Skills & Competencies for Claims Supervisor I
Claims Supervisor I job profile
Book a Demo and Receive a Sample Job ProfileJOB SUMMARY for Claims Supervisor I
Supervises activities in the claims department.
JOB RESPONSIBILITIES for Claims Supervisor I
Leads the examination of personal and property and casualty insurance claims based on policy provisions, appraisal, and verifiable damage. Interacts with claimants and oversees the review of records and documentation to ascertain insurance coverage. Supervises settlement negotiations within authorized limits and escalates claims exceeding authorization. May conduct team training.
Claims Supervisor I SALARY RANGE
BASE 50%
$79,944
TOTAL 50%
$84,366
Job Level
S01
Job Code
FA06000302
Education/Degree
Bachelor's Degree
Reports To
Manager or Head of a Unit/Department
Claims Supervisor I Skills and Competencies List
8 hard skills or competencies (industry competencies) for Claims Supervisor I
1
Industry Competency –
Insurance Industry
Proficiency Level -2
Level 1 Behaviors
(General Familiarity)
Defines the key terminologies and components of an insurance policy.
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Level 2 Behaviors
(Light Experience)
Enters new information about insurance premiums and payments to update insurance policy records.
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Level 3 Behaviors
(Moderate Experience)
Identifies cost-effective solutions to address regulatory compliance challenges in insurance services.
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Level 4 Behaviors
(Extensive Experience)
Facilitates discussions with agents and underwriters on evolving exposures and risk management practices.
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Level 5 Behaviors
(Mastery)
Designs and executes innovative strategies and techniques to optimize the claims-handling process.
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2
Industry Competency –
Insurance Legal and Regulatory Environment
Proficiency Level -2
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 Supervisor I
- Skill and Competency
Proficiency Level - 3
4
Skill and Competency -
Claims Supervisor I
Proficiency Level - 4
5
Competency for -
Claims Supervisor I
Proficiency Level - 5
1 general skill or competency (Job family competency) for Claims Supervisor I
1
Job Family Competencies –
Payment Processing
Proficiency Level -2
Level 1 Behaviors
(General Familiarity)
Discusses various payment processing rules and regulations.
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Level 2 Behaviors
(Light Experience)
Enters relevant information into the system for accurate payment processing.
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Level 3 Behaviors
(Moderate Experience)
Provides technical information for procedures related to payment processing.
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Level 4 Behaviors
(Extensive Experience)
Ensures the accurate recording of relevant data for all payment processing transactions.
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Level 5 Behaviors
(Mastery)
Develops an organizational structure to manage the processing of invoices efficiently.
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3
Claims Supervisor I
- Skill and Competency
Proficiency Level - 3
4
Skill and Competency -
Claims Supervisor I
Proficiency Level - 4
5
Competency for -
Claims Supervisor I
Proficiency Level - 5
10 soft skills or competencies (core competencies) for Claims Supervisor I
1
Core Competencies –
Standard Operating Procedures (SOP)
Proficiency Level -2
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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2
Core Competencies –
Risk Management
Proficiency Level -2
Level 1 Behaviors
(General Familiarity)
Lists the common types of risks in a business environment.
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Level 2 Behaviors
(Light Experience)
Generates the period risk status report from the system and distributes it to stakeholders.
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Level 3 Behaviors
(Moderate Experience)
Recommends methods to control or reduce risks based on assessment results.
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Level 4 Behaviors
(Extensive Experience)
Leads root cause analysis of risk events to establish an effective feedback process.
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Level 5 Behaviors
(Mastery)
Forecasts changes in industry regulations and laws to control and minimize regulatory risk.
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3
Claims Supervisor I
- Skill and Competency
Proficiency Level - 3
4
Skill and Competency -
Claims Supervisor I
Proficiency Level - 4
5
Competency for -
Claims Supervisor I
Proficiency Level - 5
Summary of Claims Supervisor I skills and competencies
There are 8 hard skills for Claims Supervisor I, Insurance Industry, Insurance Legal and Regulatory Environment, Insurance Products, etc.
1 general skills for Claims Supervisor I, Payment Processing.
10 soft skills for Claims Supervisor I, Standard Operating Procedures (SOP), Risk Management, Planning and Organizing, etc.
While the list totals 19 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 Supervisor I, he or she needs to be proficient in Standard Operating Procedures (SOP), be proficient in Risk Management, and be proficient in Planning and Organizing.
1 general skills for Claims Supervisor I, Payment Processing.
10 soft skills for Claims Supervisor I, Standard Operating Procedures (SOP), Risk Management, Planning and Organizing, etc.
While the list totals 19 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 Supervisor I, he or she needs to be proficient in Standard Operating Procedures (SOP), be proficient in Risk Management, and be proficient in Planning and Organizing.
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