Skills & Competencies for Plan Design Specialist

Plan Design Specialist job profile

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JOB SUMMARY for Plan Design Specialist

Works closely with clients to design group health, dental and/or life insurance plans to create an overall benefit package.

JOB RESPONSIBILITIES for Plan Design Specialist

Works alongside underwriters, but is not an underwriter role. Monitors and analyzes cost trends. May handle more complex plan design.

Plan Design Specialist SALARY RANGE

BASE 50%
$81,596
TOTAL 50%
$85,789
Job Level
P02
Job Code
FA06000801
Education/Degree
Bachelor's Degree
Reports To
Supervisor or Manager

Plan Design Specialist 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 Plan Design Specialist skill and competencie below to view definitions.
INDUSTRY COMPETENCIES JOB FAMILY COMPETENCIES CORE COMPETENCIES
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8 hard skills or competencies (industry competencies) for Plan Design Specialist

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)
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
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 Plan Design Specialist - Skill and Competency
Proficiency Level - 3
4 Skill and Competency - Plan Design Specialist
Proficiency Level - 4
5 Competency for - Plan Design Specialist
Proficiency Level - 5

3 general skills or competencies (Job family competencies) for Plan Design Specialist

1 Job Family Competencies – Customer Interaction
Proficiency Level -3
Skill definition-Fostering relationships and positive communication with customers to identify their demands to gain a competitive market advantage.
Level 1 Behaviors
(General Familiarity)
Discusses the lifecycle of end-to-end customer interaction from prospect to fulfillment.
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Level 2 Behaviors
(Light Experience)
Follows up on the delivery of customer interactions to ensure continued satisfaction.
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Level 3 Behaviors
(Moderate Experience)
Implements changes to customer interaction processes to enhance our services and products.
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Level 4 Behaviors
(Extensive Experience)
Facilitates positive communication with customers to increase their retention and advocacy.
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Level 5 Behaviors
(Mastery)
Establishes quality standards governing customer interactions to drive customer touchpoints.
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2 Job Family Competencies – Customer Relations
Proficiency Level -2
Skill definition-Creating mutually beneficial relationships with customers to improve their overall experience.
Level 1 Behaviors
(General Familiarity)
Explains the process of creating and maintaining customer relationships.
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Level 2 Behaviors
(Light Experience)
Selects appropriate resources to understand customer behavior and create good relations.
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Level 3 Behaviors
(Moderate Experience)
Helps in integrating CRM applications to deliver seamless customer service.
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Level 4 Behaviors
(Extensive Experience)
Monitors performance indicators of customer relationship management to support business growth.
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Level 5 Behaviors
(Mastery)
Develops an organizational framework to efficiently manage all relations throughout our customer base.
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3 Plan Design Specialist - Skill and Competency
Proficiency Level - 3
4 Skill and Competency - Plan Design Specialist
Proficiency Level - 4
5 Competency for - Plan Design Specialist
Proficiency Level - 5

9 soft skills or competencies (core competencies) for Plan Design Specialist

1 Core Competencies – Business Acumen
Proficiency Level -2
Skill definition-Insight into our organization's business, goals, and values. Ability to design and implement initiatives that facilitate successful outcomes.
Level 1 Behaviors
(General Familiarity)
Explains our key business strategies and priorities.
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Level 2 Behaviors
(Light Experience)
Reports and communicates market and competitor status regularly to the management team.
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Level 3 Behaviors
(Moderate Experience)
Evaluates supply chain efficiency with an eye toward improving shortcomings.
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Level 4 Behaviors
(Extensive Experience)
Leverages the latest technologies and tools that enhance business analytics.
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Level 5 Behaviors
(Mastery)
Conceptualizes new and creative business initiatives to boost business growth.
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2 Core Competencies – Analytical Thinking
Proficiency Level -2
Skill definition-Gathering, organizing, and analyzing information to identify the root cause of organizational problems and develop alternative solutions accordingly.
Level 1 Behaviors
(General Familiarity)
Explains the integral role data collection plays when conducting analytical thinking.
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Level 2 Behaviors
(Light Experience)
Breaks down a specific project into lists of tasks.
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Level 3 Behaviors
(Moderate Experience)
Develops alternative solutions and compares the pros and cons.
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Level 4 Behaviors
(Extensive Experience)
Draws conclusions based upon logic and intuitive judgment.
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Level 5 Behaviors
(Mastery)
Evaluates potential risks using extensive industry knowledge when considering new opportunities.
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3 Plan Design Specialist - Skill and Competency
Proficiency Level - 3
4 Skill and Competency - Plan Design Specialist
Proficiency Level - 4
5 Competency for - Plan Design Specialist
Proficiency Level - 5

Summary of Plan Design Specialist skills and competencies

There are 8 hard skills for Plan Design Specialist, Insurance Industry, Insurance Legal and Regulatory Environment, Insurance Products, etc.
3 general skills for Plan Design Specialist, Customer Interaction, Customer Relations, Legal Document Review.
9 soft skills for Plan Design Specialist, Business Acumen, Analytical Thinking, Attention to Detail, 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 Plan Design Specialist, he or she needs to be proficient in Business Acumen, be proficient in Analytical Thinking, and be proficient in Attention to Detail.

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