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Career Details
43-9041.00 - Insurance Claims and Policy Processing Clerks
43-9041.00 - 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.
Key Facts

Bright Outlook
Career Details
Green Job
Career Details
Current Employment
285,400
Estimate
Forecasted Employment
303,100
Estimate
Change in Employment
+17,700
Estimate
Change in Employment %
+6.2%
Estimate
Tasks

Tasks
The tasks listed below can be performed to prepare you for a career in this field.
Core
- Prepare insurance claim forms or related documents, and review them for completeness.
- 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.
- Process and record new insurance policies and claims.
- 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.
- Correspond with insured or agent to obtain information or to inform them of account status or changes.
- Review and verify data, such as age, name, address, and principal sum and value of property, on insurance applications and policies.
- Compare information from application to criteria for policy reinstatement, and approve reinstatement when criteria are met.
- Examine letters from policyholders or agents, original insurance applications, and other company documents to determine if changes are needed and effects of changes.
- Transcribe data to worksheets, and enter data into computer for use in preparing documents and adjusting accounts.
- Notify insurance agent and accounting department of policy cancellation.
Generic
- Calculate premiums, refunds, commissions, adjustments, or new reserve requirements, using insurance rate standards.
- Enter insurance- and claims-related information into database systems.
- Modify, update, or process existing policies and claims to reflect any change in beneficiary, amount of coverage, or type of insurance.
- Organize or work with detailed office or warehouse records, maintaining files for each policyholder, including policies that are to be reinstated or cancelled.
Supplemental
- Pay small claims.
- Process, prepare, and submit business or government forms, such as submitting applications for coverage to insurance carriers.
- Collect initial premiums and issue receipts.
- Check computations of interest accrued, premiums due, and settlement surrender on loan values.
- 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.
- Compose business correspondence for supervisors, managers, and professionals.
- Apply insurance rating systems.
All data sourced from US Department of Labor, Employment & Training Administration O*Net Database.
Knowledge

Knowledge
The items listed below are organized into sections that contain knowledge useful for pursuing a career in this field. Each section also contains a "Percentage of Importance" statistic that shows how relevant an item is to the occupation.
All data sourced from US Department of Labor, Employment & Training Administration O*Net Database.
Tools

Tools
The tools listed below include machines, equipment, tools, and software that is useful for individuals who are interested in this career.
All data sourced from US Department of Labor, Employment & Training Administration O*Net Database.
Technology

Technology
The technologies listed below include machines, equipment, tools, and software that is useful for individuals who are interested in this career.
All data sourced from US Department of Labor, Employment & Training Administration O*Net Database.
Certifications

Certifications
The certifications listed below are useful to pursue if you are interested in a career in this field.
All data sourced from US Department of Labor, Employment & Training Administration O*Net Database.
Licensing

Licensing
The licensing information below is organized into sections and is useful for pursuing if you are interested in a career in this field.
No specific licensing information is listed for this occupation in the area you have selected.
All data sourced from US Department of Labor, Employment & Training Administration O*Net Database.
Related Programs

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