Skills & Competencies for Top Claims Executive
Top Claims Executive job profile
Book a Demo and Receive a Sample Job ProfileJOB 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
8 hard skills or competencies (industry competencies) for Top Claims Executive
1
Industry Competency –
Insurance Industry
Proficiency Level -3
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 -4
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
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
Level 1 Behaviors
(General Familiarity)
Describes the concepts and principles of budgeting operations.
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Level 2 Behaviors
(Light Experience)
Gathers data from financial statements to help create budget plans and improve budgeting strategies.
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Level 3 Behaviors
(Moderate Experience)
Implements strategic operational efficiencies and techniques for conducting successful budgeting.
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Level 4 Behaviors
(Extensive Experience)
Determines system capabilities and needs to improve the process for financial budgeting.
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Level 5 Behaviors
(Mastery)
Develops financial models to support the strategic improvement of our budgeting processes.
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2
Core Competencies –
Risk Management
Proficiency Level -4
Level 1 Behaviors
(General Familiarity)
Obtains internal and external educational resources on risk management.
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Level 2 Behaviors
(Light Experience)
Generates the period risk status report from the system and distributes it to stakeholders.
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Level 3 Behaviors
(Moderate Experience)
Recommends methods to control or reduce risks based on assessment results.
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Level 4 Behaviors
(Extensive Experience)
Leads root cause analysis of risk events to establish an effective feedback process.
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Level 5 Behaviors
(Mastery)
Forecasts changes in industry regulations and laws to control and minimize regulatory risk.
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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.
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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