Insurance Policy & Claims Specialist
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Descrizione del lavoro
Mansioni
- Process new insurance policies and claims forms.
- Obtain information from policyholders for accuracy.
- Update policies to reflect changes from stakeholders.
Descrizione del lavoro
Insurance Claims and Policy Processing Clerks
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.
The core tasks performed by insurance claims and policy processing clerks cover:
- Prepare insurance claim forms or related documents, and review them for completeness.
- Calculate amount of claim.
- Post or attach information to claim file.
- Transmit claims for payment or further investigation.
- Contact insured or other involved persons to obtain missing information.
- Review insurance policy to determine coverage.
- Process and record new insurance policies and claims.
- Organize or work with detailed office or warehouse records, using computers to enter, access, search or retrieve data.
Successful insurance claims and policy processing clerks rely on a mix of skills and domain knowledge.
These are the skills that matter most in this role, rated on an importance scale of 0 to 5:
Reading Comprehension 3.5 / 5 0 5 Time Management 3.5 / 5 0 5 Speaking 3.4 / 5 0 5 Active Listening 3.2 / 5 0 5 Critical Thinking 3.2 / 5 0 5 Coordination 3.1 / 5 0 5This career also goes by job titles like:
- Agency Service Representative (Agency Service Rep)
- Auto Claims Rep (Automotive Claims Representative)
- Auto Liability Claims Rep (Automotive Liability Claims Representative)
- Billing and Insurance Coordinator
- Bodily Injury Claims Representative (Bodily Injury Claims Rep)
- Cancellation Clerk
- Claim Representative (Claims Rep)
- Claims Adjudicator
There are roughly 939,223 insurance claims and policy processing clerks working in the United States today. Demand is forecast to grow by +4.7% over the projection horizon.
Pay can vary substantially based on experience, location, and industry.
Compensation for insurance claims and policy processing clerks vary by region. These regions lead on median pay:
Region Median annual wage Share of U.S. jobs Location quotientNew England $55,555 4.8% 1.06 Middle Atlantic $53,773 9.2% 0.65 Far Western US $53,587 14.9% 0.92 Southwest $48,912 17.0% 1.40 Plains States $48,472 7.1% 1.17 Rocky Mountains $48,286 2.2% 0.60 Great Lakes $47,443 16.1% 1.17 Southeast $45,477 27.8% 1.20The largest employers of insurance claims and policy processing clerks are concentrated in the following sectors:
Industry Employment Median annual wageFinance and Insurance 179,320 $48,980 Health Care and Social Assistance 13,520 $44,840 Management of Companies and Enterprises 9,390 $47,790 Professional, Scientific, and Technical Services 7,260 $46,960 Retail Trade 1,910 $46,090 Information 820 $35,740 Real Estate and Rental and Leasing 500 $49,270 Wholesale Trade 490 $48,470Insurance Claims and Policy Processing Clerks work in the following industries:
- Data base user interface and query software: Microsoft Access (hot technology)
- Spreadsheet software: Microsoft Excel (hot technology)
- Office suite software: Microsoft Office software (hot technology)
- Electronic mail software: Microsoft Outlook (hot technology)
- Presentation software: Microsoft PowerPoint (hot technology)
- Operating system software: Microsoft Windows (hot technology)
- Word processing software: Microsoft Word (hot technology)
The work environment for insurance claims and policy processing clerks tends to involve the following characteristics:
- Spend Time Sitting
- Telephone Conversations
- Importance of Being Exact or Accurate
- Importance of Repeating Same Tasks
Most insurance claims and policy processing clerks positions require a high school diploma or equivalent as the typical entry-level education. The role falls in Some Preparation Needed (Job Zone 2), reflecting the level of preparation typically expected.
- Claims Adjusters, Examiners, and Investigators (Supplemental)
- Compensation, Benefits, and Job Analysis Specialists (Supplemental)
- Insurance Underwriters (Supplemental)
- Tax Examiners and Collectors, and Revenue Agents (Supplemental)
- Title Examiners, Abstractors, and Searchers (Supplemental)
- Medical Records Specialists (Supplemental)
- Insurance Sales Agents (Supplemental)
- Sales Representatives of Services, Except Advertising, Insurance, Financial Services, and Travel (Supplemental)
Students preparing for insurance claims and policy processing clerks often complete programs in:
1 programs across 1 majors
- Business Support & Assistance
Statistics shown above are sourced from the following authoritative sources:
- U.S. Bureau of Labor Statistics — Occupational Employment and Wage Statistics (OEWS) for employment and wage data by state and industry.
- BLS Employment Projections for total employment and growth forecasts.
- O*NET (Occupational Information Network) for skills, knowledge, tasks, work activities, work context, technology, and education-zone data.
SOC code: 43-9041.00 (Insurance Claims and Policy Processing Clerks).
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