Skills & Competencies for Claims Manager
Claims Manager job profile
Book a Demo and Receive a Sample Job ProfileJOB SUMMARY for Claims Manager
Manages the operations of an insurance claims department to meet operational, financial, and service requirements.
JOB RESPONSIBILITIES for Claims Manager
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 SALARY RANGE
BASE 50%
$126,582
TOTAL 50%
$139,495
Job Level
M02
Job Code
FA06000305
Education/Degree
Bachelor's Degree
Reports To
Top Management
Claims Manager Skills and Competencies List
10 hard skills or competencies (industry competencies) for Claims Manager
1
Industry Competency –
Insurance Industry
Proficiency Level -3
Level 1 Behaviors
(General Familiarity)
Names the commonly used tools and techniques for insurance planning and risk management.
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Level 2 Behaviors
(Light Experience)
Reports any discrepancies encountered in reviewing policy records and documentation.
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Level 3 Behaviors
(Moderate Experience)
Works with insurance agents and team members to update and process insurance policies.
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Level 4 Behaviors
(Extensive Experience)
Recommends alternative insurance claims processing methods to minimize operational costs.
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Level 5 Behaviors
(Mastery)
Stays abreast of the changes in insurance industry laws to ensure our product and service adherence.
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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 Manager
- Skill and Competency
Proficiency Level - 3
4
Skill and Competency -
Claims Manager
Proficiency Level - 4
5
Competency for -
Claims Manager
Proficiency Level - 5
11 soft skills or competencies (core competencies) for Claims Manager
1
Core Competencies –
Standard Operating Procedures (SOP)
Proficiency Level -3
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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2
Core Competencies –
Budgeting
Proficiency Level -2
Level 1 Behaviors
(General Familiarity)
Explains the importance of budget reporting and forecasting in our workplace.
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Level 2 Behaviors
(Light Experience)
Supplies supporting information and justification for major line items.
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Level 3 Behaviors
(Moderate Experience)
Utilizes software tools and applications to forecast our annual budget accurately.
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Level 4 Behaviors
(Extensive Experience)
Provides in-depth training to our entire organization about the zero based budgeting methodology.
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Level 5 Behaviors
(Mastery)
Forecasts asset needs to leverage available inventory and data compilation for annual budgeting.
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3
Claims Manager
- Skill and Competency
Proficiency Level - 3
4
Skill and Competency -
Claims Manager
Proficiency Level - 4
5
Competency for -
Claims Manager
Proficiency Level - 5
Summary of Claims Manager skills and competencies
There are 10 hard skills for Claims Manager, Insurance Industry, Insurance Legal and Regulatory Environment, Insurance Products, etc.
0 general skills for Claims Manager.
11 soft skills for Claims Manager, 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, he or she needs to be skilled in Standard Operating Procedures (SOP), be proficient in Budgeting, and be skilled in Risk Management.
0 general skills for Claims Manager.
11 soft skills for Claims Manager, 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, he or she needs to be skilled in Standard Operating Procedures (SOP), be proficient in Budgeting, and be skilled in Risk Management.
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