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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.
Also Known As:
Claims Adjudicator
Claims Analyst
Claims Clerk
Claims Customer Service Representative (Claims CSR)
Claims Processor
Claims Representative (Claims Rep)
Claims Technician (Claims Tech)
Insurance Analyst
Policy Analyst
Underwriting Assistant
Wages
Annual wages for Insurance Claims and Policy Processing Clerks in United States
Job Outlook
Below Average
New job opportunities are less likely in the future
United States
2034 Projected Employment
247,200
-4% Change From 2024
Explore Insurance Claims and Policy Processing Clerks video
Tasks you might complete in a day.
- Notify insurance agent and accounting department of policy cancellation.
- Review and verify data, such as age, name, address, and principal sum and value of property, on insurance applications and policies.
- Obtain computer printout of policy cancellations, or retrieve cancellation cards from file.
- Transcribe data to worksheets, and enter data into computer for use in preparing documents and adjusting accounts.
- Prepare insurance claim forms or related documents, and review them for completeness.
- Review insurance policy to determine coverage.
- Transmit claims for payment or further investigation.
- Provide customer service, such as limited instructions on proceeding with claims or referrals to auto repair facilities or local contractors.
- Prepare insurance claim forms or related documents, and review them for completeness.
- Process and record new insurance policies and claims.
- Calculate amount of claim.
- Organize or work with detailed office or warehouse records, using computers to enter, access, search or retrieve data.
- Compare information from application to criteria for policy reinstatement, and approve reinstatement when criteria are met.
- Collect initial premiums and issue receipts.
- Examine letters from policyholders or agents, original insurance applications, and other company documents to determine if changes are needed and effects of changes.
- Post or attach information to claim file.
- Correspond with insured or agent to obtain information or to inform them of account status or changes.
- Interview clients and take their calls to provide customer service and obtain information on claims.
- Compose business correspondence for supervisors, managers, and professionals.
- Pay small claims.
- Contact insured or other involved persons to obtain missing information.
- Process, prepare, and submit business or government forms, such as submitting applications for coverage to insurance carriers.
- Interview clients and take their calls to provide customer service and obtain information on claims.
Subject areas you may need to master.
- Administrative - Knowledge of administrative and office procedures and systems such as word processing, managing files and records, stenography and transcription, designing forms, and workplace terminology.
- Economics and Accounting - Knowledge of economic and accounting principles and practices, the financial markets, banking, and the analysis and reporting of financial data.
- Computers and Electronics - Knowledge of circuit boards, processors, chips, electronic equipment, and computer hardware and software, including applications and programming.
- Mechanical - Knowledge of machines and tools, including their designs, uses, repair, and maintenance.
- Personnel and Human Resources - Knowledge of principles and procedures for personnel recruitment, selection, training, compensation and benefits, labor relations and negotiation, and personnel information systems.
- Design - Knowledge of design techniques, tools, and principles involved in production of precision technical plans, blueprints, drawings, and models.
- Sales and Marketing - Knowledge of principles and methods for showing, promoting, and selling products or services. This includes marketing strategy and tactics, product demonstration, sales techniques, and sales control systems.
- Telecommunications - Knowledge of transmission, broadcasting, switching, control, and operation of telecommunications systems.
- Medicine and Dentistry - Knowledge of the information and techniques needed to diagnose and treat human injuries, diseases, and deformities. This includes symptoms, treatment alternatives, drug properties and interactions, and preventive health-care measures.
- Chemistry - Knowledge of the chemical composition, structure, and properties of substances and of the chemical processes and transformations that they undergo. This includes uses of chemicals and their interactions, danger signs, production techniques, and disposal methods.
- Education and Training - Knowledge of principles and methods for curriculum and training design, teaching and instruction for individuals and groups, and the measurement of training effects.
- Biology - Knowledge of plant and animal organisms, their tissues, cells, functions, interdependencies, and interactions with each other and the environment.
- Sociology and Anthropology - Knowledge of group behavior and dynamics, societal trends and influences, human migrations, ethnicity, cultures, and their history and origins.
- History and Archeology - Knowledge of historical events and their causes, indicators, and effects on civilizations and cultures.
- Transportation - Knowledge of principles and methods for moving people or goods by air, rail, sea, or road, including the relative costs and benefits.
- Psychology - Knowledge of human behavior and performance; individual differences in ability, personality, and interests; learning and motivation; psychological research methods; and the assessment and treatment of behavioral and affective disorders.
- Geography - Knowledge of principles and methods for describing the features of land, sea, and air masses, including their physical characteristics, locations, interrelationships, and distribution of plant, animal, and human life.
- Food Production - Knowledge of techniques and equipment for planting, growing, and harvesting food products (both plant and animal) for consumption, including storage/handling techniques.
- Customer and Personal Service - Knowledge of principles and processes for providing customer and personal services. This includes customer needs assessment, meeting quality standards for services, and evaluation of customer satisfaction.
- Mathematics - Knowledge of arithmetic, algebra, geometry, calculus, statistics, and their applications.
- Administration and Management - Knowledge of business and management principles involved in strategic planning, resource allocation, human resources modeling, leadership technique, production methods, and coordination of people and resources.
- Production and Processing - Knowledge of raw materials, production processes, quality control, costs, and other techniques for maximizing the effective manufacture and distribution of goods.
- Physics - Knowledge and prediction of physical principles, laws, their interrelationships, and applications to understanding fluid, material, and atmospheric dynamics, and mechanical, electrical, atomic and sub-atomic structures and processes.
- Building and Construction - Knowledge of materials, methods, and the tools involved in the construction or repair of houses, buildings, or other structures such as highways and roads.
- Engineering and Technology - Knowledge of the practical application of engineering science and technology. This includes applying principles, techniques, procedures, and equipment to the design and production of various goods and services.
- English Language - Knowledge of the structure and content of the English language including the meaning and spelling of words, and rules of composition and grammar.
- Fine Arts - Knowledge of the theory and techniques required to compose, produce, and perform works of music, dance, visual arts, drama, and sculpture.
- Communications and Media - Knowledge of media production, communication, and dissemination techniques and methods. This includes alternative ways to inform and entertain via written, oral, and visual media.
- Therapy and Counseling - Knowledge of principles, methods, and procedures for diagnosis, treatment, and rehabilitation of physical and mental dysfunctions, and for career counseling and guidance.
- Foreign Language - Knowledge of the structure and content of a foreign (non-English) language including the meaning and spelling of words, rules of composition and grammar, and pronunciation.
- Law and Government - Knowledge of laws, legal codes, court procedures, precedents, government regulations, executive orders, agency rules, and the democratic political process.
- Philosophy and Theology - Knowledge of different philosophical systems and religions. This includes their basic principles, values, ethics, ways of thinking, customs, practices, and their impact on human culture.
- Public Safety and Security - Knowledge of relevant equipment, policies, procedures, and strategies to promote effective local, state, or national security operations for the protection of people, data, property, and institutions.
Strengths you may need in this role.
- Quality Control Analysis - Testing how well a product or service works.
- Judgment and Decision Making - Thinking about the pros and cons of different options and picking the best one.
- Monitoring - Keeping track of how well people and/or groups are doing in order to make improvements.
- Operations Analysis - Figuring out what a product or service needs to be able to do.
- Reading Comprehension - Reading work-related information.
- Negotiation - Bringing people together to solve differences.
- Programming - Writing computer programs.
- Active Learning - Figuring out how to use new ideas or things.
- Speaking - Talking to others.
- Management of Financial Resources - Making spending decisions and keeping track of what is spent.
- Management of Material Resources - Managing equipment and materials.
- Time Management - Managing your time and the time of other people.
- Writing - Writing things for co-workers or customers.
- Repairing - Repairing machines or systems using the right tools.
- Operation and Control - Using equipment or systems.
- Operations Monitoring - Watching gauges, dials, or display screens to make sure a machine is working.
- Mathematics - Using math to solve problems.
- Persuasion - Talking people into changing their minds or their behavior.
- Installation - Installing equipment, machines, wiring, or computer programs.
- Troubleshooting - Figuring out what is causing equipment, machines, wiring, or computer programs to not work.
- Critical Thinking - Thinking about the pros and cons of different ways to solve a problem.
- Instructing - Teaching people how to do something.
- Learning Strategies - Using the best training or teaching strategies for learning new things.
- Complex Problem Solving - Noticing a problem and figuring out the best way to solve it.
- Systems Evaluation - Measuring how well a system is working and how to improve it.
- Science - Using scientific rules and strategies to solve problems.
- Management of Personnel Resources - Selecting and managing the best workers for a job.
- Equipment Maintenance - Planning and doing the basic maintenance on equipment.
- Systems Analysis - Figuring out how a system should work and how changes in the future will affect it.
- Active Listening - Listening to others, not interrupting, and asking good questions.
- Social Perceptiveness - Understanding people's reactions.
- Technology Design - Making equipment and technology useful for customers.
- Coordination - Changing what is done based on other people's actions.
- Equipment Selection - Deciding what kind of tools and equipment are needed to do a job.
- Service Orientation - Looking for ways to help people.
- Written Comprehension - Reading and understanding what is written.
- Memorization - Remembering words, numbers, pictures, or steps.
- Wrist-Finger Speed - Making fast, simple, repeated movements of your fingers, hands, and wrists.
- Oral Comprehension - Listening and understanding what people say.
- Inductive Reasoning - Making general rules or coming up with answers from lots of detailed information.
- Control Precision - Quickly changing the controls of a machine, car, truck or boat.
- Selective Attention - Paying attention to something without being distracted.
- Category Flexibility - Grouping things in different ways.
- Response Orientation - Quickly deciding if you should move your hand, foot, or other body part.
- Spatial Orientation - Knowing where things are around you.
- Explosive Strength - Jumping, sprinting, or throwing something.
- Speech Clarity - Speaking clearly.
- Extent Flexibility - Bending, stretching, twisting, or reaching with your body, arms, and/or legs.
- Gross Body Equilibrium - Keeping your balance or staying upright.
- Near Vision - Seeing details up close.
- Perceptual Speed - Quickly comparing groups of letters, numbers, pictures, or other things.
- Mathematical Reasoning - Choosing the right type of math to solve a problem.
- Rate Control - Changing when and how fast you move based on how something else is moving.
- Deductive Reasoning - Using rules to solve problems.
- Speed of Closure - Quickly knowing what you are looking at.
- Manual Dexterity - Holding or moving items with your hands.
- Time Sharing - Doing two or more things at the same time.
- Trunk Strength - Using your lower back and stomach.
- Speech Recognition - Recognizing spoken words.
- Dynamic Strength - Exercising for a long time without your muscles getting tired.
- Gross Body Coordination - Moving your arms, legs, and mid-section together while your whole body is moving.
- Visual Color Discrimination - Noticing the difference between colors, including shades and brightness.
- Oral Expression - Communicating by speaking.
- Written Expression - Communicating by writing.
- Stamina - Exercising for a long time without getting out of breath.
- Peripheral Vision - Seeing something to your side when your are looking ahead.
- Glare Sensitivity - Seeing something even if there is a glare or very bright light.
- Dynamic Flexibility - Quickly and repeatedly bending, stretching, twisting, or reaching out with your body, arms, and/or legs.
- Auditory Attention - Paying attention to one sound while there are other distracting sounds.
- Hearing Sensitivity - Telling the difference between sounds.
- Far Vision - Seeing details that are far away.
- Depth Perception - Deciding which thing is closer or farther away from you, or deciding how far away it is from you.
- Problem Sensitivity - Noticing when problems happen.
- Flexibility of Closure - Seeing hidden patterns.
- Fluency of Ideas - Coming up with lots of ideas.
- Finger Dexterity - Putting together small parts with your fingers.
- Originality - Creating new and original ideas.
- Information Ordering - Ordering or arranging things.
- Multilimb Coordination - Using your arms and/or legs together while sitting, standing, or lying down.
- Number Facility - Adding, subtracting, multiplying, or dividing.
- Reaction Time - Quickly moving your hand, finger, or foot based on a sound, light, picture or other command.
- Speed of Limb Movement - Quickly moving your arms and legs.
- Sound Localization - Noticing the direction that a sound came from.
- Static Strength - Lifting, pushing, pulling, or carrying.
- Night Vision - Seeing at night or under low light.
- Arm-Hand Steadiness - Keeping your arm or hand steady.
- Visualization - Imagining how something will look after it is moved around or changed.
Average Education Attained
Highest level of education earned by people in this career.
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Content sourced from United States Department of Labor Employment and Training Administration ("DOLETA") and the Minnesota Department of Employment & Economic Development ("DEED")