Insurance Claims Clerks
Also called: Claim Processing Specialist, Claims Processor, Claims Representative, Claims Technician
Produced by CareerOneStop
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Insurance is a safety net most people rely on. Helping to make sure that safety net is in proper order is the job of insurance claims and policy processing clerks. They organize information and documents to keep insurance policies updated and help resolve claims. Policy processing clerks take in new policy applications and make changes to update existing policies. They also review applications to make sure all questions have been answered. The average day includes lots of communication with agents, applicants, policy holders and insurance carriers. Insurance claims clerks need to collect information about claims, compile reports, and send them on to a claims representative to determine what the settlement will be. People in both of these roles need to be detail-oriented, since errors could jeopardize a customer’s coverage just when it’s most needed. A high school diploma or equivalent, and strong typing and computer skills, is required for most insurance claims and policy processing clerks. Some employers may expect some college coursework, an associate’s degree, or more extensive on-the-job experience. And a background in customer service will help you succeed in this industry that relies on excellent relationships with customers.
What they do:Obtain information from insured or designated persons for purpose of settling claim with insurance carrier.
On the job, you would:
- Enter claims information into database systems.
- Prepare insurance claim forms or related documents and review them for completeness.
- Calculate amount of claim.
- customer service
- administrative services
Arts and Humanities
- English language
Engineering and Technology
- computers and electronics
Math and Science
- arithmetic, algebra, geometry, calculus, or statistics
- listening to others, not interrupting, and asking good questions
- reading work related information
- noticing a problem and figuring out the best way to solve it
- communicate by speaking
- listen and understand what people say
Ideas and Logic
- order or arrange things
- notice when problems happen
People interested in this work like activities that include data, detail, and regular routines.
They do well at jobs that need:
- Attention to Detail
- Self Control
- Concern for Others
You might use software like this on the job:
Data base user interface and query software