Insurance Claims and Policy Processing Clerk Career

Job Description: 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.


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Insurance Claims and Policy Processing Clerk Career

What Insurance Claims and Policy Processing Clerks do:

  • Correspond with insured or agent to obtain information or inform them of account status or changes.
  • Contact insured or other involved persons to obtain missing information.
  • 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.
  • Transmit claims for payment or further investigation.
  • Examine letters from policyholders or agents, original insurance applications, and other company documents to determine if changes are needed and effects of changes.
  • Prepare insurance claim forms or related documents and review them for completeness.
  • Process and record new insurance policies and claims.
  • Review insurance policy to determine coverage.
  • Provide customer service, such as limited instructions on proceeding with claims or referrals to auto repair facilities or local contractors.
  • Notify insurance agent and accounting department of policy cancellation.
  • Review and verify data, such as age, name, address, and principal sum and value of property on insurance applications and policies.
  • Calculate amount of claim.
  • Compare information from application to criteria for policy reinstatement and approve reinstatement when criteria are met.
  • Transcribe data to worksheets and enter data into computer for use in preparing documents and adjusting accounts.
  • Pay small claims.
  • Compose business correspondence for supervisors, managers, and professionals.
  • Process, prepare, and submit business or government forms, such as submitting applications for coverage to insurance carriers.
  • 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.
  • Collect initial premiums and issue receipts.
  • Apply insurance rating systems.
  • Check computations of interest accrued, premiums due, and settlement surrender on loan values.

What work activities are most important?

Importance Activities

Interacting With Computers - Using computers and computer systems (including hardware and software) to program, write software, set up functions, enter data, or process information.

Getting Information - Observing, receiving, and otherwise obtaining information from all relevant sources.

Communicating with Supervisors, Peers, or Subordinates - Providing information to supervisors, co-workers, and subordinates by telephone, in written form, e-mail, or in person.

Processing Information - Compiling, coding, categorizing, calculating, tabulating, auditing, or verifying information or data.

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.

Documenting/Recording Information - Entering, transcribing, recording, storing, or maintaining information in written or electronic/magnetic form.

Communicating with Persons Outside 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.

Establishing and Maintaining Interpersonal Relationships - Developing constructive and cooperative working relationships with others, and maintaining them over time.

Making Decisions and Solving Problems - Analyzing information and evaluating results to choose the best solution and solve problems.

Updating and Using Relevant Knowledge - Keeping up-to-date technically and applying new knowledge to your job.

Performing Administrative Activities - Performing day-to-day administrative tasks such as maintaining information files and processing paperwork.

Organizing, Planning, and Prioritizing Work - Developing specific goals and plans to prioritize, organize, and accomplish your work.

Identifying Objects, Actions, and Events - Identifying information by categorizing, estimating, recognizing differences or similarities, and detecting changes in circumstances or events.

Interpreting the Meaning of Information for Others - Translating or explaining what information means and how it can be used.

Monitor Processes, Materials, or Surroundings - Monitoring and reviewing information from materials, events, or the environment, to detect or assess problems.

Analyzing Data or Information - Identifying the underlying principles, reasons, or facts of information by breaking down information or data into separate parts.

Resolving Conflicts and Negotiating with Others - Handling complaints, settling disputes, and resolving grievances and conflicts, or otherwise negotiating with others.

Performing for or Working Directly with the Public - Performing for people or dealing directly with the public. This includes serving customers in restaurants and stores, and receiving clients or guests.

Developing and Building Teams - Encouraging and building mutual trust, respect, and cooperation among team members.

Assisting and Caring for Others - Providing personal assistance, medical attention, emotional support, or other personal care to others such as coworkers, customers, or patients.

Training and Teaching Others - Identifying the educational needs of others, developing formal educational or training programs or classes, and teaching or instructing others.

Judging the Qualities of Things, Services, or People - Assessing the value, importance, or quality of things or people.

Holland Code Chart for an Insurance Claims and Policy Processing Clerk