Skills & Competencies for Claims Supervisor II
Claims Supervisor II job profile
Book a Demo and Receive a Sample Job ProfileJOB SUMMARY for Claims Supervisor II
Supervises most activities in the claims department.
JOB RESPONSIBILITIES for Claims Supervisor II
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 be responsible for reviewing and processing highly complex or high-value claims. May assist in training Property and Casualty Claims Examiners and Adjusters.
Claims Supervisor II SALARY RANGE
BASE 50%
$97,324
TOTAL 50%
$104,765
Job Level
M00
Job Code
FA06000303
Education/Degree
Bachelor's Degree
Reports To
Manager or Head of a Unit/Department
Claims Supervisor II Skills and Competencies List
9 hard skills or competencies (industry competencies) for Claims Supervisor II
1
Industry Competency –
Insurance Industry
Proficiency Level -2
Level 1 Behaviors
(General Familiarity)
Describes the processes and rate standards for calculating the amount for insurance claims.
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Level 2 Behaviors
(Light Experience)
Gathers clients' financial information for the preparation of insurance contracts.
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Level 3 Behaviors
(Moderate Experience)
Performs thorough investigation and analysis of insurance claims to prevent fraudulent activities.
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Level 4 Behaviors
(Extensive Experience)
Leads the digitization and automation of insurance-related services to drive business transformation.
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Level 5 Behaviors
(Mastery)
Develops loss control practices to reduce financial exposure and risks in insurance operations.
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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 II
- Skill and Competency
Proficiency Level - 3
4
Skill and Competency -
Claims Supervisor II
Proficiency Level - 4
5
Competency for -
Claims Supervisor II
Proficiency Level - 5
1 general skill or competency (Job family competency) for Claims Supervisor II
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)
Partners with the relevant departments to provide support matters 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 II
- Skill and Competency
Proficiency Level - 3
4
Skill and Competency -
Claims Supervisor II
Proficiency Level - 4
5
Competency for -
Claims Supervisor II
Proficiency Level - 5
11 soft skills or competencies (core competencies) for Claims Supervisor II
1
Core Competencies –
Standard Operating Procedures (SOP)
Proficiency Level -2
Level 1 Behaviors
(General Familiarity)
Describes the purposes and benefits of Standard Operating Procedures (SOP).
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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 -3
Level 1 Behaviors
(General Familiarity)
Illustrates the necessity and benefits of active 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 II
- Skill and Competency
Proficiency Level - 3
4
Skill and Competency -
Claims Supervisor II
Proficiency Level - 4
5
Competency for -
Claims Supervisor II
Proficiency Level - 5
Summary of Claims Supervisor II skills and competencies
There are 9 hard skills for Claims Supervisor II, Insurance Industry, Insurance Legal and Regulatory Environment, Insurance Products, etc.
1 general skills for Claims Supervisor II, Payment Processing.
11 soft skills for Claims Supervisor II, Standard Operating Procedures (SOP), Risk Management, Planning and Organizing, 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 Supervisor II, he or she needs to be proficient in Standard Operating Procedures (SOP), be skilled in Risk Management, and be proficient in Planning and Organizing.
1 general skills for Claims Supervisor II, Payment Processing.
11 soft skills for Claims Supervisor II, Standard Operating Procedures (SOP), Risk Management, Planning and Organizing, 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 Supervisor II, he or she needs to be proficient in Standard Operating Procedures (SOP), be skilled in Risk Management, and be proficient in Planning and Organizing.
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