Skills & Competencies for Disability Claims Examiner, Sr.

Disability Claims Examiner, Sr. job profile

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JOB SUMMARY for Disability Claims Examiner, Sr.

Reviews, evaluates and processes disability insurance claims according to procedure and practice.

JOB RESPONSIBILITIES for Disability Claims Examiner, Sr.

Examines claims material to ensure insurance coverage and validity. Has contact with agents, claimants, and policy holders.

Disability Claims Examiner, Sr. SALARY RANGE

BASE 50%
$63,538
TOTAL 50%
$65,548
Job Level
P02
Job Code
FA06000843
Education/Degree
Bachelor's Degree
Reports To
Supervisor/Manager

Disability Claims Examiner, Sr. Skills and Competencies List

Proficiency Levels and Behavioural Indicators
Salary.com identifies five increasing levels of proficiency for each skill/competency. Some jobs require only a relatively low level of proficiency in each skill/competency, while other jobs will require a more advanced level of proficiency in the same skill/competency. These levels rate the degree of proficiency (skill level, expertise) we expect the incumbent to perform in the given skill/competency for the given job. Note that we intentionally do not associate timeframes or years of experience in performing the skill/competency because that can be misleading. Proficiency levels identify what the incumbent knows and can do rather than how long they have been doing it. Also, note that the proficiency levels are cumulative, e.g., a level 4 proficiency implies the ability to perform all the behaviors at the lower levels.
Check each Disability Claims Examiner, Sr. skill and competencie below to view definitions.
INDUSTRY COMPETENCIES CORE COMPETENCIES
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10 hard skills or competencies (industry competencies) for Disability Claims Examiner, Sr.

1 Industry Competency – Insurance Industry
Proficiency Level -2
Skill definition-Applying knowledge of the insurance industry to provide risk management services and protection to various individuals from financial loss.
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)
Utilizes various tools and technologies to optimize insurance claims turnaround cycles.
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Level 4 Behaviors
(Extensive Experience)
Provides recommendations for improving methods and procedures to enhance insurance claims handling.
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Level 5 Behaviors
(Mastery)
Leads the deployment of strategic approaches to address complex insurance risk management programs.
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2 Industry Competency – Insurance Legal and Regulatory Environment
Proficiency Level -2
Skill definition-Creating, executing, and adhering to state and federal laws governing insurance operations to ensure financial security and consumer protection.
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 Disability Claims Examiner, Sr. - Skill and Competency
Proficiency Level - 3
4 Skill and Competency - Disability Claims Examiner, Sr.
Proficiency Level - 4
5 Competency for - Disability Claims Examiner, Sr.
Proficiency Level - 5

10 soft skills or competencies (core competencies) for Disability Claims Examiner, Sr.

1 Core Competencies – Gathering Information
Proficiency Level -2
Skill definition-Accumulating necessary information from various resources to clarify the situation or make an informed business decision.
Level 1 Behaviors
(General Familiarity)
Lists the principles and procedures of gathering information.
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Level 2 Behaviors
(Light Experience)
Determines the source of information to verify its reliability.
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Level 3 Behaviors
(Moderate Experience)
Uses survey results to identify areas that need improvement within our business.
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Level 4 Behaviors
(Extensive Experience)
Recommends improvement of our business's records retention program.
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Level 5 Behaviors
(Mastery)
Generates innovative plans for curating and managing gathered information from different sources.
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2 Core Competencies – Standard Operating Procedures (SOP)
Proficiency Level -2
Skill definition-A set of written instructions that describes the step-by-step activities to complete tasks in compliance with business standards and industry regulations.
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)
Modifies SOPs accordingly to reflect changes in our business practices and policies.
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Level 4 Behaviors
(Extensive Experience)
Optimizes the current SOP development and implementation processes.
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Level 5 Behaviors
(Mastery)
Leads cross-functional efforts to develop and implement SOPs across our organization.
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3 Disability Claims Examiner, Sr. - Skill and Competency
Proficiency Level - 3
4 Skill and Competency - Disability Claims Examiner, Sr.
Proficiency Level - 4
5 Competency for - Disability Claims Examiner, Sr.
Proficiency Level - 5

Summary of Disability Claims Examiner, Sr. skills and competencies

There are 10 hard skills for Disability Claims Examiner, Sr., Insurance Industry, Insurance Legal and Regulatory Environment, Health Insurance, etc.
0 general skills for Disability Claims Examiner, Sr..
10 soft skills for Disability Claims Examiner, Sr., Gathering Information, Standard Operating Procedures (SOP), Risk Management, etc.
While the list totals 20 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 Disability Claims Examiner, Sr., he or she needs to be proficient in Gathering Information, be proficient in Standard Operating Procedures (SOP), and be proficient in Risk Management.

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