL 50%
$218,541
Job Level
M04
Job Code
FA06000841
Education/Degree
Bachelor's Degree
Reports To
Top Management
Claims Director Skills and Competencies List
9 hard skills or competencies (industry competencies) for Claims Director
1
Industry Competency –
Insurance Industry
Proficiency Level -4
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)
Verifies received insurance coverage and damage reports to ensure accurate processing of claims.
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Level 4 Behaviors
(Extensive Experience)
Provides technical guidance to staff on claim investigation to ensure accurate insurance claims processing.
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Level 5 Behaviors
(Mastery)
Pursues creative initiatives that may differentiate our business and give us a competitive advantage.
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2
Industry Competency –
Insurance Legal and Regulatory Environment
Proficiency Level -3
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 Director
- Skill and Competency
Proficiency Level - 3
4
Skill and Competency -
Claims Director
Proficiency Level - 4
5
Competency for -
Claims Director
Proficiency Level - 5
8 soft skills or competencies (core competencies) for Claims Director
1
Core Competencies –
Business Process Improvement
Proficiency Level -4
Level 1 Behaviors
(General Familiarity)
Names various methods used to practice business process improvement.
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Level 2 Behaviors
(Light Experience)
Suggests changes to the existing processes and structure in our business.
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Level 3 Behaviors
(Moderate Experience)
Recommends the business process management system that meets our business needs.
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Level 4 Behaviors
(Extensive Experience)
Reassigns and retrains staff as needed in preparation for revised business processes.
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Level 5 Behaviors
(Mastery)
Restructures ways to align business processes with organizational goals.
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2
Core Competencies –
Standard Operating Procedures (SOP)
Proficiency Level -4
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)
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 Director
- Skill and Competency
Proficiency Level - 3
4
Skill and Competency -
Claims Director
Proficiency Level - 4
5
Competency for -
Claims Director
Proficiency Level - 5
Summary of Claims Director skills and competencies
There are 9 hard skills for Claims Director, Insurance Industry, Insurance Legal and Regulatory Environment, Insurance Products, etc.
0 general skills for Claims Director.
8 soft skills for Claims Director, Business Process Improvement, Standard Operating Procedures (SOP), Budgeting, etc.
While the list totals 17 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 Director, he or she needs to be skilled in Business Process Improvement, be skilled in Standard Operating Procedures (SOP), and be skilled in Budgeting.
0 general skills for Claims Director.
8 soft skills for Claims Director, Business Process Improvement, Standard Operating Procedures (SOP), Budgeting, etc.
While the list totals 17 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 Director, he or she needs to be skilled in Business Process Improvement, be skilled in Standard Operating Procedures (SOP), and be skilled in Budgeting.
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