Find out the top 10 core skills you need to master as a corporate claims examiner and what hard skills you need to know to succeed in this job.
A corporate claims examiner is tasked with the primary responsibility of reviewing settled insurance claims to ensure that payments are made in the right manner following the stipulated policies. He/she reports any overpayment or underpayment given by the company to the insured and confers with the legal team on matters of litigation.
In addition, he/she can perform the following tasks: enter claim payments, reserves and new claims; resolves any complex issues that pertains to claims; maintain all claim records and files whether digital or hard copy; verify data before any claim payment is made to the insured and making any claim data accessible when needed.
Core Skills Required to be a Corporate Claims Examiner
Core skills describe a set of non-technical abilities, knowledge, and understanding that form the basis for successful participation in the workplace. Core skills enable employees to efficiently and professionally navigate the world of work and interact with others, as well as adapt and think critically to solve problems.
Core skills are often tagged onto job descriptions to find or attract employees with specific essential core values that enable the company to remain competitive, build relationships, and improve productivity.
A corporate claims examiner should master the following 10 core skills to fulfill her job properly.
Organized Workplace:
Organized Workplace is a vital characteristic that helps the business to thrive for long term due to the sense of structure and order which efficiently promotes the team spirit.
A Corporate Claims Examiner must be organized in the general organizing, planning, communication, time management, scheduling, coordinating resources and meeting deadlines to support the staff in being well structured and run the company successfully.
Negotiation Skills:
Negotiation Skills are a deliberative process by which people settle their differences through an acceptable agreement to both parties to co-exist without argument and dispute in the workplace.
A Corporate Claims Examiner must learn to resolve any disputes that arise in the workplace using the principles of fairness, seeking mutual benefit and maintaining a cordial relationship that builds a success at the workplace.
Accuracy:
Accuracy refers to the closeness of a measured value to a known value or standard that is passed by the governing laws.
A Corporate Claims Examiner has to always be accurate with figures and data used and required in the office without any guesswork or estimations to facilitate precise and correct information in every department creating an authentic environment that will be respected by the workers.
Judgment Skills:
Judgment is the ability to make a decision or form an opinion wisely especially in matters affecting action, good sense and discretion.
A Corporate Claims Examiner must be a person of good judgment with the ability to make the right decision at the right time and for right reasons especially in prioritizing the work correctly to focus on a few important things and ensure excellent results are delivered.
Multi-Tasking:
Multi-Tasking allows one to juggle and perform more than one task at a time without losing track of what you are working on or dropping the ball.
A Corporate Claims Examiner must learn the trick of multitasking and help the staff balance the competing demands of their time and energy that they are expected to handle multiple priorities every day without compromising on the effectiveness of the work done.
Strategic Planning:
Strategic Planning is organizational management activity that is used to set priorities, focus energy and resources, strengthen operations while guaranteeing that employees and other stakeholders are working towards common goals.
A Corporate Claims Examiner should be liable to develop the systematic tools to be used in the organization's processes that coordinate and align resources and actions with the mission, vision, and strategy throughout the organization.
Empathy:
Empathy is the understanding of another person's condition from their perspective by placing yourself in their shoes and feeling what they are feeling.
A Corporate Claims Examiner ought to practice empathy with his staff by learning to be a good listener and understanding what his employees are going through and choosing to feel it with them through the use of imagination and accommodate them.
Evaluating Others:
Evaluating others is the capacity to see the individuality in others and recognize a person's unique point of view.
A Corporate Claims Examiner must master the skills of evaluating others to help his staff members to identify their talents and match those talents to the proper job without trying to judge them by their actions that can create a misinterpretation of who they are.
Using Common Sense:
Using Common Sense is the ability to see what is missing in a situation or a project and supplying it without necessarily being assigned or asked to do it.
A Corporate Claims Examiner needs to creatively train his employees always to see the missing element that is typically crucial in any workplace or project and take the opportunity to do business out of it.
Analytical Skills:
Analytical Skills is the ability to collect and analyze information, solve problems and make decisions according to the policies and regulations of the business.
A Corporate Claims Examiner should hire employees who use clear, logical steps and excellent judgment to understand an issue from all angles before executing an action depending on the objective and the methodical approaches to benefit a company's productivity.
Hard Skills Required to be a Corporate Claims Examiner
Hard skills are job-specific skill sets, or expertise, that are teachable and whose presence can be tested through exams. While core skills are more difficult to quantify and less tangible, hard skills are quantifiable and more defined.
Hard skills are usually listed on an applicant's resume to help recruiters know the applicant's qualifications for the applied position. A recruiter, therefore, needs to review the applicant's resume and education to find out if he/she has the knowledge necessary to get the job done.
A corporate claims examiner should have a good command of the following hard skills to succeed in her job.