Use this sample and step by step explanation for setting meaningful and inspiring employee performance goals for a home office claim specialist.

A home office claim specialist is tasked with the primary role of obtaining information from the insured person for the purpose of payment. He/she is also tasked with applying insurance rating systems and calculating amount of claims and paying of the smaller claims to the insured. Also they ensure claims irregularities are identified and resolved.

In addition to the primary role, he/she is tasked with undertaking the following roles: reviewing the insurance policy to establish coverage; transmit claims for payments or further investigation, prepare and review insurance claims form and any other related documents and contact the insured person in regards to any outstanding claim issue.

Employee Performance Goals Sample

Employee's Name: Title:
Review Period: __/__/__ to __/__/__ Employee SSN:
Work Location: Supervisor's Name:

Instructions

  1. Setting Goals: List specific goals in the space provided below each competency under "Performance Goals". Assign an appropriate timeline for each goal as well as numeric or financial terms to measure the goal.
  2. Employee Comments: The employee must comment next to each goal under "Employee Comments" with "Okay" for goals which he/she feels comfortable working with, and "Needs Clarification" for goals which he/she believes need to be discussed further. An employee who is comfortable with all the goals can sign the goals at this stage.
  3. Summary: Give a summary of the total time estimated for the employee to have achieved the goals. State action plans and specific milestones to track the goals. Any additional comments agreed between the employee and the supervisor should be noted here.
  4. Human Resources Review: Human resources personnel must confirm that the goals are specific, measurable, achievable, relevant, and time-bound. He/she must then sign the goals in the "Human Resource" section provided under "Signatures".
  5. Signatures: When discussion of the goals has been completed and consensus has been reached, sign the goals and let the employee sign too. Send the final copy to the human resources for inclusion in the employee's professional records.

Performance Goals for Next Period

Performance Goals

Employee Comments

ORGANIZED WORKPLACE:

Develop a ?to do list? plan that will be a guide in carrying out work related tasks.

Constantly maintain an organized mindset at the workplace to achieve good results.

[employee comments goal]
NEGOTIATION SKILLS:

Learn to maintain my composure in case a negotiation process gets out of hand or gets heated.

Come up with solid solutions and help other people understand my views in a clear manner.

[employee comments goal]
INTERPERSONAL SKILLS:

Always aim to develop and maintain strong and positive relationships with other people.

To always asks effective and open-ended questions to get to information that is more detailed on issues not well understood.

[employee comments goal]
EMPATHY:

Look for ways to create connections with colleagues, avoid keeping distance and show willingness to participate in their activities

Learn to treat people as being important and take them as they come and mostly be sensitive when handling their flaws and strengths

[employee comments goal]
ATTENTION TO DETAIL:

Keep track of appointments, projects, and tasks that need to be accomplished so that one is not surprised when it's time to turn them in

Always read and understand a project's needs and ask for clarification in areas that are not understood before working on it

[employee comments goal]
ENJOYMENT OF THE JOB:

Look for opportunities to change up one's routine at work in order to keep things fresh and feel more fun

Look at the bigger picture and stop focusing on minor issues at work such as making a mistake

[employee comments goal]
SELF-DISCIPLINE AND SENSE OF DUTY:

Put some rewards and penalties in place in order to direct own actions, behavior, and choices

Prioritize tasks and activities in order to know what is important and how one needs to structure own work schedule

[employee comments goal]
USING COMMON SENSE:

Lead by example; show others how to be open, thoughtful, and nonjudgmental in all situations

Take the time to learn and understand others before one decides what one thinks about someone

[employee comments goal]
MEETING MANAGEMENT:

Put extra effort in following up on all meetings and documenting all the responsibilities and tasks delegated to participants

Assign clear roles to all participants and put extra effort in making notes during a meeting

[employee comments goal]
WRITING REPORTS AND PROPOSALS:

Show willingness to learn how to prepare reports and proposals that persuade and provide information

Employ proofreading and editing techniques to improve accuracy when writing reports and proposals

[employee comments goal]

Summary

Sections 1-2: To be completed by the supervisor

Section 3: To be completed by the employee

1. Goals completed since last performance feedback

2. Goals for next period

3. Employee comments

Signatures

I acknowledge that I discussed this performance feedback with my supervisor. My signature does not mean that I agree or disagree with this appraisal.
Employee: Date:
Supervisor: Date:
Human Resources: Date:

Related Articles