Skills & Competencies for Top Claims Executive

Top Claims Executive job profile

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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.
INDUSTRY COMPETENCIES CORE COMPETENCIES
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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)
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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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)
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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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)
Compiles a list of basic issues and risks for conducting our budget processes.
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Level 2 Behaviors
(Light Experience)
Applies established guidelines for conducting our budgeting processes.
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Level 3 Behaviors
(Moderate Experience)
Communicates budget objectives and plans to help identify financial trends and create budget forecasts.
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Level 4 Behaviors
(Extensive Experience)
Anticipates organizational income and expenses to make forecasts and develop budget plans.
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Level 5 Behaviors
(Mastery)
Adapts relevant industry trends on techniques in financial budgeting in our organization.
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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)
Discusses the difficulties and challenges in risk management.
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Level 2 Behaviors
(Light Experience)
Assists in assessing, selecting, and implementing risk management tools.
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Level 3 Behaviors
(Moderate Experience)
Ensures timely communication of critical risks and proposed response plans with all levels of stakeholders.
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Level 4 Behaviors
(Extensive Experience)
Consults on the integration of risk management with business and operation practices.
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Level 5 Behaviors
(Mastery)
Champions the adoption of the latest risk management tools and technologies to optimize efficiency while controlling cost.
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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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