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Insurance Claims and Policy Processing Clerks

It's a bright outlook for

This career will grow rapidly in the next few years.

Learn more about 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.

Related: Billing & Posting Clerks Credit Authorizers, Checkers, & Clerks Customer Service Representatives Eligibility Interviewers, Government Programs Loan Interviewers & Clerks

Industries: Finance & Insurance

Summary
Details

Correspond with insured or agent to obtain information or to inform them of account status or changes.
Contact insured or other involved persons to obtain missing information.
Review insurance policy to determine coverage.
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.
Post or attach information to claim file.
Examine letters from policyholders or agents, original insurance applications, and other company documents to determine if changes are needed and effects of changes.
Provide customer service, such as limited instructions on proceeding with claims or referrals to auto repair facilities or local contractors.
Collect initial premiums and issue receipts.
Pay small claims.
Interview clients and take their calls to provide customer service and obtain information on claims.
Interview clients and take their calls to provide customer service and obtain information on claims.
Organize or work with detailed office or warehouse records, using computers to enter, access, search or retrieve data.
Review and verify data, such as age, name, address, and principal sum and value of property, on insurance applications and policies.
Prepare insurance claim forms or related documents, and review them for completeness.
Notify insurance agent and accounting department of policy cancellation.
Process, prepare, and submit business or government forms, such as submitting applications for coverage to insurance carriers.
Transmit claims for payment or further investigation.
Compare information from application to criteria for policy reinstatement, and approve reinstatement when criteria are met.
Process and record new insurance policies and claims.
Compose business correspondence for supervisors, managers, and professionals.
Prepare insurance claim forms or related documents, and review them for completeness.
Calculate amount of claim.

Speaking
- Talking to others.
Writing
- Writing things for co-workers or customers.
Operations Monitoring
- Watching gauges, dials, or display screens to make sure a machine is working.
Complex Problem Solving
- Noticing a problem and figuring out the best way to solve it.
Operations Analysis
- Figuring out what a product or service needs to be able to do.
Science
- Using scientific rules and strategies to solve problems.
Management of Personnel Resources
- Selecting and managing the best workers for a job.
Systems Evaluation
- Measuring how well a system is working and how to improve it.
Equipment Selection
- Deciding what kind of tools and equipment are needed to do a job.
Operation and Control
- Using equipment or systems.
Coordination
- Changing what is done based on other people's actions.
Management of Material Resources
- Managing equipment and materials.
Persuasion
- Talking people into changing their minds or their behavior.
Active Listening
- Listening to others, not interrupting, and asking good questions.
Judgment and Decision Making
- Thinking about the pros and cons of different options and picking the best one.
Technology Design
- Making equipment and technology useful for customers.
Negotiation
- Bringing people together to solve differences.
Reading Comprehension
- Reading work-related information.
Time Management
- Managing your time and the time of other people.
Management of Financial Resources
- Making spending decisions and keeping track of what is spent.
Learning Strategies
- Using the best training or teaching strategies for learning new things.
Troubleshooting
- Figuring out what is causing equipment, machines, wiring, or computer programs to not work.
Repairing
- Repairing machines or systems using the right tools.
Quality Control Analysis
- Testing how well a product or service works.
Equipment Maintenance
- Planning and doing the basic maintenance on equipment.
Social Perceptiveness
- Understanding people's reactions.
Installation
- Installing equipment, machines, wiring, or computer programs.
Service Orientation
- Looking for ways to help people.
Instructing
- Teaching people how to do something.
Monitoring
- Keeping track of how well people and/or groups are doing in order to make improvements.
Critical Thinking
- Thinking about the pros and cons of different ways to solve a problem.
Programming
- Writing computer programs.
Active Learning
- Figuring out how to use new ideas or things.
Mathematics
- Using math to solve problems.
Systems Analysis
- Figuring out how a system should work and how changes in the future will affect it.

Static Strength
- Lifting, pushing, pulling, or carrying.
Finger Dexterity
- Putting together small parts with your fingers.
Wrist-Finger Speed
- Making fast, simple, repeated movements of your fingers, hands, and wrists.
Oral Comprehension
- Listening and understanding what people say.
Glare Sensitivity
- Seeing something even if there is a glare or very bright light.
Stamina
- Exercising for a long time without getting out of breath.
Spatial Orientation
- Knowing where things are around you.
Extent Flexibility
- Bending, stretching, twisting, or reaching with your body, arms, and/or legs.
Dynamic Flexibility
- Quickly and repeatedly bending, stretching, twisting, or reaching out with your body, arms, and/or legs.
Far Vision
- Seeing details that are far away.
Flexibility of Closure
- Seeing hidden patterns.
Problem Sensitivity
- Noticing when problems happen.
Speed of Limb Movement
- Quickly moving your arms and legs.
Dynamic Strength
- Exercising for a long time without your muscles getting tired.
Originality
- Creating new and original ideas.
Inductive Reasoning
- Making general rules or coming up with answers from lots of detailed information.
Memorization
- Remembering words, numbers, pictures, or steps.
Hearing Sensitivity
- Telling the difference between sounds.
Response Orientation
- Quickly deciding if you should move your hand, foot, or other body part.
Written Expression
- Communicating by writing.
Depth Perception
- Deciding which thing is closer or farther away from you, or deciding how far away it is from you.
Manual Dexterity
- Holding or moving items with your hands.
Peripheral Vision
- Seeing something to your side when your are looking ahead.
Time Sharing
- Doing two or more things at the same time.
Night Vision
- Seeing at night or under low light.
Information Ordering
- Ordering or arranging things.
Speech Clarity
- Speaking clearly.
Control Precision
- Quickly changing the controls of a machine, car, truck or boat.
Reaction Time
- Quickly moving your hand, finger, or foot based on a sound, light, picture or other command.
Trunk Strength
- Using your lower back and stomach.
Deductive Reasoning
- Using rules to solve problems.
Visualization
- Imagining how something will look after it is moved around or changed.
Gross Body Coordination
- Moving your arms, legs, and mid-section together while your whole body is moving.
Speed of Closure
- Quickly knowing what you are looking at.
Multilimb Coordination
- Using your arms and/or legs together while sitting, standing, or lying down.
Fluency of Ideas
- Coming up with lots of ideas.
Mathematical Reasoning
- Choosing the right type of math to solve a problem.
Gross Body Equilibrium
- Keeping your balance or staying upright.
Perceptual Speed
- Quickly comparing groups of letters, numbers, pictures, or other things.
Selective Attention
- Paying attention to something without being distracted.
Oral Expression
- Communicating by speaking.
Speech Recognition
- Recognizing spoken words.
Rate Control
- Changing when and how fast you move based on how something else is moving.
Near Vision
- Seeing details up close.
Category Flexibility
- Grouping things in different ways.
Visual Color Discrimination
- Noticing the difference between colors, including shades and brightness.
Auditory Attention
- Paying attention to one sound while there are other distracting sounds.
Arm-Hand Steadiness
- Keeping your arm or hand steady.
Written Comprehension
- Reading and understanding what is written.
Sound Localization
- Noticing the direction that a sound came from.
Explosive Strength
- Jumping, sprinting, or throwing something.
Number Facility
- Adding, subtracting, multiplying, or dividing.

Economics and Accounting
- Knowledge of economic and accounting principles and practices, the financial markets, banking, and the analysis and reporting of financial data.
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.
Transportation
- Knowledge of principles and methods for moving people or goods by air, rail, sea, or road, including the relative costs and benefits.
History and Archeology
- Knowledge of historical events and their causes, indicators, and effects on civilizations and cultures.
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.
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.
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.
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.
Computers and Electronics
- Knowledge of circuit boards, processors, chips, electronic equipment, and computer hardware and software, including applications and programming.
Mathematics
- Knowledge of arithmetic, algebra, geometry, calculus, statistics, and their applications.
Production and Processing
- Knowledge of raw materials, production processes, quality control, costs, and other techniques for maximizing the effective manufacture and distribution of goods.
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.
Mechanical
- Knowledge of machines and tools, including their designs, uses, repair, and maintenance.
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.
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.
Law and Government
- Knowledge of laws, legal codes, court procedures, precedents, government regulations, executive orders, agency rules, and the democratic political process.
Telecommunications
- Knowledge of transmission, broadcasting, switching, control, and operation of telecommunications systems.
Sociology and Anthropology
- Knowledge of group behavior and dynamics, societal trends and influences, human migrations, ethnicity, cultures, and their history and origins.
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.
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.
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.
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.
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.
English Language
- Knowledge of the structure and content of the English language including the meaning and spelling of words, rules of composition, and grammar.
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.
Biology
- Knowledge of plant and animal organisms, their tissues, cells, functions, interdependencies, and interactions with each other and the environment.
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.
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.

Education

High school diploma or equivalent

Work Experience

No work experience

Training

1 to 12 months on-the-job training

Education and Training Opportunities

Washington Annual Salary

59190/yr

Washington Hourly Wage

28.46/hr

Currently Employed

4,170

Yearly Projected Openings

390

Conventional: People interested in this work like activities that include data, detail, and regular routines. They do well at jobs that need:

Attention to Detail
Dependability
Integrity
Cooperation
Self Control
Concern for Others

Desktop calculator
Desktop computers
Dictation machines
Personal computers

Accounting software
Data base user interface and query software
Document management software
Electronic mail software
Financial analysis software
Instant messaging software
Internet browser software
Medical software
Office suite software
Operating system software
Presentation software
Spreadsheet software
Word processing software

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Insurance Claims and Policy Processing Clerks

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