Insurance Claims and Policy Processing Clerks

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Job Description

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Key Tasks

• 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.
• 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.
• 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.
• 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.

O*NET Information

• SOC Code: 43-9041.00
• Title: Insurance Claims and Policy Processing Clerks

Related Occupations

Based on O*NET Standard Occupational Classification.

Career Resources

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const job = await $.Occupation.create({
  title: 'Insurance Claims and Policy Processing Clerks',
  description: 'undefined',
  socCode: '43-9041.00',
})