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 current systems and scope of services provided by insurance organizations.
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Level 2 Behaviors
(Light Experience)
Follows industry best practices when preparing reports that detail risk assessment findings in insurance claims.
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Level 3 Behaviors
(Moderate Experience)
Identifies cost-effective solutions to address regulatory compliance challenges in insurance services.
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Level 4 Behaviors
(Extensive Experience)
Facilitates discussions with agents and underwriters on evolving exposures and risk management practices.
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Level 5 Behaviors
(Mastery)
Designs and executes innovative strategies and techniques to optimize the claims-handling process.
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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 basic structure of insurance legal and regulatory environment.
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Level 2 Behaviors
(Light Experience)
Complies with insurance legal and regulatory principles to safeguard the rights and interests of the insured.
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Level 3 Behaviors
(Moderate Experience)
Analyzes existing legal and regulatory standards to address errors affecting insurance policies.
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Level 4 Behaviors
(Extensive Experience)
Improves legal procedures for licensing intermediaries or producers to prevent penalties.
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Level 5 Behaviors
(Mastery)
Designs compliance strategies and programs to prevent violations of statutes, regulations, and policies.
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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)
Describes the principles of customer interaction in providing exceptional customer service.
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Level 2 Behaviors
(Light Experience)
Documents customer interactions within the appropriate systems.
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Level 3 Behaviors
(Moderate Experience)
Generates ideas and actions to improve the efficiency and results of customer interaction.
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Level 4 Behaviors
(Extensive Experience)
Directs customer interaction efforts to deliver services according to customer requirements.
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Level 5 Behaviors
(Mastery)
Champions valuable customer interactions to optimize consumer insights and reduce customer churn rates.
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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)
Documents the best practices and techniques used in creating customer relations.
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Level 2 Behaviors
(Light Experience)
Collects customer feedback to measure customer satisfaction and ensure customer relations.
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Level 3 Behaviors
(Moderate Experience)
Ensures accurate and prompt responses to customer complaints to maintain optimal customer relations.
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Level 4 Behaviors
(Extensive Experience)
Determines key opportunities to build and maintain customer relationships and drive business results.
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Level 5 Behaviors
(Mastery)
Champions the adoption of advanced systems and tools to improve the development of customer relations.
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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)
Describes the market conditions that impact the business.
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Level 2 Behaviors
(Light Experience)
Collects and compiles competitor information for competitive analysis.
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Level 3 Behaviors
(Moderate Experience)
Applies technical expertise, business sense, and product knowledge to manage the product lifecycle effectively.
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Level 4 Behaviors
(Extensive Experience)
Coordinates technical and business teams to solve complex and diverse customer problems.
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Level 5 Behaviors
(Mastery)
Builds strong business partnerships internally and externally to drive "win-win" business successes.
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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)
Describes the importance of analytical thinking in the workplace.
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Level 2 Behaviors
(Light Experience)
Applies appropriate methods to organize and disclose meaningful data patterns.
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Level 3 Behaviors
(Moderate Experience)
Decomposes complex issues into several parts and solves them individually.
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Level 4 Behaviors
(Extensive Experience)
Coaches others on using logic and reasoning to process and organize information.
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Level 5 Behaviors
(Mastery)
Establishes critical training and initiatives to foster analytical thinking across our business.
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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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