Skills & Competencies for Claims Manager, Senior
Claims Manager, Senior job profile
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Manages the operations of an insurance claims department to meet operational, financial, and service requirements.
JOB RESPONSIBILITIES for Claims Manager, Senior
Oversees the intake and processing of insurance claims for personal, property, or casualty loss based on coverage, appraisal, and verifiable damage. Manages appraisal and examination staff and processes. Assures timely and proper disposition of claims based on policy provisions. Recommends and implements best practices to ensure complete and thorough claim settlements, legal reviews, and investigations following company policies and insurance industry regulations. Determines the value of settlements for escalated claims. Manages negotiations of settlements and administration of claims in litigation.
Claims Manager, Senior SALARY RANGE
BASE 50%
$161,931
TOTAL 50%
$187,965
Job Level
M03
Job Code
FA06000855
Education/Degree
Bachelor's Degree
Reports To
Top Management
Claims Manager, Senior Skills and Competencies List
10 hard skills or competencies (industry competencies) for Claims Manager, Senior
1
Industry Competency –
Insurance Industry
Proficiency Level -3
Level 1 Behaviors
(General Familiarity)
Cites different types of insurance policies and describes the advantages and disadvantages of each.
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Level 2 Behaviors
(Light Experience)
Compiles insurance quotes based on customer information and rates for insurance policies.
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Level 3 Behaviors
(Moderate Experience)
Applies risk management techniques to minimize financial impacts in insurance services.
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Level 4 Behaviors
(Extensive Experience)
Contributes to the development of insurance risk mitigation strategies to drive process improvements.
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Level 5 Behaviors
(Mastery)
Builds claim roadmaps and substantiation plans in compliance with insurance risk management practices.
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2
Industry Competency –
Insurance Legal and Regulatory Environment
Proficiency Level -3
Level 1 Behaviors
(General Familiarity)
Cites examples of the legal principles of insurance applicable to multiple types of insurance products.
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Level 2 Behaviors
(Light Experience)
Assists in assessing regulatory risks to ensure insurance operations meet compliance and regulatory obligations.
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Level 3 Behaviors
(Moderate Experience)
Adopts legal and regulatory initiatives to assess possible risks and maintain insurance solvency.
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Level 4 Behaviors
(Extensive Experience)
Directs the regulation of insurance products to ensure insurance policy provisions comply with state laws.
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Level 5 Behaviors
(Mastery)
Builds policy and regulatory tools to monitor and assess compliance levels with insurance laws and regulations.
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3
Claims Manager, Senior
- Skill and Competency
Proficiency Level - 3
4
Skill and Competency -
Claims Manager, Senior
Proficiency Level - 4
5
Competency for -
Claims Manager, Senior
Proficiency Level - 5
11 soft skills or competencies (core competencies) for Claims Manager, Senior
1
Core Competencies –
Standard Operating Procedures (SOP)
Proficiency Level -3
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)
Documents the SOP drafts and outlines for final approval.
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Level 3 Behaviors
(Moderate Experience)
Initiates SOP revisions to support continuous improvement of processes.
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Level 4 Behaviors
(Extensive Experience)
Evaluates the benefits and drawbacks of a specific SOP; oversees the corresponding enhancements.
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Level 5 Behaviors
(Mastery)
Establishes formal policies and procedures to guide the our SOP practices.
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2
Core Competencies –
Budgeting
Proficiency Level -3
Level 1 Behaviors
(General Familiarity)
Describes the procedures for capital and expense allocation and budgeting.
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Level 2 Behaviors
(Light Experience)
Gathers financial data to help support management in budgeting analysis and forecasting.
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Level 3 Behaviors
(Moderate Experience)
Prepares and reviews the annual budgeting process to ensure effective and efficient budgeting.
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Level 4 Behaviors
(Extensive Experience)
Evaluates past decisions on budgetary considerations to improve the budgeting process.
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Level 5 Behaviors
(Mastery)
Establishes operating procedures to guide the consistency and repeatability of our budgeting processes.
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3
Claims Manager, Senior
- Skill and Competency
Proficiency Level - 3
4
Skill and Competency -
Claims Manager, Senior
Proficiency Level - 4
5
Competency for -
Claims Manager, Senior
Proficiency Level - 5
Summary of Claims Manager, Senior skills and competencies
There are 10 hard skills for Claims Manager, Senior, Insurance Industry, Insurance Legal and Regulatory Environment, Insurance Products, etc.
0 general skills for Claims Manager, Senior.
11 soft skills for Claims Manager, Senior, Standard Operating Procedures (SOP), Budgeting, Risk Management, etc.
While the list totals 21 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 Manager, Senior, he or she needs to be skilled in Standard Operating Procedures (SOP), be skilled in Budgeting, and be skilled in Risk Management.
0 general skills for Claims Manager, Senior.
11 soft skills for Claims Manager, Senior, Standard Operating Procedures (SOP), Budgeting, Risk Management, etc.
While the list totals 21 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 Manager, Senior, he or she needs to be skilled in Standard Operating Procedures (SOP), be skilled in Budgeting, and be skilled in Risk Management.
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