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.
Common Job Titles
What You'll Need to Succeed
AI-generatedKey competencies for this occupation at a glance
- KnowledgeEvaluate insurance claims forms and policy applications for accuracy and completeness using company standards and regulatory requirements, working independently in an office environment.Developing
- KnowledgeApply insurance policy provisions and claims processing procedures when reviewing policyholder requests and updating existing policies in claims management systems.Developing
- KnowledgeAnalyze policyholder information and supporting documentation to determine eligibility and compliance with insurance regulations and company guidelines.Developing
- KnowledgeInterpret medical coding systems and billing procedures when processing healthcare claims using HCPCS and diagnosis coding software.Developing
- Hands-onOperate claims processing and policy management software systems to document, record, and update policyholder information following established protocols.Developing
- Hands-onExecute data entry and database updates in insurance management systems using Microsoft Office applications and specialized claim processing software with accuracy under time constraints.Developing
- MindsetEngage with policyholders to gather information and clarify documentation requirements, demonstrating active listening and service orientation during verbal and written communications.Developing
- MindsetRespond to policyholder inquiries and concerns regarding claims status and policy modifications, maintaining professionalism and customer focus in high-volume service environments.Developing
- KnowledgeOrganize multiple claims and policy processing tasks, prioritizing workload to meet processing deadlines and service level agreements.Developing
- MindsetParticipate in interdepartmental communication and coordination, collaborating with supervisors, insurance representatives, and other clerks to resolve discrepancies and process exceptions.Developing
Annual wage data for Insurance Claims and Policy Processing Clerks (2024)
Estimated Total Employment (U.S.)
229,070
Wage Distribution by Percentile
| Metric | U.S. |
|---|---|
| 10% of workers earn the following or less | $36,900 |
| 10% of workers earn the following or more | $73,100 |
| Workers on average earn | $51,980 |
+ indicates wage is at or above the BLS reporting cap ($239,200/year)
Key competencies for this occupation, ranked by importance
- Customer and Personal Service4.2/5
- Administrative3.9/5
- English Language3.6/5
- Computers and Electronics3.0/5
- Mathematics2.9/5
Equipment and software commonly used in this occupation
In-Demand Technology
Frequently requested by employers in job postings