Insurance Claims Clerks
SOC: 43-9041.01

Description:

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


National Salary Information:

Hourly Statistics:

Annual Statistics:

Source: Bureau of Labor Statistics 2015 wage data.


Employment Projections:

Employment (2014):
285,400 employed

Projected (2024):
303,100 employed

Projected growth (2014-2024)


Source: Bureau of Labor Statistics 2015 2014-2024 employment projections external site. "Projected growth" represents the estimated change in total employment over the projections period (2014-2024). "Projected job openings" represent openings due to growth and replacement.


Alternate Titles:

  • Call Center Representative
  • Claim Processing Specialist
  • Claim Representative
  • Claim Service Representative
  • Claim Taker
  • Claim Technician
  • Claims Adjudicator
  • Claims Adjuster
  • Claims Associate
  • Claims Clerk
  • Claims Coordinator
  • Claims Customer Service Representative (Claims CSR)
  • Claims Examiner
  • Claims Processor
  • Claims Representative
  • Claims Service Representative
  • Claims Sorter
  • Claims Technician
  • Insurance Claims Processor
  • Insurance Customer Service Representative
  • Insurance Specialist
  • Medical Insurance Claims Processor
  • Open Claims Representative
  • Personal Lines Insurance Customer Service Representative (Personal Lines Insurance CSR)
  • Service Advisor
  • Underwriting Clerk


  • Job Zone Three: Medium Preparation Needed

    Experience:

    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.

    Education:

    Most occupations in this zone require training in vocational schools, related on-the-job experience, or an associate's degree.

    Job Training:

    Employees 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.


    Required Skills:

  • Reading Comprehension
  • Active Listening
  • Writing
  • Speaking
  • Mathematics
  • Critical Thinking
  • Active Learning
  • Learning Strategies
  • Monitoring
  • Social Perceptiveness
  • Coordination
  • Persuasion
  • Negotiation
  • Instructing
  • Service Orientation
  • Complex Problem Solving
  • Programming
  • Operation Monitoring
  • Operation and Control
  • Quality Control Analysis
  • Judgment and Decision Making
  • Systems Analysis
  • Systems Evaluation
  • Time Management
  • Management of Personnel Resources

  • Knowledge Used:

  • Administration and Management
  • Clerical
  • Economics and Accounting
  • Customer and Personal Service
  • Personnel and Human Resources
  • Production and Processing
  • Computers and Electronics
  • Mathematics
  • Psychology
  • Sociology and Anthropology
  • Geography
  • Medicine and Dentistry
  • Therapy and Counseling
  • Education and Training
  • English Language
  • Foreign Language
  • Philosophy and Theology
  • Public Safety and Security
  • Law and Government
  • Telecommunications
  • Communications and Media
  • Transportation


  • Tasks:

  • 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.

  • Tools & Technology:

  • 10-key calculators
  • Desktop computers
  • Dictation machines
  • Personal computers
  • Alpha Software Alpha Five
  • Automated information system software
  • Billing software
  • Claim processing system software
  • Data entry software
  • Database software
  • IBM Check Processing Control System CPSC
  • Microsoft Excel
  • Microsoft Office software
  • Microsoft PowerPoint
  • Microsoft Word
  • Spreadsheet software
  • St. Paul Travelers e-CARMA
  • Web browser software
  • Word processing software


  • office and administrative support


    industry stats

    SOC: 43-0000

    Total Employed: 21,846,420

    Average Annual Salary: $36,330