Insurance Claims Clerks

Finance > Insurance

Projected Growth: Average

32700+
Projected Job Openings

Medium Preparation Needed

Job Description

Your job is to Obtain information from insured or designated persons for purpose of settling claim with insurance carrier.

Common job titles of Insurance Claims Clerks include:
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Experience and Education

Previous 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.

  • 45.21% said they needed a High School Diploma.

  • 20.09% said they needed a Associate's Degree.

Tasks

    Enter claims information into database systems.

    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.

    Apply insurance rating systems.

    Post or attach information to claim file.

    Transmit claims for payment or further investigation.

    Prepare insurance claim forms or related documents and review them for completeness.

    Review insurance policy to determine coverage.

    Calculate amount of claim.

    Pay small claims.

    Contact insured or other involved persons to obtain missing information.

Tools

Personal computers

Dictation machines

Desktop computers

10-key calculators

Technologies

Healthcare common procedure coding system HCPCS

Alpha Software Alpha Five

Automated information system software

Billing software

Claim processing system software

IBM Check Processing Control System CPSC

Medical procedure coding software

All Technologies

Spreadsheet software

St. Paul Travelers e-CARMA

Skills

Reading Comprehension

Understanding written sentences and paragraphs in work related documents.

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.

Speaking

Talking to others to convey information effectively.

Critical Thinking

Using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems.

Writing

Communicating effectively in writing as appropriate for the needs of the audience.

Service Orientation

Actively looking for ways to help people.

Social Perceptiveness

Being aware of others' reactions and understanding why they react as they do.

Abilities

Read and understand information and ideas presented in writing.

Cognitive Abilities › Verbal Abilities › Written Comprehension

Communicate information and ideas in speaking so others will understand.

Cognitive Abilities › Verbal Abilities › Oral Expression

See details at close range (within a few feet of the observer).

Sensory Abilities › Visual Abilities › Near Vision

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Occupation Sections

Knowledge

English Language

Knowledge of the structure and content of the English language including the meaning and spelling of words, rules of composition, and grammar.

Clerical

Knowledge 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 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.

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