Insurance Claims & Policy Processing Clerks

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



What they 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.
On the job, you would:
  • Prepare insurance claim forms or related documents and review them for completeness.
  • Calculate amount of claim.
  • Post or attach information to claim file.

Knowledge

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

Skills

Basic Skills
  • listening to others, not interrupting, and asking good questions
  • reading work related information
Problem Solving
  • noticing a problem and figuring out the best way to solve it

Abilities

Verbal
  • read and understand what is written
  • communicate by speaking
Ideas and Logic
  • order or arrange things
  • use rules to solve problems

Personality

People interested in this work like activities that include data, detail, and regular routines.
They do well at jobs that need:
  • Attention to Detail
  • Integrity
  • Dependability
  • Cooperation
  • Self Control
  • Independence

Technology

You might use software like this on the job:

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

Education

Education: (rated 2 of 5)

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usually needed

Job Outlook

Below Average Outlook
New job opportunities are less likely in the future.
Salary
$40,750
$28,380
$61,910

Explore More

What they 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.

On the job, you would:
  • Prepare insurance claim forms or related documents and review them for completeness.
  • Calculate amount of claim.
  • Post or attach information to claim file.

KNOWLEDGE

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

SKILLS

Basic Skills
  • listening to others, not interrupting, and asking good questions
  • reading work related information
Problem Solving
  • noticing a problem and figuring out the best way to solve it

ABILITIES

Verbal
  • read and understand what is written
  • communicate by speaking
Ideas and Logic
  • order or arrange things
  • use rules to solve problems

PERSONALITY

People interested in this work like activities that include data, detail, and regular routines.
They do well at jobs that need:
  • Attention to Detail
  • Integrity
  • Dependability
  • Cooperation
  • Self Control
  • Independence

TECHNOLOGY

You might use software like this on the job:

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

EDUCATION

Education: (rated 2 of 5)

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usually needed

JOB OUTLOOK

Below Average Outlook
New job opportunities are less likely in the future.
Salary
$40,750
$28,380
$61,910

EXPLORE MORE