Insurance Claims and Policy Processing Clerks
Insurance claims and policy processing clerks process new insurance policies, modifications to existing policies, and claims forms. They obtain information from policyholders to verify the accuracy and completeness of information on claims forms, applications and related documents, and company records. They update existing policies and company records to reflect changes requested by policyholders and insurance company representatives.
An insurance claim clerk's job description includes reviewing insurance claim forms and documents for completeness and accuracy. They calculate the number of claims and post or attach information to the claim file. They settle claims with insurance providers and submit amounts for payment. Claims clerks also perform clerical work and assist the claims personnel team.
An insurance claims and policy processing clerk is vital to ensure that insurance companies run smoothly and settle disputes over denied claims efficiently. One should have superior problem-solving skills and an orientation toward working with customers for this career. Honing your knowledge of insurance claims processing, business and management coupled with advanced communication skills and knowing foreign languages will increase your career possibilities in the field.
A high school diploma followed by a college degree in business or economics is preferred. These workers usually learn their duties through on-the-job training and get five-six digits of the insurance claims clerk's salary.
In order to succeed as a processing clerk, a foundation in subjects like legal studies, public administration, finance, accounting, and business administration is desired. Experience working in insurance via summer jobs or internships is strongly recommended.
Qualifications
Every career requires an element of study and academic qualification, and there can be several study routes and pathways you can take. In following any academic pathway you will study subjects that contribute to the specialised knowledge required to achieve your career goals. These qualifications provide a future employer with the evidence that you have the desired knowledge, understanding and experience of their industry, so it’s important to consider the various types of qualifications available to you and to understand how they can boost your career and create opportunities for you.
- Certificate Insurance Agent
- Bachelor's Any Subject
Tasks
- 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.
- Provide customer service, such as limited instructions on proceeding with claims or referrals to auto repair facilities or local contractors.
- Correspond with insured or agent to obtain information or inform them of account status or changes.
Progression Routes
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