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%
$79,738
TOTAL 50%
$84,148
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)
Explains how reinsurance aids in meeting the long-term debts and financial obligations of a business.
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Level 2 Behaviors
(Light Experience)
Locates resources to acquire updates regarding market shifts and regulatory changes in insurance.
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Level 3 Behaviors
(Moderate Experience)
Prepares insurance plans based on client needs to minimize financial risk or losses during uncertain events.
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Level 4 Behaviors
(Extensive Experience)
Monitors industry changes to improve the strategic directions of insurance operations.
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Level 5 Behaviors
(Mastery)
Develops strategic methods for selling insurance policies to increase the profit of our organization.
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2
Industry Competency –
Insurance Legal and Regulatory Environment
Proficiency Level -2
Level 1 Behaviors
(General Familiarity)
Describes the importance of compliance programs in maintaining an insurance legal and regulatory environment.
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Level 2 Behaviors
(Light Experience)
Documents compliance complaints to track and escalate possible legal violations and ensure prompt resolution.
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Level 3 Behaviors
(Moderate Experience)
Executes market conduct exams to verify the adherence of insurance operations to laws and regulations.
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Level 4 Behaviors
(Extensive Experience)
Reviews root causes of regulatory deficiencies to create corrective action plans and ensure adherence.
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Level 5 Behaviors
(Mastery)
Develops an insurance regulatory framework to promote consumers' protection and achieve policy objectives.
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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)
Performs the electronic payment processing of transactions for our business.
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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)
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 –
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)
Partners with risk owners to drive risk mitigation by highlighting areas in need of remediation.
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Level 4 Behaviors
(Extensive Experience)
Evaluates the performance of the current risk management framework; suggests enhancements and alternative solutions.
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Level 5 Behaviors
(Mastery)
Establishes policies, procedures, and best practices to guide the risk management activities.
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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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