Insurance Claims Clerks

Description

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

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.

Knowledge

Production and Processing
Knowledge of raw materials, production processes, quality control, costs, and other techniques for maximizing the effective manufacture and distribution of goods.
Mechanical
Knowledge of machines and tools, including their designs, uses, repair, and maintenance.

Skills

Management of Financial Resources
Determining how money will be spent to get the work done, and accounting for these expenditures.
Operations Analysis
Analyzing needs and product requirements to create a design.
Equipment Selection
Determining the kind of tools and equipment needed to do a job.
Operation and Control
Controlling operations of equipment or systems.
Repairing
Repairing machines or systems using the needed tools.
Troubleshooting
Determining causes of operating errors and deciding what to do about it.
Equipment Maintenance
Performing routine maintenance on equipment and determining when and what kind of maintenance is needed.
Operation Monitoring
Watching gauges, dials, or other indicators to make sure a machine is working properly.
Installation
Installing equipment, machines, wiring, or programs to meet specifications.
Technology Design
Generating or adapting equipment and technology to serve user needs.

Abilities

Trunk Strength
The ability to use your abdominal and lower back muscles to support part of the body repeatedly or continuously over time without 'giving out' or fatiguing.
Response Orientation
The ability to choose quickly between two or more movements in response to two or more different signals (lights, sounds, pictures). It includes the speed with which the correct response is started with the hand, foot, or other body part.
Sound Localization
The ability to tell the direction from which a sound originated.
Dynamic Strength
The ability to exert muscle force repeatedly or continuously over time. This involves muscular endurance and resistance to muscle fatigue.
Explosive Strength
The ability to use short bursts of muscle force to propel oneself (as in jumping or sprinting), or to throw an object.
Static Strength
The ability to exert maximum muscle force to lift, push, pull, or carry objects.
Speed of Limb Movement
The ability to quickly move the arms and legs.
Reaction Time
The ability to quickly respond (with the hand, finger, or foot) to a signal (sound, light, picture) when it appears.
Rate Control
The ability to time your movements or the movement of a piece of equipment in anticipation of changes in the speed and/or direction of a moving object or scene.
Multilimb Coordination
The ability to coordinate two or more limbs (for example, two arms, two legs, or one leg and one arm) while sitting, standing, or lying down. It does not involve performing the activities while the whole body is in motion.

Interests

Conventional
Conventional occupations frequently involve following set procedures and routines. These occupations can include working with data and details more than with ideas. Usually there is a clear line of authority to follow.
Enterprising
Enterprising occupations frequently involve starting up and carrying out projects. These occupations can involve leading people and making many decisions. Sometimes they require risk taking and often deal with business.
Social
Social occupations frequently involve working with, communicating with, and teaching people. These occupations often involve helping or providing service to others.
Investigative
Investigative occupations frequently involve working with ideas, and require an extensive amount of thinking. These occupations can involve searching for facts and figuring out problems mentally.
Realistic
Realistic occupations frequently involve work activities that include practical, hands-on problems and solutions. They often deal with plants, animals, and real-world materials like wood, tools, and machinery. Many of the occupations require working outside, and do not involve a lot of paperwork or working closely with others.
Artistic
Artistic occupations frequently involve working with forms, designs and patterns. They often require self-expression and the work can be done without following a clear set of rules.

Work Style

Dependability
Job requires being reliable, responsible, and dependable, and fulfilling obligations.
Attention to Detail
Job requires being careful about detail and thorough in completing work tasks.
Integrity
Job requires being honest and ethical.
Cooperation
Job requires being pleasant with others on the job and displaying a good-natured, cooperative attitude.
Adaptability/Flexibility
Job requires being open to change (positive or negative) and to considerable variety in the workplace.
Initiative
Job requires a willingness to take on responsibilities and challenges.
Stress Tolerance
Job requires accepting criticism and dealing calmly and effectively with high stress situations.
Self Control
Job requires maintaining composure, keeping emotions in check, controlling anger, and avoiding aggressive behavior, even in very difficult situations.
Concern for Others
Job requires being sensitive to others' needs and feelings and being understanding and helpful on the job.
Achievement/Effort
Job requires establishing and maintaining personally challenging achievement goals and exerting effort toward mastering tasks.

Work Values

Relationships
Occupations that satisfy this work value allow employees to provide service to others and work with co-workers in a friendly non-competitive environment. Corresponding needs are Co-workers, Moral Values and Social Service.
Support
Occupations that satisfy this work value offer supportive management that stands behind employees. Corresponding needs are Company Policies, Supervision: Human Relations and Supervision: Technical.
Working Conditions
Occupations that satisfy this work value offer job security and good working conditions. Corresponding needs are Activity, Compensation, Independence, Security, Variety and Working Conditions.
Achievement
Occupations that satisfy this work value are results oriented and allow employees to use their strongest abilities, giving them a feeling of accomplishment. Corresponding needs are Ability Utilization and Achievement.
Independence
Occupations that satisfy this work value allow employees to work on their own and make decisions. Corresponding needs are Creativity, Responsibility and Autonomy.
Recognition
Occupations that satisfy this work value offer advancement, potential for leadership, and are often considered prestigious. Corresponding needs are Advancement, Authority, Recognition and Social Status.

Lay Titles

Claim Processing Specialist
Claim Taker
Claims Adjudicator
Claims Adjuster
Claims Assistant
Claims Clerk
Claims Coordinator
Claims Customer Service Representative (Claims CSR)
Claims Examiner
Claims Processor
Claims Representative
Claims Service Representative
Claims Sorter
Claims Technician
Client Support Representative
Commercial Lines Customer Service Representative (Commercial Lines CSR)
Customer Service Representative (CSR)
Health Insurance Claims Processor
Insurance Claims Processor
Insurance Customer Service Representative
Insurance Specialist
Medical Insurance Claims Processor
Personal Lines Insurance Customer Service Representative (Personal Lines Insurance CSR)
Service Specialist
Staff Assistant
Underwriting Clerk
Workers' Compensation Claims Adjuster

National Wages and Employment Info

Median Wages (2008):
$17.17 hourly, $35,700 annual.
Employment (2008):
226,260 employees