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)
Describes the current systems and scope of services provided by insurance organizations.
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Level 2 Behaviors
(Light Experience)
Follows industry best practices when preparing reports that detail risk assessment findings in insurance claims.
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Level 3 Behaviors
(Moderate Experience)
Makes necessary adjustments to insurance policies to meet customer needs.
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Level 4 Behaviors
(Extensive Experience)
Handles complex insurance losses through negotiation of favorable claims settlements with insurance companies.
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Level 5 Behaviors
(Mastery)
Develops and establishes risk reduction best practices to prevent fraudulent claims transactions.
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2
Industry Competency –
Insurance Legal and Regulatory Environment
Proficiency Level -3
Level 1 Behaviors
(General Familiarity)
Describes the basic structure of insurance legal and regulatory environment.
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Level 2 Behaviors
(Light Experience)
Complies with insurance legal and regulatory principles to safeguard the rights and interests of the insured.
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Level 3 Behaviors
(Moderate Experience)
Analyzes existing legal and regulatory standards to address errors affecting insurance policies.
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Level 4 Behaviors
(Extensive Experience)
Improves legal procedures for licensing intermediaries or producers to prevent penalties.
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Level 5 Behaviors
(Mastery)
Designs compliance strategies and programs to prevent violations of statutes, regulations, and policies.
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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)
Describes the core principles of business process improvement.
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Level 2 Behaviors
(Light Experience)
Collects data from various channels to support analysis of business processes.
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Level 3 Behaviors
(Moderate Experience)
Develops alternative solutions to business process improvement and assesses their feasibility.
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Level 4 Behaviors
(Extensive Experience)
Evaluates reported issues and restructures the workflow design.
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Level 5 Behaviors
(Mastery)
Facilitates the implementation of business process improvement strategies.
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2
Core Competencies –
Standard Operating Procedures (SOP)
Proficiency Level -4
Level 1 Behaviors
(General Familiarity)
Describes the purposes and benefits of Standard Operating Procedures (SOP).
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Level 2 Behaviors
(Light Experience)
Documents the SOP drafts and outlines for final approval.
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Level 3 Behaviors
(Moderate Experience)
Implements the use of SOP throughout our business to drive efficiency.
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Level 4 Behaviors
(Extensive Experience)
Enhances the SOP management system to improve efficiency and user experience.
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Level 5 Behaviors
(Mastery)
Designs a Standard Operating Procedure (SOP) strategy to align with our business 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
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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