Occupation AtlasInsurance Claims and Policy Processing Clerks
O*NET · 43-9041.00
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.
71 more
Bodily Injury Claims Representative (Bodily Injury Claims Rep) · Cancellation Clerk · Claim Representative (Claims Rep) · Claims Adjudicator · Claims Analyst · Claims Assistant · Claims Associate · Claims Clerk · Claims Coordinator · Claims CSR · Claims Customer Service Representative (Claims CSR) · Claims Processing Specialist (CPS) · Claims Processor · Claims Rep · Claims Representative (Claims Rep) · Claims Service Rep · Claims Service Representative (Claims Service Rep) · Claims Sorter · Claims Taker · Claims Tech · Claims Technician (Claims Tech) · Client Process Specialist · Commercial Lines Underwriting Assistant · CPS · Cyber Insurance Policy Specialist · Dental Insurance Coordinator · Document Processor · Document Reviewer · Enrollment Representative · Field Claims Representative · Insurance Analyst · Insurance Assistant · Insurance Associate · Insurance Authorization Specialist · Insurance Biller · Insurance Checker · Insurance Claims Clerk · Insurance Claims Processor · Insurance Clerk · Insurance Coordinator · Insurance CSR · Insurance Customer Service Representative (Insurance CSR) · Insurance Examining Clerk · Insurance Policy Issue Clerk · Insurance Processing Clerk · Insurance Processor · Insurance Specialist · Insurance Verification Specialist · Liability Claims Representative · Medical Claims Processor · Medical Insurance Claims Processor · Medical Insurance Specialist · OCR · Open Claims Representative (OCR) · Personal Lines Insurance CSR · Personal Lines Insurance Customer Service Representative (Personal Lines Insurance CSR) · Policy Analyst · Policy Change Clerk · Policy Checker · Policy Issue Clerk · Policy Title Typist · Premium Representative · Processing Clerk · Reimbursement Counselor · Reinsurance Clerk · Reviewer · Revival Clerk · Underwriting Assistant · Underwriting Associate · Underwriting Clerk · Workers' Compensation Claims Assistant
Compare with another occupationCompare with Appraisers and Assessors of Real Estate
Job Zone
- 1
- 2
- 3
- 4
- 5
Zone 2: Some Preparation Needed
Some preparation. Usually a high school diploma, some previous work-related skill or experience, and a few months to a year of training with experienced workers.
Job Zone is O*NET's rating of how much education, experience and training an occupation typically needs — a property of the work, not of anyone doing it.
Occupational interest profile
CESConventional · Enterprising · Social — the three strongest interests, in order
- C Conventional7.00
- E Enterprising3.86
- S Social2.56
- I Investigative2.43
- R Realistic1.24
- A Artistic1.00
RIASEC (Holland) interests on O*NET's 0–7 scale: what the work draws on, not what any individual prefers. Hover a row for what each dimension means.
Education and experience
The education level respondents say the job requires, and the most common answer for experience and training.
- Related work experience
- Over 1 year, up to and including 2 years (38%)
- On-site or in-plant training
- Up to and including 1 month (43%)
- On-the-job training
- Over 1 month, up to and including 3 months (38%)
Typically associated skills
All 35 O*NET skills, most important first. Importance (1–5) says how much a skill matters here; level (0–7) says how much of it the work calls for, with O*NET's example of a nearby level. Neither is a proficiency rating of a person.
- Reading ComprehensionbasicImportance 3.5Level 3.5Level 4 looks like: Understand an email from management describing new personnel policies
- Time ManagementImportance 3.5Level 3.0Level 2 looks like: Keep a monthly calendar of appointments
- SpeakingbasicImportance 3.4Level 3.3Level 4 looks like: Interview applicants to obtain personal and work history
- Active ListeningbasicImportance 3.3Level 3.5Level 4 looks like: Answer inquiries regarding credit references
- Critical ThinkingbasicImportance 3.3Level 3.4Level 4 looks like: Evaluate customer complaints and determine appropriate responses
- Service OrientationImportance 3.1Level 3.3Level 4 looks like: Make flight reservations for customers using an online booking site
- WritingbasicImportance 3.1Level 3.1Level 4 looks like: Write an email to staff outlining new directives
- Social PerceptivenessImportance 3.1Level 2.9Level 2 looks like: Notice that customers are angry because they have been waiting too long
- CoordinationImportance 3.1Level 2.8Level 2 looks like: Schedule appointments for a medical clinic
- Complex Problem SolvingImportance 3.0Level 2.9Level 2 looks like: Lay out tools to complete a job
- Judgment and Decision MakingImportance 3.0Level 2.9Level 2 looks like: Decide how scheduling a break will affect work flow
- MonitoringbasicImportance 3.0Level 2.9Level 2 looks like: Proofread and correct a letter
Show the other 23
- NegotiationImportance 2.9Level 2.9Level 2 looks like: Present justification to a manager for altering a work schedule
- PersuasionImportance 2.8Level 2.8Level 2 looks like: Solicit donations for a charity
- Active LearningbasicImportance 2.6Level 2.8Level 2 looks like: Think about the implications of a news article for job opportunities
- Learning StrategiesbasicImportance 2.6Level 2.4Level 2 looks like: Learn a different method of completing a task from a coworker
- Systems AnalysisImportance 2.6Level 2.4Level 2 looks like: Determine how loss of a team member will affect the completion of a job
- Systems EvaluationImportance 2.6Level 2.1Level 2 looks like: Determine why estimates for the time to complete a task are overly optimistic
- InstructingImportance 2.5Level 2.3Level 2 looks like: Instruct a new employee in the use of a timekeeping system
- MathematicsbasicImportance 2.4Level 2.4Level 2 looks like: Count the amount of change to be given to a customer
- Management of Personnel ResourcesImportance 2.0Level 2.0Level 2 looks like: Encourage a coworker who is having difficulty finishing a project
- Operations MonitoringImportance 1.9Level 1.3Level 2 looks like: Monitor completion times while running a computer program
- ProgrammingImportance 1.6Level 0.9
- Quality Control AnalysisImportance 1.6Level 0.8
- Management of Financial ResourcesImportance 1.5Level 0.8
- Management of Material ResourcesImportance 1.4Level 0.6
- Operations AnalysisImportance 1.4Level 0.6
- Operation and ControlImportance 1.3Level —
- SciencebasicImportance 1.1Level —
- Technology DesignImportance 1.1Level —
- TroubleshootingImportance 1.1Level —
- Equipment MaintenanceImportance 1.0Level —
- Equipment SelectionImportance 1.0Level —
- InstallationImportance 1.0Level —
- RepairingImportance 1.0Level —
Tasks
15 core · 6 supplemental · 4 not yet ratedWhat people in this occupation do, as O*NET records it, core tasks first by importance (1–5).
- Prepare insurance claim forms or related documents, and review them for completeness.Importance 4.8
- Calculate amount of claim.Importance 4.6
- Post or attach information to claim file.Importance 4.6
- Transmit claims for payment or further investigation.Importance 4.6
- Contact insured or other involved persons to obtain missing information.Importance 4.5
- Review insurance policy to determine coverage.Importance 4.5
- Process and record new insurance policies and claims.Importance 4.5
- Organize or work with detailed office or warehouse records, using computers to enter, access, search or retrieve data.Importance 4.4
- Provide customer service, such as limited instructions on proceeding with claims or referrals to auto repair facilities or local contractors.Importance 4.4
- Correspond with insured or agent to obtain information or to inform them of account status or changes.Importance 4.3
- Review and verify data, such as age, name, address, and principal sum and value of property, on insurance applications and policies.Importance 4.2
- Compare information from application to criteria for policy reinstatement, and approve reinstatement when criteria are met.Importance 4.2
Show the other 13
- Examine letters from policyholders or agents, original insurance applications, and other company documents to determine if changes are needed and effects of changes.Importance 4.1
- Transcribe data to worksheets, and enter data into computer for use in preparing documents and adjusting accounts.Importance 4.1
- Notify insurance agent and accounting department of policy cancellation.Importance 3.7
- Pay small claims.Importance 4.7
- Process, prepare, and submit business or government forms, such as submitting applications for coverage to insurance carriers.Importance 4.5
- Collect initial premiums and issue receipts.Importance 4.1
- Interview clients and take their calls to provide customer service and obtain information on claims.Importance 3.9
- Obtain computer printout of policy cancellations, or retrieve cancellation cards from file.Importance 3.8
- Compose business correspondence for supervisors, managers, and professionals.Importance 3.7
- Calculate premiums, refunds, commissions, adjustments, or new reserve requirements, using insurance rate standards.
- Enter insurance- and claims-related information into database systems.
- Modify, update, or process existing policies and claims to reflect any change in beneficiary, amount of coverage, or type of insurance.
- Organize or work with detailed office or warehouse records, maintaining files for each policyholder, including policies that are to be reinstated or cancelled.
Knowledge
Bodies of knowledge the work draws on.
- Customer and Personal ServiceImportance 4.2Level 5.2Level 4 looks like: Be responsible for 10 children at daycare
- AdministrativeImportance 3.9Level 5.0Level 4 looks like: Type 30 words per minute
- English LanguageImportance 3.6Level 3.4Level 4 looks like: Edit an article for a news website
- Computers and ElectronicsImportance 3.0Level 3.5Level 4 looks like: Use a computer to format a document
- MathematicsImportance 2.9Level 3.0Level 4 looks like: Analyze data to determine areas with the highest sales
- Administration and ManagementImportance 2.4Level 2.4Level 1 looks like: Approve a reimbursement request
- Communications and MediaImportance 2.2Level 2.3Level 1 looks like: Write a thank you note
- Law and GovernmentImportance 2.2Level 1.7Level 1 looks like: Describe the length of a U.S. presidential term
Show all 33
- Production and ProcessingImportance 2.2Level 1.6Level 1 looks like: Put a computer back into its packing materials
- Economics and AccountingImportance 2.1Level 1.8Level 1 looks like: Answer billing questions from credit card customers
- Education and TrainingImportance 2.0Level 1.9Level 1 looks like: Show someone how to bowl
- TelecommunicationsImportance 1.9Level 0.9Level 1 looks like: Send an email
- Personnel and Human ResourcesImportance 1.8Level 1.0Level 1 looks like: Fill out a medical claim form
- PsychologyImportance 1.8Level 1.4Level 1 looks like: Monitor several children on a playground
- Sales and MarketingImportance 1.8Level 1.3Level 1 looks like: Sell cakes at a bake sale
- Medicine and DentistryImportance 1.7Level 0.9Level 1 looks like: Use a band-aid
- Public Safety and SecurityImportance 1.7Level 1.0Level 1 looks like: Use a seatbelt
- Therapy and CounselingImportance 1.5Level —
- Sociology and AnthropologyImportance 1.4Level 0.8Level 1 looks like: Identify two cultures in a story as being different
- TransportationImportance 1.4Level 0.7Level 1 looks like: Ride a train to work
- BiologyImportance 1.3Level —
- Building and ConstructionImportance 1.3Level —
- GeographyImportance 1.3Level —
- Philosophy and TheologyImportance 1.3Level —
- Engineering and TechnologyImportance 1.2Level —
- Foreign LanguageImportance 1.2Level —
- MechanicalImportance 1.2Level —
- PhysicsImportance 1.2Level —
- DesignImportance 1.1Level —
- History and ArcheologyImportance 1.1Level —
- ChemistryImportance 1.0Level —
- Fine ArtsImportance 1.0Level —
- Food ProductionImportance 1.0Level —
Abilities
Enduring capacities the work calls for.
- Oral ComprehensionImportance 3.6Level 3.5Level 4 looks like: Understand a coach's oral instructions for a sport
- Written ComprehensionImportance 3.6Level 3.6Level 4 looks like: Understand an apartment lease
- Near VisionImportance 3.5Level 3.8
- Oral ExpressionImportance 3.5Level 3.5Level 4 looks like: Give instructions to a lost motorist
- Speech ClarityImportance 3.5Level 3.0Level 4 looks like: Make stadium-wide announcements during a sporting event
- Speech RecognitionImportance 3.5Level 3.6Level 4 looks like: Identify a former customer's voice over the phone
- Deductive ReasoningImportance 3.4Level 2.6Level 2 looks like: Know that a stalled car can coast downhill
- Information OrderingImportance 3.4Level 3.0Level 2 looks like: Follow the correct steps to make change
Show all 52
- Written ExpressionImportance 3.4Level 3.3Level 4 looks like: Write a job recommendation for a subordinate
- Problem SensitivityImportance 3.3Level 2.6Level 2 looks like: Recognize that an unplugged lamp won't work
- Category FlexibilityImportance 3.1Level 3.1Level 3 looks like: Classify flowers according to size, color, and smell
- Inductive ReasoningImportance 3.1Level 2.6Level 2 looks like: Decide what to wear based on the weather report
- Selective AttentionImportance 2.9Level 2.5Level 2 looks like: Answer a business call with coworkers talking nearby
- Perceptual SpeedImportance 2.8Level 2.4Level 2 looks like: Sort mail according to ZIP codes with no time pressure
- Far VisionImportance 2.6Level 2.0Level 2 looks like: Read a roadside billboard
- Flexibility of ClosureImportance 2.6Level 2.6Level 2 looks like: Detect that your phone is ringing while at a concert
- Mathematical ReasoningImportance 2.6Level 2.3Level 1 looks like: Determine how much 20 oranges will cost when they are priced at 5 for 4 dollars
- Number FacilityImportance 2.6Level 3.0Level 3 looks like: Calculate a discounted price
- Time SharingImportance 2.6Level 2.3Level 2 looks like: Listen to music while entering numbers into a spreadsheet
- Fluency of IdeasImportance 2.4Level 2.4Level 2 looks like: Name four different uses for a screwdriver
- MemorizationImportance 2.4Level 2.3Level 1 looks like: Remember the number on your bus to be sure you get back on the right one
- Speed of ClosureImportance 2.4Level 2.4Level 3 looks like: Recognize a song after hearing only the first few notes
- Auditory AttentionImportance 2.3Level 2.0Level 2 looks like: Listen to a lecture while people nearby are talking
- OriginalityImportance 2.3Level 2.1Level 2 looks like: Use a credit card to open a locked door
- Trunk StrengthImportance 2.1Level 1.6Level 2 looks like: Sit up in an office chair
- Visual Color DiscriminationImportance 2.1Level 1.9Level 1 looks like: Separate laundry into colors and whites
- Finger DexterityImportance 2.0Level 1.3Level 2 looks like: Put coins in a parking meter
- Hearing SensitivityImportance 2.0Level 1.6Level 2 looks like: Notice a doorbell ringing
- VisualizationImportance 2.0Level 1.6Level 2 looks like: Imagine how to place paper in a printer so that the letterhead comes out on top
- Arm-Hand SteadinessImportance 1.9Level 1.0Level 2 looks like: Light a candle
- Control PrecisionImportance 1.9Level 1.1Level 2 looks like: Adjust a room light with a dimmer switch
- Manual DexterityImportance 1.9Level 1.0Level 1 looks like: Screw a light bulb into a light socket
- Wrist-Finger SpeedImportance 1.9Level 1.6Level 2 looks like: Use a screwdriver to twist in a screw
- Dynamic StrengthImportance 1.6Level 0.8
- Depth PerceptionImportance 1.3Level —
- Multilimb CoordinationImportance 1.3Level —
- Rate ControlImportance 1.3Level —
- Reaction TimeImportance 1.3Level —
- Response OrientationImportance 1.3Level —
- Spatial OrientationImportance 1.3Level —
- Speed of Limb MovementImportance 1.3Level —
- Extent FlexibilityImportance 1.1Level —
- Glare SensitivityImportance 1.1Level —
- Peripheral VisionImportance 1.1Level —
- Sound LocalizationImportance 1.1Level —
- StaminaImportance 1.1Level —
- Static StrengthImportance 1.1Level —
- Dynamic FlexibilityImportance 1.0Level —
- Explosive StrengthImportance 1.0Level —
- Gross Body CoordinationImportance 1.0Level —
- Gross Body EquilibriumImportance 1.0Level —
- Night VisionImportance 1.0Level —
Work activities
Kinds of activity the work is made of.
- Working with ComputersImportance 4.4Level 3.1Level 4 looks like: Write software for keeping track of parts in inventory
- Getting InformationImportance 4.2Level 3.9Level 4 looks like: Review a budget
- Communicating with Supervisors, Peers, or SubordinatesImportance 4.1Level 3.8Level 4 looks like: Report the results of a sales meeting to a supervisor
- Documenting/Recording InformationImportance 4.1Level 3.6Level 4 looks like: Document the results of a crime scene investigation
- Processing InformationImportance 4.1Level 4.1Level 4 looks like: Calculate the adjustments for insurance claims
- Evaluating Information to Determine Compliance with StandardsImportance 4.0Level 3.7Level 4 looks like: Evaluate a complicated insurance claim for compliance with policy terms
- Communicating with People Outside the OrganizationImportance 3.8Level 3.5Level 4 looks like: Present information to potential clients about available services
- Establishing and Maintaining Interpersonal RelationshipsImportance 3.8Level 4.1Level 4 looks like: Maintain good working relationships with almost all coworkers and clients
Show all 41
- Making Decisions and Solving ProblemsImportance 3.6Level 3.6Level 4 looks like: Select the location for a major retail store
- Updating and Using Relevant KnowledgeImportance 3.6Level 4.3Level 4 looks like: Keep current on changes in maintenance procedures for repairing sports cars
- Identifying Objects, Actions, and EventsImportance 3.5Level 3.5Level 4 looks like: Judge the suitability of food products for an event
- Organizing, Planning, and Prioritizing WorkImportance 3.5Level 4.0Level 4 looks like: Plan and adjust a personal to-do list according to changing demands
- Performing Administrative ActivitiesImportance 3.5Level 3.4Level 4 looks like: Complete tax forms for a small business
- Interpreting the Meaning of Information for OthersImportance 3.4Level 2.8
- Monitoring Processes, Materials, or SurroundingsImportance 3.2Level 3.5Level 4 looks like: Test electrical circuits
- Analyzing Data or InformationImportance 3.0Level 2.8
- Resolving Conflicts and Negotiating with OthersImportance 3.0Level 2.7
- Training and Teaching OthersImportance 2.7Level 2.4Level 1 looks like: Give coworkers brief instructions on a simple procedural change
- Assisting and Caring for OthersImportance 2.6Level 2.1Level 1 looks like: Help a coworker complete an assignment
- Performing for or Working Directly with the PublicImportance 2.6Level 2.2Level 1 looks like: Check tickets at a concert
- Developing and Building TeamsImportance 2.5Level 1.8Level 1 looks like: Encourage two coworkers to stick with a tough assignment
- Judging the Qualities of Objects, Services, or PeopleImportance 2.5Level 2.4Level 1 looks like: Determine whether to remove a tree that has been damaged
- Coordinating the Work and Activities of OthersImportance 2.2Level 2.0Level 1 looks like: Exchange information during a shift change
- Developing Objectives and StrategiesImportance 2.2Level 1.8Level 1 looks like: Plan the holiday schedule for an airline workforce
- Estimating the Quantifiable Characteristics of Products, Events, or InformationImportance 2.2Level 1.9Level 1 looks like: Estimate the size of household furniture to be shipped
- Providing Consultation and Advice to OthersImportance 2.2Level 1.6Level 1 looks like: Work in a position that requires little advising of others
- Thinking CreativelyImportance 2.2Level 2.1Level 1 looks like: Change the spacing on a printed report
- Coaching and Developing OthersImportance 2.1Level 2.0Level 1 looks like: Show a coworker how to operate a piece of equipment
- Inspecting Equipment, Structures, or MaterialsImportance 2.1Level 1.6Level 1 looks like: Check that doors to building are locked
- Scheduling Work and ActivitiesImportance 2.1Level 2.1Level 1 looks like: Make appointments for patients using a predetermined schedule
- Selling or Influencing OthersImportance 1.9Level 1.1Level 1 looks like: Convince a coworker to assist with an assignment
- Guiding, Directing, and Motivating SubordinatesImportance 1.7Level 0.9Level 1 looks like: Work occasionally as a backup supervisor
- Handling and Moving ObjectsImportance 1.7Level 1.5Level 1 looks like: Change settings on copy machines
- Monitoring and Controlling ResourcesImportance 1.7Level 1.2Level 1 looks like: Work as a server responsible for keeping track of utensils
- Controlling Machines and ProcessesImportance 1.6Level 0.8Level 1 looks like: Operate a cash register
- Performing General Physical ActivitiesImportance 1.5Level 0.9Level 1 looks like: Walk between workstations in a small office
- Operating Vehicles, Mechanized Devices, or EquipmentImportance 1.2Level —
- Repairing and Maintaining Electronic EquipmentImportance 1.2Level —
- Staffing Organizational UnitsImportance 1.2Level —
- Drafting, Laying Out, and Specifying Technical Devices, Parts, and EquipmentImportance 1.0Level —
- Repairing and Maintaining Mechanical EquipmentImportance 1.0Level —
Work context
The conditions most characteristic of the work, on O*NET's 1–5 context scale.
Technology
27 toolsSoftware used in this work. In demand: among the tools job postings for this occupation name most. Hot: often named in job postings across the economy.
In demand (5)
- Microsoft Excelhot
- Microsoft Office softwarehot
- Microsoft Outlookhot
- Microsoft PowerPointhot
- Microsoft Wordhot
Hot (2; 5 more marked hot above)
- Microsoft Access
- Microsoft Windows
Other tools (20)
- Account management software
- Alpha Software Alpha Five
- Automated information system software
- Billing software
- Claim processing system software
- Database software
- GroupMe
- Healthcare common procedure coding system HCPCS
- IBM Check Processing Control System CPSC
- IBM Lotus Notes
- Insurance rating software
- InSystems Calligo Enterprise
- Medical condition coding software
- Medical procedure coding software
- MicroFocus GroupWise
- Microsoft Internet Explorer
- Policy issuance system software
- St. Paul Travelers e-CARMA
- Web browser software
- Xactware Xactimate
Related occupations
O*NET's own list of the occupations most related to this one, closest first.
ESCO equivalents
From the official ESCO–O*NET crosswalk, strongest match first. A broader occupation takes in this one; a narrower one is a part of it.
Closest occupations
Compare any occupation →Other O*NET occupations whose importance ratings on the 35 skills both rate are nearest to this one's, with the biggest differences named. A plain rule, not a hidden score.
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Average difference 0.2 points · Time Management −0.7, Operation and Control +0.6
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Medical Records Specialists
Average difference 0.2 points · Management of Material Resources +0.9, Management of Financial Resources +0.8
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Average difference 0.2 points · Operations Monitoring −0.9, Management of Personnel Resources +0.6
O*NET · Zone 2 · Compare
Appraisers of Personal and Business Property
Average difference 0.2 points · Management of Material Resources +0.6, Active Learning +0.5
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Average difference 0.2 points · Operation and Control +0.7, Systems Analysis −0.6
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Average difference 0.2 points · Active Listening +0.6, Management of Personnel Resources +0.6
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This page includes information from the O*NET 31.0 Database by the U.S. Department of Labor, Employment and Training Administration (USDOL/ETA), used under the CC BY 4.0 license; O*NET® is a trademark of USDOL/ETA. ESCO occupations and skills are from the European Commission's ESCO classification, and the occupation crosswalk is the official ESCO–O*NET mapping by the ESCO Secretariat with USDOL/ETA. This service uses the ESCO classification of the European Commission. BlissPoint Analytics has modified all or some of this information: skill, task and descriptor ratings are rounded to one decimal, and ESCO occupations show Job Zone and interests copied from a crosswalked O*NET occupation. USDOL/ETA has not approved, endorsed, or tested these modifications.