Find out the top 10 core skills you need to master as a senior claim specialist and what hard skills you need to know to succeed in this job.

A senior claim specialist determines insurance coverage and seeks to examine and resolve claims from the insured persons. He/she is also tasked with maintaining high-quality customer service and ensuring full legal compliance of all matter about claims as well as inspecting loss sites to estimate and evaluate damages appropriately.

He/she can also get to perform the following duties: determine the correct insurance coverage as per the provisions of the insurance policy, prepare claim reports through data collection and analysis, maintain high confidentiality of all claims operations, contact the insured promptly after analyzing first reports, evaluate the language of the contract and identify issues associated with coverage as well as conduct regular follow-ups on all claim payments unpaid or filed.

Core Skills Required to be a Senior Claim Specialist

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 senior claim specialist 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 Senior Claim Specialist 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 Senior Claim Specialist 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.

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 Senior Claim Specialist 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.

Managing at team:

Managing is the administration of an organization which includes activities of setting the strategy of an organization and coordinating the efforts of the employees to accomplish its objectives.

A Senior Claim Specialist must learn the art of creating corporate policy, organizing, planning, controlling and directing organization resources to achieve the aims of the policies formed while making decisions to oversee the enterprise.

Team Building:

Team Building represents various types of activities used to enhance social relations and define roles within the different teams at the workplace.

A Senior Claim Specialist ought to provide team building activities to his team to cultivate better communication, morale, motivation, productivity and help employees know each other better as well as their strengths and weaknesses to be used in building a better workplace.

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 Senior Claim Specialist 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.

Enjoyment of the Job:

Enjoyment of the Job is the ability to enjoy what you do rather than enjoying what you earn from it.

A Senior Claim Specialist needs to creatively learn of ways to motivate his employees to benefit from the workplace by matching their personality to the culture of the organization where they fit best and allowing them to explore their hidden talents to grow and mature with the team.

Evaluating Others:

Evaluating others is the capacity to see the individuality in others and recognize a person's unique point of view.

A Senior Claim Specialist 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.

Managing Details:

Managing Details is the skill of paying close attention to details of every element of your job performance to ensure nothing is overlooked.

A Senior Claim Specialist should be keen to handle every detail using strategic planning and organizational techniques that make it easy to keep track of everything that is happening in the organization consistently desiring to improve their knowledge and skills.

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 Senior Claim Specialist 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 Senior Claim Specialist

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 senior claim specialist should have a good command of the following hard skills to succeed in her job.

Senior Claim Specialist: Hard skills list

Accident Investigator
Accounting (Accounting Software)
Adjuster
Adjustment Clerk
Administrative
Analyzing Data or Information
Appraiser
Arson Investigator
Auto Claims Adjuster
Benefit Authorizer
Bodily Injury Adjuster
Building Appraiser
Business
Catastrophe Claims
Claim Adjuster
Claim Agent
Claim Approver
Claim Examiner
Claim Inspector
Claim Investigator
Claim Processor
Claim Representative
Claim Specialist
Claims Adjuster
Claims Adjustor
Claims Analyst
Claims Examiner
Claims Service Adjustor
Claims Specialist
Claims Software
Clerical
Clerical Adjuster
Compensation Adjuster
Computers
Communication
Cost and Benefits
Customer and Personal Service
Deductive Reasoning
Designing Forms
Disability Examiner
Disability Specialist
Documenting
Document management
Estimator
Evaluating information
Examiner
FDA Health Regulations
Field Adjuster
Field Liability Generalist
Finance
Financial Analysis
Fire Adjuster
General Adjuster
General Mathematics
Health Claims Examiner
Identifying Information
Independent Insurance Adjuster
Inductive Reasoning
Inspector
Interpersonal
Interrogation
Insurance Adjuster
Insurance Appraiser
Insurance Claims Adjuster
Insurance Inspector
Interviewing
Investigative
Job Estimator
Law and Government
Litigation Claim Representative
Negotiating
Management of Financial Resources
Material Damage Adjuster
Medical Claims Analyst
Medical Claims Examiner
Medical Claims Specialist
MS Excel
Multi-line Claims Adjuster
Processing Information
Property Adjuster
Property Claims Adjuster
Recording Information
Reporting
Research (detail and substantiate each aspect of the claim and other)
Residential Insurance Inspector
Resource Allocation
Salvage Determiner
Statistical Analysis
Technical and Functional Expertise
Technology
Time Management
Verbal Communication
Written Communication
Writing
Word Processor
Workers Compensation Claims Adjuster

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