Claims processing
Ability to apply Claims processing practices and professional judgment to deliver reliable outcomes in customer operations & contact centers contexts.
What each level means
The P1–P5 scale is shared across every skill, but what each level means changes with the skill. This is what it looks like in practice.
P1
Describes the process, controls, stakeholders and basic decisions involved in Claims processing.
P2
Executes standard Claims processing activities accurately within established controls and escalates exceptions.
P3
Owns complex Claims processing cases/processes, improves controls and coaches colleagues.
P4
Sets cross-team standards and governance for Claims processing, integrating risk, metrics and stakeholder needs.
P5
Defines enterprise strategy or external practice for Claims processing and develops other experts.
Source: PROCOMER FTZ employer benchmark