Insurance Claims and Policy Processing Clerks
Tasks Include:
- 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 to inform them of account status or changes.
- Review and verify data, such as age, name, address, and principal sum and value of property, on insurance applications and policies.
- Compare information from application to criteria for policy reinstatement, and approve reinstatement when criteria are met.
more »
The data sources for the information displayed here include: O*NET™; US Department of Labor (BLS); Virginia Workforce Connection. (Using onet28)
Projections Quick View:
Virginia: +4.4%
National: -2.3%
Education
High School Diploma
Job Zone:
Two: Some Preparation Needed
Income Range:
Moderately High ($36,000 - $49,999)
Median Earnings:
National
$46,080.00
State
$45,880.00
Regional
Insurance Claims and Policy Processing Clerks
Description
Career Cluster: | Finance |
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.
The data sources for the information displayed here include: O*NET™. (Using onet28)
Insurance Claims and Policy Processing Clerks
Education
Required Level of Education
- High School Diploma - or the equivalent (for example, GED) = 54.85%
- Associate's Degree (or other 2-year degree) = 21.13%
- Some College Courses = 9.33%
- Post-Secondary Certificate - awarded for training completed after high school (for example, in agriculture or natural resources, computer services, personal or culinary services, engineering technologies, healthcare, construction trades, mechanic and repair technologies, or precision production) = 7.64%
- Bachelor's Degree = 6.58%
- Less than a High School Diploma = 0.46%
Related Work Experience
- Over 1 year, up to and including 2 years = 38.24%
- Over 2 years, up to and including 4 years = 20%
- Over 6 months, up to and including 1 year = 11.95%
- Over 3 months, up to and including 6 months = 9.60%
- None = 9.55%
- Over 4 years, up to and including 6 years = 5.45%
- Over 1 month, up to and including 3 months = 3.56%
- Up to and including 1 month = 1.65%
On-Site or In-Plant Training
- Up to and including 1 month = 42.78%
- None = 23.70%
- Over 1 month, up to and including 3 months = 13.85%
- Over 3 months, up to and including 6 months = 10.12%
- Over 6 months, up to and including 1 year = 5.82%
- Over 2 years, up to and including 4 years = 2.22%
- Over 1 year, up to and including 2 years = 1.51%
On-the-Job Training
- Over 1 month, up to and including 3 months = 37.59%
- Over 3 months, up to and including 6 months = 26.31%
- Over 6 months, up to and including 1 year = 15.32%
- Anything beyond short demonstration, up to and including 1 month = 12.12%
- Over 1 year, up to and including 2 years = 5.45%
- Over 2 years, up to and including 4 years = 2.22%
- None or short demonstration = 0.99%
The data sources for the information displayed here include: O*NET™. (Using onet28)
Insurance Claims and Policy Processing Clerks
Tasks
Core Tasks Include:
- 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 to inform them of account status or changes.
- Review and verify data, such as age, name, address, and principal sum and value of property, on insurance applications and policies.
- Compare information from application to criteria for policy reinstatement, and approve reinstatement when criteria are met.
- Examine letters from policyholders or agents, original insurance applications, and other company documents to determine if changes are needed and effects of 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.
Supplemental Tasks Include:
- Pay small claims.
- Process, prepare, and submit business or government forms, such as submitting applications for coverage to insurance carriers.
- Collect initial premiums and issue receipts.
- Check computations of interest accrued, premiums due, and settlement surrender on loan values.
- Interview clients and take their calls to provide customer service and obtain information on claims.
- Obtain computer printout of policy cancellations, or retrieve cancellation cards from file.
- Compose business correspondence for supervisors, managers, and professionals.
- Apply insurance rating systems.
Tasks Include:
- 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.
The data sources for the information displayed here include: O*NET™. (Using onet28)
Insurance Claims and Policy Processing Clerks
Knowledge
% | Subject | Description |
---|---|---|
80.50 | 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. |
72.00 | 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. |
64.75 | English Language | Knowledge of the structure and content of the English language including the meaning and spelling of words, rules of composition, and grammar. |
50.00 | Computers and Electronics | Knowledge of circuit boards, processors, chips, electronic equipment, and computer hardware and software, including applications and programming. |
The data sources for the information displayed here include: O*NET™. (Using onet28)
Insurance Claims and Policy Processing Clerks
Skills
% | Subject | Description |
---|---|---|
62.50 | Reading Comprehension | Understanding written sentences and paragraphs in work-related documents. |
62.50 | Time Management | Managing one's own time and the time of others. |
59.50 | Speaking | Talking to others to convey information effectively. |
56.25 | Active Listening | Giving 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. |
56.25 | Critical Thinking | Using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions, or approaches to problems. |
53.00 | Writing | Communicating effectively in writing as appropriate for the needs of the audience. |
53.00 | Social Perceptiveness | Being aware of others' reactions and understanding why they react as they do. |
53.00 | Coordination | Adjusting actions in relation to others' actions. |
53.00 | Service Orientation | Actively looking for ways to help people. |
50.00 | Judgment and Decision Making | Considering the relative costs and benefits of potential actions to choose the most appropriate one. |
50.00 | Monitoring | Monitoring/Assessing performance of yourself, other individuals, or organizations to make improvements or take corrective action. |
50.00 | Complex Problem Solving | Identifying complex problems and reviewing related information to develop and evaluate options and implement solutions. |
The data sources for the information displayed here include: O*NET™. (Using onet28)
Insurance Claims and Policy Processing Clerks
Abilities
% | Subject | Description |
---|---|---|
65.50 | Oral Comprehension | The ability to listen to and understand information and ideas presented through spoken words and sentences. |
65.50 | Written Comprehension | The ability to read and understand information and ideas presented in writing. |
62.50 | Oral Expression | The ability to communicate information and ideas in speaking so others will understand. |
62.50 | Speech Clarity | The ability to speak clearly so others can understand you. |
62.50 | Near Vision | The ability to see details at close range (within a few feet of the observer). |
62.50 | Speech Recognition | The ability to identify and understand the speech of another person. |
59.50 | Written Expression | The ability to communicate information and ideas in writing so others will understand. |
59.50 | Deductive Reasoning | The ability to apply general rules to specific problems to produce answers that make sense. |
59.50 | Information Ordering | The 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). |
56.25 | Problem Sensitivity | The ability to tell when something is wrong or is likely to go wrong. It does not involve solving the problem, only recognizing that there is a problem. |
53.00 | Inductive Reasoning | The ability to combine pieces of information to form general rules or conclusions (includes finding a relationship among seemingly unrelated events). |
53.00 | Category Flexibility | The ability to generate or use different sets of rules for combining or grouping things in different ways. |
The data sources for the information displayed here include: O*NET™. (Using onet28)
Insurance Claims and Policy Processing Clerks
Work Activities
% | Subject | Description |
---|---|---|
85.50 | Working with Computers | Using computers and computer systems (including hardware and software) to program, write software, set up functions, enter data, or process information. |
80.00 | Getting Information | Observing, receiving, and otherwise obtaining information from all relevant sources. |
77.75 | Processing Information | Compiling, coding, categorizing, calculating, tabulating, auditing, or verifying information or data. |
77.00 | Communicating with Supervisors, Peers, or Subordinates | Providing information to supervisors, co-workers, and subordinates by telephone, in written form, e-mail, or in person. |
76.75 | Documenting/Recording Information | Entering, transcribing, recording, storing, or maintaining information in written or electronic/magnetic form. |
75.50 | Evaluating Information to Determine Compliance with Standards | Using relevant information and individual judgment to determine whether events or processes comply with laws, regulations, or standards. |
69.25 | Communicating with People Outside the Organization | Communicating with people outside the organization, representing the organization to customers, the public, government, and other external sources. This information can be exchanged in person, in writing, or by telephone or e-mail. |
68.75 | Establishing and Maintaining Interpersonal Relationships | Developing constructive and cooperative working relationships with others, and maintaining them over time. |
65.75 | Making Decisions and Solving Problems | Analyzing information and evaluating results to choose the best solution and solve problems. |
65.50 | Updating and Using Relevant Knowledge | Keeping up-to-date technically and applying new knowledge to your job. |
63.50 | Performing Administrative Activities | Performing day-to-day administrative tasks such as maintaining information files and processing paperwork. |
63.00 | Organizing, Planning, and Prioritizing Work | Developing specific goals and plans to prioritize, organize, and accomplish your work. |
61.25 | Identifying Objects, Actions, and Events | Identifying information by categorizing, estimating, recognizing differences or similarities, and detecting changes in circumstances or events. |
59.50 | Interpreting the Meaning of Information for Others | Translating or explaining what information means and how it can be used. |
55.25 | Monitoring Processes, Materials, or Surroundings | Monitoring and reviewing information from materials, events, or the environment, to detect or assess problems. |
50.25 | Analyzing Data or Information | Identifying the underlying principles, reasons, or facts of information by breaking down information or data into separate parts. |
The data sources for the information displayed here include: O*NET™. (Using onet28)
Insurance Claims and Policy Processing Clerks
Work Styles
% | Subject | Description |
---|---|---|
93.00 | Attention to Detail | Job requires being careful about detail and thorough in completing work tasks. |
88.75 | Dependability | Job requires being reliable, responsible, and dependable, and fulfilling obligations. |
88.75 | Integrity | Job requires being honest and ethical. |
81.50 | Cooperation | Job requires being pleasant with others on the job and displaying a good-natured, cooperative attitude. |
79.00 | Self-Control | Job requires maintaining composure, keeping emotions in check, controlling anger, and avoiding aggressive behavior, even in very difficult situations. |
74.00 | Concern for Others | Job requires being sensitive to others' needs and feelings and being understanding and helpful on the job. |
73.50 | Independence | Job requires developing one's own ways of doing things, guiding oneself with little or no supervision, and depending on oneself to get things done. |
72.50 | Stress Tolerance | Job requires accepting criticism and dealing calmly and effectively with high-stress situations. |
71.50 | Initiative | Job requires a willingness to take on responsibilities and challenges. |
71.00 | Achievement/Effort | Job requires establishing and maintaining personally challenging achievement goals and exerting effort toward mastering tasks. |
70.50 | Adaptability/Flexibility | Job requires being open to change (positive or negative) and to considerable variety in the workplace. |
66.00 | Persistence | Job requires persistence in the face of obstacles. |
60.00 | Social Orientation | Job requires preferring to work with others rather than alone, and being personally connected with others on the job. |
59.50 | Analytical Thinking | Job requires analyzing information and using logic to address work-related issues and problems. |
The data sources for the information displayed here include: O*NET™. (Using onet28)
Insurance Claims and Policy Processing Clerks
Work Values
% | Subject | Description |
---|---|---|
61.17 | Relationships | Occupations that satisfy this work value allow employees to provide service to others and work with co-workers in a friendly non-competitive environment. Corresponding needs are Co-workers, Moral Values and Social Service. |
58.33 | Support | Occupations that satisfy this work value offer supportive management that stands behind employees. Corresponding needs are Company Policies, Supervision: Human Relations and Supervision: Technical. |
The data sources for the information displayed here include: O*NET™. (Using onet28)
Insurance Claims and Policy Processing Clerks
Work Context
% | Subject | Description |
---|---|---|
100.00 | Electronic Mail | How often do you use electronic mail in this job? |
97.80 | Spend Time Sitting | How much does this job require sitting? |
96.40 | Telephone | How often do you have telephone conversations in this job? |
90.40 | Importance of Being Exact or Accurate | How important is being very exact or highly accurate in performing this job? |
89.60 | Importance of Repeating Same Tasks | How important is repeating the same physical activities (e.g., key entry) or mental activities (e.g., checking entries in a ledger) over and over, without stopping, to performing this job? |
88.40 | Indoors, Environmentally Controlled | How often does this job require working indoors in environmentally controlled conditions? |
86.60 | Contact With Others | How much does this job require the worker to be in contact with others (face-to-face, by telephone, or otherwise) in order to perform it? |
83.00 | Structured versus Unstructured Work | To what extent is this job structured for the worker, rather than allowing the worker to determine tasks, priorities, and goals? |
81.40 | Letters and Memos | How often does the job require written letters and memos? |
81.00 | Work With Work Group or Team | How important is it to work with others in a group or team in this job? |
78.80 | Time Pressure | How often does this job require the worker to meet strict deadlines? |
77.60 | Spend Time Making Repetitive Motions | How much does this job require making repetitive motions? |
77.40 | Face-to-Face Discussions | How often do you have to have face-to-face discussions with individuals or teams in this job? |
75.80 | Frequency of Decision Making | How frequently is the worker required to make decisions that affect other people, the financial resources, and/or the image and reputation of the organization? |
75.20 | Freedom to Make Decisions | How much decision making freedom, without supervision, does the job offer? |
72.00 | Impact of Decisions on Co-workers or Company Results | What results do your decisions usually have on other people or the image or reputation or financial resources of your employer? |
71.60 | Deal With External Customers | How important is it to work with external customers or the public in this job? |
63.80 | Degree of Automation | How automated is the job? |
60.80 | Deal With Unpleasant or Angry People | How frequently does the worker have to deal with unpleasant, angry, or discourteous individuals as part of the job requirements? |
60.60 | Coordinate or Lead Others | How important is it to coordinate or lead others in accomplishing work activities in this job? |
57.80 | Spend Time Using Your Hands to Handle, Control, or Feel Objects, Tools, or Controls | How much does this job require using your hands to handle, control, or feel objects, tools or controls? |
57.60 | Physical Proximity | To what extent does this job require the worker to perform job tasks in close physical proximity to other people? |
56.40 | Frequency of Conflict Situations | How often are there conflict situations the employee has to face in this job? |
53.40 | Sounds, Noise Levels Are Distracting or Uncomfortable | How often does this job require working exposed to sounds and noise levels that are distracting or uncomfortable? |
52.20 | Level of Competition | To what extent does this job require the worker to compete or to be aware of competitive pressures? |
The data sources for the information displayed here include: O*NET™. (Using onet28)
Insurance Claims and Policy Processing Clerks
Job Zone Two: Some Preparation Needed
- Overall Experience
- Some previous work-related skill, knowledge, or experience is usually needed. For example, a teller would benefit from experience working directly with the public.
- Job Training
- Employees in these occupations need anywhere from a few months to one year of working with experienced employees. A recognized apprenticeship program may be associated with these occupations.
- Examples
- These occupations often involve using your knowledge and skills to help others. Examples include orderlies, counter and rental clerks, customer service representatives, security guards, upholsterers, tellers, and dental laboratory technicians.
- Education
- These occupations usually require a high school diploma.
The data sources for the information displayed here include: O*NET™. (Using onet28)
Insurance Claims and Policy Processing Clerks
Earnings Benefits*
Region | Entry Level | Median | Experienced |
---|---|---|---|
United States | $33,710.00 | $46,080.00 | $54,890.00 |
Virginia | $30,820.00 | $45,880.00 | $50,360.00 |
Region | Entry Level | Median | Experienced |
Alexandria/Arlington | $44,405.62 | $48,848.35 | $58,010.65 |
Bay Consortium | $39,647.84 | $49,979.44 | $65,739.20 |
Capital Region Workforce Partnership | $31,273.69 | $38,955.76 | $46,207.09 |
Central VA/Region2000 | $31,695.13 | $40,757.23 | $49,397.88 |
Crater Area | No Data | No Data | No Data |
Greater Peninsula | No Data | No Data | No Data |
Hampton Roads | $34,965.46 | $40,910.11 | $49,469.16 |
New River/Mt. Rogers | $31,034.04 | $39,328.66 | $42,476.06 |
Northern Virginia | $42,404.79 | $52,020.55 | $62,555.64 |
Piedmont Workforce | $36,206.04 | $44,144.28 | $50,884.30 |
Shenandoah Valley | No Data | No Data | No Data |
South Central | $30,247.97 | $36,238.06 | $42,168.24 |
Southwestern Virginia | $34,165.96 | $40,740.70 | $43,800.31 |
West Piedmont | $31,007.19 | $38,536.38 | $41,859.39 |
Western Virginia | $25,353.83 | $37,872.19 | $44,244.48 |
* Earnings Calculations:
Regional Earnings:
Entry = Annual mean of the lower 1/3 wage distribution;
Experienced = Annual mean of the upper 2/3 wage distribution.
National and State Earnings:
Entry = Annual 10th percentile wage;
Experienced = Annual 75th percentile wage.
The data sources for the information displayed here include: US Department of Labor (BLS); Virginia Workforce Connection. (Using onet28)
Insurance Claims and Policy Processing Clerks
Employment Projections
Current | Projected | % Change | |
---|---|---|---|
United States | 247,800 | 242,000 | -2.3% |
Virginia | 5,890 | 6,151 | +4.4% |
Region | Current* | Projected | % Change |
Alexandria/Arlington | No Data | No Data | No Data |
Bay Consortium | No Data | No Data | No Data |
Capital Region Workforce Partnership | No Data | No Data | No Data |
Central VA/Region2000 | No Data | No Data | No Data |
Crater Area | No Data | No Data | No Data |
Greater Peninsula | No Data | No Data | No Data |
Hampton Roads | No Data | No Data | No Data |
New River/Mt. Rogers | No Data | No Data | No Data |
Northern Virginia | No Data | No Data | No Data |
Piedmont Workforce | No Data | No Data | No Data |
Shenandoah Valley | No Data | No Data | No Data |
South Central | No Data | No Data | No Data |
Southwestern Virginia | No Data | No Data | No Data |
West Piedmont | No Data | No Data | No Data |
Western Virginia | No Data | No Data | No Data |
The data sources for the information displayed here include: US Department of Labor (BLS); Virginia Workforce Connection. (Using onet28)
Insurance Claims and Policy Processing Clerks
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The data sources for the information displayed here include: O*NET™. (Using onet28)
Insurance Claims and Policy Processing Clerks
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Overview
Occupations
The data sources for the information displayed here include: New York State Department of Labor; New Jersey Department of Labor; California Occupational Information Coordinating Committee; CareerOneStop. (Using onet28)
Insurance Claims and Policy Processing Clerks
Proficiency Ratings
These proficiencies are scored on a scale from 1 to 5 with 1 being not
important to the job and 5 being extremely important to the job.
The data sources for the information displayed here include: O*NET™. (Using onet28)
Insurance Claims and Policy Processing Clerks
Titles
- Billing and Insurance Coordinator
- Insurance Claims Clerk
- Insurance Clerk
- Insurance Examining Clerk
- Insurance Policy Issue Clerk
- Underwriting Assistant
- Underwriting Clerk
The data sources for the information displayed here include: O*NET™. (Using onet28)
Insurance Claims and Policy Processing Clerks
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- Waukesha County Technical College
- West Virginia Junior College-Charleston
- West Virginia Junior College-Morgantown
- Western Wyoming Community College
- Wichita State University-Campus of Applied Sciences and Technology
- William Rainey Harper College
- Williamsburg Technical College
- Yakima Valley College
- York Technical College
The data sources for the information displayed here include: O*NET™. (Using onet28)