Insurance Claims Clerks

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About the Job

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

It is also Called

  • Call Center Representative
  • Claim Processing Specialist
  • Claim Representative
  • Claims Adjudicator
  • Claims Adjuster
  • Claims Associate
  • Claims Clerk
  • Claims Coordinator
  • Claims Customer Service Representative (Claims CSR)
  • Claim Service Representative
View All

What They Do

  • Prepare insurance claim forms or related documents and review them for completeness.
  • Enter claims information into database systems.
  • Pay small claims.
  • 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.
  • 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.

Interests

People who work in this occupation generally have the interest code: CE.

This means people who work in this occupation generally have Conventional interests, but also prefer Enterprising environments.

Work Values

People who work in this occupation generally prize Relationships, but also value Support and Working Conditions in their jobs.

Things They Need to Know

  • 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.
  • 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.

Things They Need to Be Able to Do

  • 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.
  • Reading Comprehension - Understanding written sentences and paragraphs in work related documents.
  • 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.

Education Required

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

Wages

In 2017, the average annual wage in Ohio was $38,920 with most people making between $26,340 and $52,920

Outlook

0.42%
avg. annual growth

During 2014, this occupation employed approximately 17,460 people in Ohio. It is projected that there will be 18,200 employed in 2024.

This occupation will have about 74 openings due to growth and about 436 replacement openings for approximately 510 total annual openings.

Work Keys

This occupation requires a Silver certificate

Skill Level
Observation4
Writing4
Locating Information4
Reading for Information4
Applied Mathematics3
Listening3
Teamwork3
Writing3