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)
Explains how reinsurance aids in meeting the long-term debts and financial obligations of a business.
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Level 2 Behaviors
(Light Experience)
Locates resources to acquire updates regarding market shifts and regulatory changes in insurance.
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Level 3 Behaviors
(Moderate Experience)
Prepares insurance plans based on client needs to minimize financial risk or losses during uncertain events.
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Level 4 Behaviors
(Extensive Experience)
Monitors industry changes to improve the strategic directions of insurance operations.
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Level 5 Behaviors
(Mastery)
Develops strategic methods for selling insurance policies to increase the profit of our organization.
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2
Industry Competency –
Insurance Legal and Regulatory Environment
Proficiency Level -3
Level 1 Behaviors
(General Familiarity)
Describes the importance of compliance programs in maintaining an insurance legal and regulatory environment.
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Level 2 Behaviors
(Light Experience)
Documents compliance complaints to track and escalate possible legal violations and ensure prompt resolution.
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Level 3 Behaviors
(Moderate Experience)
Executes market conduct exams to verify the adherence of insurance operations to laws and regulations.
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Level 4 Behaviors
(Extensive Experience)
Reviews root causes of regulatory deficiencies to create corrective action plans and ensure adherence.
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Level 5 Behaviors
(Mastery)
Develops an insurance regulatory framework to promote consumers' protection and achieve policy objectives.
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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)
Explains common symptoms of inefficient processes that call for business process improvement.
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Level 2 Behaviors
(Light Experience)
Collects feedback directly from staff involved in the new process mapping.
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Level 3 Behaviors
(Moderate Experience)
Manages process improvements to ensure that the entire system works efficiently.
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Level 4 Behaviors
(Extensive Experience)
Monitors and evaluates the success or failure of the changes implemented.
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Level 5 Behaviors
(Mastery)
Leads the reorganization of the workforce based on the agreed and desired outcomes.
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2
Core Competencies –
Standard Operating Procedures (SOP)
Proficiency Level -4
Level 1 Behaviors
(General Familiarity)
Discusses the considerations and concerns on applying SOP for the first time.
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Level 2 Behaviors
(Light Experience)
Gathers information on workflows and business controlling points.
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Level 3 Behaviors
(Moderate Experience)
Maintains the accuracy of SOPs to provide consistent guidance in our workplace.
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Level 4 Behaviors
(Extensive Experience)
Leverages the use of SOPs to solve business and operation problems.
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Level 5 Behaviors
(Mastery)
Keeps abreast of industry regulation and its effect on our internal SOPs.
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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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