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%
$81,401
TOTAL 50%
$85,585
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)
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
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)
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 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 empathetic language in creating personalized and memorable customer interaction.
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Level 2 Behaviors
(Light Experience)
Follows the regulations and policies governing customer interactions.
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Level 3 Behaviors
(Moderate Experience)
Handles employee-to-customer interactions to maximize the overall customer experience.
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Level 4 Behaviors
(Extensive Experience)
Engages with customers to ensure positive interaction and build strong relationships.
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Level 5 Behaviors
(Mastery)
Develops strategies to improve customer interactions and achieve maximum customer satisfaction.
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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 importance of customer relations in delivering good customer service.
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Level 2 Behaviors
(Light Experience)
Reports customer escalations to identify and mitigate negative impacts on customer relations.
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Level 3 Behaviors
(Moderate Experience)
Handles customer issues and concerns effectively to maximize customer satisfaction and relations.
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Level 4 Behaviors
(Extensive Experience)
Facilitates strategic customer relationships to uncover and meet customer expectations.
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Level 5 Behaviors
(Mastery)
Creates best practices to balance customer needs with our interests to create positive relationships.
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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)
Discusses the strengths and weaknesses of our products and services.
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Level 2 Behaviors
(Light Experience)
Explains advantages and disadvantages of different organizational structures from an efficiency perspective.
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Level 3 Behaviors
(Moderate Experience)
Communicates financial insights that positively influence the business plan development process.
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Level 4 Behaviors
(Extensive Experience)
Evaluates and explains the financial aspects of a business initiative to different teams.
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Level 5 Behaviors
(Mastery)
Champions organizational change and digital transformation to drive higher business performance.
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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)
Asks the right questions to ensure clarity on business goals and requirements.
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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)
Determines and prioritizes the sequence of steps for a specific situation.
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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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