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)
Examines insurance applications and letters from clients to determine necessary policy changes.
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Level 4 Behaviors
(Extensive Experience)
Evaluates existing claims handling process to identify fraud and opportunities for optimization of outcomes.
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Level 5 Behaviors
(Mastery)
Champions the adoption of AI and automation technologies to streamline insurance operations.
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2
Industry Competency –
Insurance Legal and Regulatory Environment
Proficiency Level -2
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 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)
Compiles the relevant information to support payment processing.
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Level 2 Behaviors
(Light Experience)
Applies knowledge of the process of card payment processing.
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Level 3 Behaviors
(Moderate Experience)
Investigates the relevant claims to complete payment processing accurately.
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Level 4 Behaviors
(Extensive Experience)
Coordinates the relevant payment processing tasks to help resolve issues.
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Level 5 Behaviors
(Mastery)
Champions the development and execution of standards and policies to ensure secure payment processing.
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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)
Cites examples of SOP practices in our business operations.
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Level 2 Behaviors
(Light Experience)
Compiles and maintains SOPs under our current policies and directions.
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Level 3 Behaviors
(Moderate Experience)
Ensures internal SOPs are in compliance with industry standards and regulations.
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Level 4 Behaviors
(Extensive Experience)
Develops and delivers training programs to ensure our SOPs are fully communicated and adhered to.
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Level 5 Behaviors
(Mastery)
Champions the adoption of SOP to foster efficiency and consistency.
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2
Core Competencies –
Risk Management
Proficiency Level -2
Level 1 Behaviors
(General Familiarity)
Discusses the difficulties and challenges in risk management.
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Level 2 Behaviors
(Light Experience)
Compiles and maintains risk management documents to reflect the latest policies.
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Level 3 Behaviors
(Moderate Experience)
Escalates significant risks to the appropriate management to address issues.
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Level 4 Behaviors
(Extensive Experience)
Creates and updates standard operating procedures (SOP) to improve risk management efficiency and effectiveness.
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Level 5 Behaviors
(Mastery)
Constructs risk management metrics to monitor, evaluate, and improve effectiveness.
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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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