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Claims Representative
Published
Competency-Based Apprenticeship
Industries
O*Net Code
43-9041.00
Rapids Code
Req. Hours
0
State
CO
Created
Jul 16, 2021
Updated
Jul 16, 2021
Competency-Based Skills
7 skill sets | 7 total skills
Customer Service/ Service Orientation
Understands principles and processes for providing customer services. This includes customer needs assessment, meeting quality standards for services, approaching conversations with empathy, managing conflict, and keeping customers informed.
Insurance Claims Principles and Practice
Knows and understands the core principles of insurance and can apply to operations.
Claims Handling
Uses company processes and state policies to facilitate claims processing for policyholders by gathering or requesting information, managing records, corresponding with stakeholders to manage and resolve open claims, identifying compensability red flags, and approving payments.
Confidential Information Handling
Ensures the privacy of client data and confidential situations at all times.
Claims Systems
Effectively uses the claims system to perform essential job functions.
Data Literacy
Reads, aggregates, distills, and disseminates internal and external data to perform essential job functions.
Data Analysis
Analyzes and processes complex data for core business operations. Identifies the underlying principles, reasons, and facts of data sets. Breaks down information or data into separate parts.
