5 hard skills or competencies (industry competencies) for Enrollment & Billing Representative I
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)
Cites different types of insurance policies and describes the advantages and disadvantages of each.
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Level 2 Behaviors
(Light Experience)
Compiles insurance quotes based on customer information and rates for insurance policies.
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Level 3 Behaviors
(Moderate Experience)
Applies risk management techniques to minimize financial impacts in insurance services.
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Level 4 Behaviors
(Extensive Experience)
Contributes to the development of insurance risk mitigation strategies to drive process improvements.
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Level 5 Behaviors
(Mastery)
Builds claim roadmaps and substantiation plans in compliance with insurance risk management practices.
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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)
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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4 general skills or competencies (Job family competencies) for Enrollment & Billing Representative I
Skill definition-Transcribing information into an electronic medium such as a computer or other electronic device.
Level 1 Behaviors
(General Familiarity)
Documents key concepts and components from the data entry manual.
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Level 2 Behaviors
(Light Experience)
Compiles records to accurately enter data on record management systems.
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Level 3 Behaviors
(Moderate Experience)
Prepares for the possibility of wasting time, money, and resources by analyzing accurate and timely data.
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Level 4 Behaviors
(Extensive Experience)
Engages in the development of data entry procedures to drive successful data entry system implementation.
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Level 5 Behaviors
(Mastery)
Develops new processes, methods, and procedures to improve the accuracy of data entry services.
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Skill definition-Converting, capturing, and processing data into digital formats to allow document integration into business processes.
Level 1 Behaviors
(General Familiarity)
Explains the best practices and principles in converting documents to various electronic formats.
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Level 2 Behaviors
(Light Experience)
Collects and compiles documents from various sources for review and processing.
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Level 3 Behaviors
(Moderate Experience)
Prepares documents for processing by extracting the structure and layout of document content.
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Level 4 Behaviors
(Extensive Experience)
Monitors the processing of documents to ensure compliance with protocols and standards.
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Level 5 Behaviors
(Mastery)
Keeps abreast with the industry best practices in document processing to increase workflow efficiency.
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6 soft skills or competencies (core competencies) for Enrollment & Billing Representative I
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)
Discusses the considerations and concerns on applying SOP for the first time.
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Level 2 Behaviors
(Light Experience)
Documents the SOP drafts and outlines for final approval.
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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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Skill definition-Executing and completing a task with a high level of accuracy.
Level 1 Behaviors
(General Familiarity)
Identifies the procedures for making sure that results are mistake-free.
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Level 2 Behaviors
(Light Experience)
Processes limited amounts of detailed information with reasonable accuracy.
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Level 3 Behaviors
(Moderate Experience)
Reviews and analyzes the accuracy of data and details.
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Level 4 Behaviors
(Extensive Experience)
Designs systems to help the team organize and track details and project progress.
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Level 5 Behaviors
(Mastery)
Develops best practices for identifying and correcting errors, oversights, and omissions.
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Summary of Enrollment & Billing Representative I skills and competencies
There are 5 hard skills for Enrollment & Billing Representative I, Insurance Industry, Insurance Legal and Regulatory Environment, Enrollment and Billing Administration, etc.
4 general skills for Enrollment & Billing Representative I, Data Entry, Document Processing, Accounting, etc.
6 soft skills for Enrollment & Billing Representative I, Standard Operating Procedures (SOP), Attention to Detail, Honesty And Integrity, etc.
While the list totals 15 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 Enrollment & Billing Representative I, he or she needs to be proficient in Standard Operating Procedures (SOP), be proficient in Attention to Detail, and be proficient in Honesty And Integrity.