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Insurance Claims and Policy Processing Clerks Occupation Detailed Description

Insurance Claims and Policy Processing Clerks career

General Job Description and Education/Training Levels for Insurance Claims and Policy Processing Clerks

The main tasks and work activities of Insurance Claims and Policy Processing Clerks are to maintain financial or account records, maintain operational records, verify accuracy of financial or transactional data, provide notifications to customers or patrons. In general, for the Insurance Claims and Policy Processing Clerks, active Listening, reading Comprehension, speaking, critical Thinking and other 6 skills are required.
Insurance Claims and Policy Processing Clerks Job Description
EducationMost occupations in this zone require training in vocational schools, related on-the-job experience, or an associate's degree.
Related ExperiencePrevious work-related skill, knowledge, or experience is required for these occupations. For example, an electrician must have completed three or four years of apprenticeship or several years of vocational training, and often must have passed a licensing exam, in order to perform the job.
Job TrainingEmployees in these occupations usually need one or two years of training involving both on-the-job experience and informal training with experienced workers. A recognized apprenticeship program may be associated with these occupations.
ExampleThese occupations usually involve using communication and organizational skills to coordinate, supervise, manage, or train others to accomplish goals. Examples include hydroelectric production managers, travel guides, electricians, agricultural technicians, barbers, court reporters, and medical assistants.
The following chart shows the education/training levels for Insurance Claims and Policy Processing Clerks jobs. 61.19% of Insurance Claims and Policy Processing Clerks have High School Diploma (or the equivalent) and 2.79% of Insurance Claims and Policy Processing Clerks have Post-Secondary Certificate.
Less than a High School Diploma
0.82%
High School Diploma (or the equivalent)
61.19%
Post-Secondary Certificate
2.79%
Some College Courses
0.00%
Associate's Degree (or other 2-year degree)
29.08%
Bachelor's Degree and Above
6.12%

Tasks and Work Activities of Insurance Claims and Policy Processing Clerks

  • Review insurance policy to determine coverage.
  • Prepare insurance claim forms or related documents and review them for completeness.
  • Provide customer service, such as limited instructions on proceeding with claims or referrals to auto repair facilities or local contractors.
  • Organize or work with detailed office or warehouse records, using computers to enter, access, search or retrieve data.
  • Post or attach information to claim file.
  • Pay small claims.
  • Transmit claims for payment or further investigation.
  • Contact insured or other involved persons to obtain missing information.
  • Calculate amount of claim.
  • Apply insurance rating systems.
  • Enter claims information into database systems.
  • Modify, update, and process existing policies and claims to reflect any change in beneficiary, amount of coverage, or type of insurance.
  • Process and record new insurance policies and claims.
  • Review and verify data, such as age, name, address, and principal sum and value of property on insurance applications and policies.
  • Organize and work with detailed office or warehouse records, maintaining files for each policyholder, including policies that are to be reinstated or cancelled.
  • Examine letters from policyholders or agents, original insurance applications, and other company documents to determine if changes are needed and effects of changes.
  • Correspond with insured or agent to obtain information or inform them of account status or changes.
  • Transcribe data to worksheets and enter data into computer for use in preparing documents and adjusting accounts.
  • Notify insurance agent and accounting department of policy cancellation.
  • Interview clients and take their calls to provide customer service and obtain information on claims.
  • Interacting With ComputersUsing computers and computer systems (including hardware and software) to program, write software, set up functions, enter data, or process information.
  • Evaluating Information to Determine Compliance with StandardsUsing relevant information and individual judgment to determine whether events or processes comply with laws, regulations, or standards.
  • Communicating with Supervisors, Peers, or SubordinatesProviding information to supervisors, co-workers, and subordinates by telephone, in written form, e-mail, or in person.
  • Documenting/Recording InformationEntering, transcribing, recording, storing, or maintaining information in written or electronic/magnetic form.
  • Getting InformationObserving, receiving, and otherwise obtaining information from all relevant sources.
  • Processing InformationCompiling, coding, categorizing, calculating, tabulating, auditing, or verifying information or data.
  • Identifying Objects, Actions, and EventsIdentifying information by categorizing, estimating, recognizing differences or similarities, and detecting changes in circumstances or events.
  • Establishing and Maintaining Interpersonal RelationshipsDeveloping constructive and cooperative working relationships with others, and maintaining them over time.
  • Updating and Using Relevant KnowledgeKeeping up-to-date technically and applying new knowledge to your job.
  • Interpreting the Meaning of Information for OthersTranslating or explaining what information means and how it can be used.
  • Maintain financial or account records.
  • Maintain operational records.
  • Verify accuracy of financial or transactional data.
  • Provide notifications to customers or patrons.
  • Provide information to coworkers.
  • Answer telephones to direct calls or provide information.
  • Interview employees, customers, or others to collect information.
  • Collect deposits, payments or fees.
  • Calculate financial data.
  • Obtain personal or financial information about customers or applicants.
  • Prepare business correspondence.
  • Review customer insurance information.
  • Check data for recording errors.
  • Prepare documentation for contracts, transactions, or regulatory compliance.
  • Explain regulations, policies, or procedures.
  • Enter information into databases or software programs.
  • Compile data or documentation.
  • Execute sales or other financial transactions.
  • Send information, materials or documentation.
  • Discuss account status or activity with customers or patrons.

Skills and Abilities for Insurance Claims and Policy Processing Clerks

  • Active ListeningGiving 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.
  • Reading ComprehensionUnderstanding written sentences and paragraphs in work related documents.
  • SpeakingTalking to others to convey information effectively.
  • Critical ThinkingUsing logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems.
  • WritingCommunicating effectively in writing as appropriate for the needs of the audience.
  • Service OrientationActively looking for ways to help people.
  • Time ManagementManaging one's own time and the time of others.
  • Judgment and Decision MakingConsidering the relative costs and benefits of potential actions to choose the most appropriate one.
  • Social PerceptivenessBeing aware of others' reactions and understanding why they react as they do.
  • Oral ExpressionThe ability to communicate information and ideas in speaking so others will understand.
  • Written ComprehensionThe ability to read and understand information and ideas presented in writing.
  • Oral ComprehensionThe ability to listen to and understand information and ideas presented through spoken words and sentences.
  • Speech RecognitionThe ability to identify and understand the speech of another person.
  • Speech ClarityThe ability to speak clearly so others can understand you.
  • Near VisionThe ability to see details at close range (within a few feet of the observer).
  • Written ExpressionThe ability to communicate information and ideas in writing so others will understand.
  • Information OrderingThe ability to arrange things or actions in a certain order or pattern according to a specific rule or set of rules (e.g., patterns of numbers, letters, words, pictures, mathematical operations).
  • Deductive ReasoningThe ability to apply general rules to specific problems to produce answers that make sense.
  • Problem SensitivityThe ability to tell when something is wrong or is likely to go wrong. It does not involve solving the problem, only recognizing there is a problem.
  • Selective AttentionThe ability to concentrate on a task over a period of time without being distracted.
  • Inductive ReasoningThe ability to combine pieces of information to form general rules or conclusions (includes finding a relationship among seemingly unrelated events).
  • Category FlexibilityThe ability to generate or use different sets of rules for combining or grouping things in different ways.
  • Desktop calculatore.g. 10-key calculators
  • Desktop computerse.g. Desktop computers
  • Dictation machinese.g. Dictation machines
  • Personal computerse.g. Personal computers
  • Desktop calculatore.g. 10-key calculators
  • Desktop computerse.g. Desktop computers
  • Dictation machinese.g. Dictation machines
  • Personal computerse.g. Personal computers
  • Customer and Personal ServiceKnowledge 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.
  • English LanguageKnowledge of the structure and content of the English language including the meaning and spelling of words, rules of composition, and grammar.
  • ClericalKnowledge of administrative and clerical procedures and systems such as word processing, managing files and records, stenography and transcription, designing forms, and other office procedures and terminology.
  • Computers and ElectronicsKnowledge of circuit boards, processors, chips, electronic equipment, and computer hardware and software, including applications and programming.
  • MathematicsKnowledge of arithmetic, algebra, geometry, calculus, statistics, and their applications.