Insurance Claims Clerks

Course Advisor; United States; On-site; USD 35,000 - 50,000; Full time

Job summary

Course Advisor is seeking an Insurance Claims Clerk to handle claims information and provide customer service to insured individuals. This role involves data entry, preparing claims, and reviewing policies to determine coverage. Essential skills include reading comprehension, active listening, speaking, critical thinking, and strong writing capabilities. Candidates must demonstrate a service orientation and experience with various office and data entry software. Opportunities for career advancement exist given the various related job titles available.

Qualifications

• Understanding written sentences and paragraphs in work-related documents.
• Giving full attention to understand others' points and asking questions as appropriate.
• Talking to convey information effectively.
• Using logic to identify strengths and weaknesses in solutions.
• Communicating effectively in writing for the audience.
• Actively looking for ways to help people.

Responsibilities

• Enter claims information into database systems.
• Provide customer service for proceeding with claims.
• Transmit claims for payment or further investigation.
• Review insurance policy to determine coverage.
• Prepare and review insurance claim forms for completeness.
• Apply insurance rating systems.

Job description

Insurance Claims Clerk

Insurance Claims Clerk obtains information from insured or designated persons for purpose of settling claim with insurance carrier.

Daily Responsibilities

• Enter claims information into database systems.
• Provide customer service, such as limited instructions on proceeding with claims or referrals to auto repair facilities or local contractors.
• Transmit claims for payment or further investigation.
• Review insurance policy to determine coverage.
• Prepare insurance claim forms or related documents and review them for completeness.
• Apply insurance rating systems.

Essential Skills

• Reading Comprehension: Understanding written sentences and paragraphs in work related documents.
• Active Listening: Giving full attention to what other people are saying, taking time to understand the points being made, asking questions as appropriate, and not interrupting at inappropriate times.
• Speaking: Talking to others to convey information effectively.
• Critical Thinking: Using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems.
• Writing: Communicating effectively in writing as appropriate for the needs of the audience.
• Service Orientation: Actively looking for ways to help people.

Common Job Titles

• Claim Processing Specialist
• Service Advisor
• Claim Taker
• Claims Associate
• Insurance Claims Processor

Tools and Technologies

• Microsoft Excel
• Microsoft Word
• Microsoft Office
• Microsoft PowerPoint
• Web browser software
• Data entry software
• Word processing software
• Spreadsheet software
• Database software
• Medical procedure coding software
• Healthcare common procedure coding system HCPCS
• Medical condition coding software
• Billing software
• Alpha Software Alpha Five
• IBM Check Processing Control System CPSC
• St. Paul Travelers e-CARMA
• Automated information system software
• Claim processing system software