Insurance Claims & Policy Processing Clerks

Also Called: Claim Processing Specialist, Claims Processor, Claims Representative, Insurance Analyst

What Insurance Claims & Policy Processing Clerks do

Process new insurance policies, modifications to existing policies, and claims forms. Obtain information from policyholders to verify the accuracy and completeness of information on claims forms, applications and related documents, and company records. Update existing policies and company records to reflect changes requested by policyholders and insurance company representatives.

  • Prepare insurance claim forms or related documents and review them for completeness.
  • Calculate amount of claim.
  • Post or attach information to claim file.
Industry Areas:

Finance and Business Health Care Transportation

Expand For Additional Details

Work Context

  • Electronic Mail
  • Spend Time Sitting
  • Telephone
  • Importance of Being Exact or Accurate
  • Importance of Repeating Same Tasks

Tools

  • Desktop calculator
  • Dictation machines
  • Desktop computers
  • Personal computers

Technology

Data base user interface and query software
Data entry software
Microsoft Access
Instant messaging software
GroupMe
Medical software
Healthcare common procedure coding system HCPCS
Medical condition coding software

The Education & Training You Need

Skills

  • Active Listening
  • Reading Comprehension
  • Speaking
  • Critical Thinking
  • Writing

Knowledge

Business
customer service
administrative services
Arts and Humanities
English language
Engineering and Technology
computers and electronics

Experience

Some previous work-related skill, knowledge, or experience is usually needed. For example, a teller would benefit from experience working directly with the public.

What are your training options on the pathway to this occupation?

Are You a Good Fit?

Occupation Traits

Work Styles

  • Attention to Detail
  • Integrity
  • Dependability
  • Cooperation
  • Self Control
  • Independence

Values

  • Relationships
  • Support
  • Independence

Abilities

  • Verbal
  • Ideas and Logic

This is what Insurance Claims & Policy Processing Clerks across the country typically make.

$17.07 / hour
$35,510 /year

Entry Level

$22.55 / hour
$46,900 /year

Median Level

$32.87 / hour
$68,370 /year

Experienced Level

Income information reflects a regional average.
Income information reflects a national average.

This career’s National Job Outlook is

Below Average

Please be sure to verify the outlook of this occupation with your instructor.

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