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 the policy conditions of various insurance contracts and products.
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Level 2 Behaviors
(Light Experience)
Provides prompt responses to clients’ insurance-related questions and concerns.
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Level 3 Behaviors
(Moderate Experience)
Utilizes various tools and technologies to optimize insurance claims turnaround cycles.
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Level 4 Behaviors
(Extensive Experience)
Provides recommendations for improving methods and procedures to enhance insurance claims handling.
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Level 5 Behaviors
(Mastery)
Leads the deployment of strategic approaches to address complex insurance risk management programs.
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2
Industry Competency –
Insurance Legal and Regulatory Environment
Proficiency Level -3
Level 1 Behaviors
(General Familiarity)
Discusses the importance of insurance regulations in protecting clients' financial security and assets.
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Level 2 Behaviors
(Light Experience)
Gathers and interprets policy contracts to understand insurance legal and regulatory standards.
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Level 3 Behaviors
(Moderate Experience)
Maintains financial and market regulation to validate insurance's accounting methods and procedures.
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Level 4 Behaviors
(Extensive Experience)
Sets guidelines to promote fairness and transparency in financial markets in providing insurance products.
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Level 5 Behaviors
(Mastery)
Develops compliance and risk management standards to manage overall insurance legal and regulatory environment.
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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)
Lists the key benefits and effects of business process improvement.
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Level 2 Behaviors
(Light Experience)
Identifies the constraints causing bottlenecks in our production.
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Level 3 Behaviors
(Moderate Experience)
Pinpoints extraneous steps and sub-steps within the process that don't seem to serve a purpose.
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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)
Promotes the automation of processes to minimize the number of manual steps and errors.
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2
Core Competencies –
Standard Operating Procedures (SOP)
Proficiency Level -4
Level 1 Behaviors
(General Familiarity)
Identifies our internal and external sources for the SOPs we need.
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Level 2 Behaviors
(Light Experience)
Participates in the implementation of new SOPs and enhancement of existing ones.
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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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