Skills & Competencies for Top Claims Executive

Top Claims Executive job profile

JOB SUMMARY for Top Claims Executive

Plans and directs all aspects of an organization's insurance claims function.

JOB RESPONSIBILITIES for Top Claims Executive

Responsible for managing and implementing claims programs for all lines of insurance. Directs the review and settlement of complex or high dollar claims. Develops procedures and policies to enhance and improve the processing, investigation, and settlement of claims. Ensures legal examinations are made when appropriate.

Top Claims Executive SALARY RANGE

BASE 50%
$239,890
TOTAL 50%
$307,573
Job Level
M05
Job Code
EX05000106
Education/Degree
Bachelor's Degree
Reports To
Top Management

Top Claims Executive 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 Top Claims Executive skill and competencie below to view definitions.

8 hard skills or competencies (industry competencies) for Top Claims Executive

1 Industry Competency – Insurance Industry
Proficiency Level -3
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)
Identifies the key legislation and regulations governing insurance contracts.
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Level 2 Behaviors
(Light Experience)
Records and maintains insurance policy and claims information in a database system.
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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 -4
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 Top Claims Executive - Skill and Competency
Proficiency Level - 3
4 Skill and Competency - Top Claims Executive
Proficiency Level - 4
5 Competency for - Top Claims Executive
Proficiency Level - 5

9 soft skills or competencies (core competencies) for Top Claims Executive

1 Core Competencies – Budgeting
Proficiency Level -4
Skill definition-Applying specific policies, tools and practices to plan and prepare projected revenues, expenses, cash flows, and capital expenditures.
Level 1 Behaviors
(General Familiarity)
Explains the importance of budget reporting and forecasting in our workplace.
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Level 2 Behaviors
(Light Experience)
Supplies supporting information and justification for major line items.
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Level 3 Behaviors
(Moderate Experience)
Utilizes software tools and applications to forecast our annual budget accurately.
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Level 4 Behaviors
(Extensive Experience)
Provides in-depth training to our entire organization about the zero based budgeting methodology.
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Level 5 Behaviors
(Mastery)
Forecasts asset needs to leverage available inventory and data compilation for annual budgeting.
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2 Core Competencies – Risk Management
Proficiency Level -4
Skill definition-The identification, evaluation, and prioritization of various risks, followed by controlling practices to minimize any adverse impact.
Level 1 Behaviors
(General Familiarity)
Obtains internal and external educational resources on risk management.
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Level 2 Behaviors
(Light Experience)
Logs and updates data in the risk information management system.
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Level 3 Behaviors
(Moderate Experience)
Researches and suggests enhancements of risk management tools to improve efficiency.
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Level 4 Behaviors
(Extensive Experience)
Monitors the implementation of risk policies and programs to ensure consistency.
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Level 5 Behaviors
(Mastery)
Keeps abreast of market trends and their effect on internal risk management.
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3 Top Claims Executive - Skill and Competency
Proficiency Level - 3
4 Skill and Competency - Top Claims Executive
Proficiency Level - 4
5 Competency for - Top Claims Executive
Proficiency Level - 5

Summary of Top Claims Executive skills and competencies

There are 8 hard skills for Top Claims Executive, Insurance Industry, Insurance Legal and Regulatory Environment, Insurtech, etc.
0 general skills for Top Claims Executive.
9 soft skills for Top Claims Executive, Budgeting, Risk Management, Planning and Organizing, etc.
While the list totals 17 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 Top Claims Executive, he or she needs to be skilled in Budgeting, be skilled in Risk Management, and be skilled in Planning and Organizing.

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