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)
Explains the policy conditions of various insurance contracts and products.
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Level 2 Behaviors
(Light Experience)
Provides prompt responses to clients’ insurance-related questions and concerns.
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Level 3 Behaviors
(Moderate Experience)
Reviews and analyzes claim applications to determine coverage eligibility and rates.
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Level 4 Behaviors
(Extensive Experience)
Monitors market trends in insurance services to deliver improved business impacts.
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Level 5 Behaviors
(Mastery)
Establishes and enforces standards for handling claims to maximize insurance workflow efficiency.
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2
Industry Competency –
Insurance Legal and Regulatory Environment
Proficiency Level -2
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 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)
Explains the essential payment processing terms to clients and the staff.
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Level 2 Behaviors
(Light Experience)
Receives invoices from vendors for 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)
Manages the payment processing tasks for our business.
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Level 5 Behaviors
(Mastery)
Establishes and implements controls for the payment processing team.
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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)
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)
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 -3
Level 1 Behaviors
(General Familiarity)
Obtains internal and external educational resources on risk management.
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Level 2 Behaviors
(Light Experience)
Logs and updates data in the risk information management system.
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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 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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