Insurance Policy & Claims Specialist

Insurance Claims and Policy Processing Clerks Insurance Claims and Policy Processing Clerks: Career Overview 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. Featured schools near , edit Previous Next College Finder Desired Degree Level Desired Study Area Zip Code High School/GED Grad Year Highest Level of Education Completed What Tasks Do Insurance Claims and Policy Processing Clerks Perform? The core tasks performed by insurance claims and policy processing clerks cover: 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. Key Skills and Knowledge Successful insurance claims and policy processing clerks rely on a mix of skills and domain knowledge. Most Important Skills These are the skills that matter most in this role, rated on an importance scale of 0 to 5: Reading Comprehension 3.5 / 5 0 5 Time Management 3.5 / 5 0 5 Speaking 3.4 / 5 0 5 Active Listening 3.2 / 5 0 5 Critical Thinking 3.2 / 5 0 5 Coordination 3.1 / 5 0 5 Core Knowledge Customer and Personal Service 4.2 / 5 0 5 Administrative 3.9 / 5 0 5 English Language 3.6 / 5 0 5 Computers and Electronics 3.0 / 5 0 5 Mathematics 2.9 / 5 0 5 Administration and Management 2.4 / 5 0 5 Other Insurance Claims and Policy Processing Clerks Job Titles This career also goes by job titles like: Agency Service Representative (Agency Service Rep) Auto Claims Rep (Automotive Claims Representative) Auto Liability Claims Rep (Automotive Liability Claims Representative) Billing and Insurance Coordinator Bodily Injury Claims Representative (Bodily Injury Claims Rep) Cancellation Clerk Claim Representative (Claims Rep) Claims Adjudicator Employment and Demand There are roughly 939,223 insurance claims and policy processing clerks working in the United States today. Demand is forecast to grow by +4.7% over the projection horizon. Insurance Claims and Policy Processing Clerks Pay Statistic Value Annual median $34,431 Hourly median $16.55 10th percentile $20,000 25th percentile $26,701 75th percentile $42,161 90th percentile $49,891 Pay can vary substantially based on experience, location, and industry. Pay by State State Annual median salary Washington $59,190 New Jersey $58,010 New Hampshire $57,830 New York $57,620 District of Columbia $57,510 Connecticut $56,950 Massachusetts $56,400 Colorado $55,030 California $54,120 Minnesota $53,570 Maryland $53,180 Maine $52,010 Rhode Island $50,740 Delaware $50,490 Vermont $49,960 Montana $49,920 Wisconsin $49,330 Arizona $49,270 Oregon $49,230 Texas $49,090 Oklahoma $48,890 North Dakota $48,720 Hawaii $48,410 Ohio $47,910 Kentucky $47,560 Nebraska $47,510 Florida $47,080 Missouri $46,990 Illinois $46,960 Kansas $46,940 Idaho $46,890 Pennsylvania $46,800 Michigan $46,750 Iowa $46,750 Virginia $46,710 North Carolina $46,570 Indiana $46,450 Tennessee $46,140 Georgia $46,060 Nevada $44,810 South Dakota $43,680 Louisiana $43,650 South Carolina $43,620 Utah $43,480 Wyoming $41,460 Virgin Islands $41,110 Arkansas $40,810 Mississippi $39,590 New Mexico $38,910 West Virginia $38,890 Alabama $37,850 Alaska $36,120 Puerto Rico $29,940 Guam $24,220 Top-Paying U.S. Regions Compensation for insurance claims and policy processing clerks vary by region. These regions lead on median pay: Region Median annual wage Share of U.S. jobs Location quotient New England $55,555 4.8% 1.06 Middle Atlantic $53,773 9.2% 0.65 Far Western US $53,587 14.9% 0.92 Southwest $48,912 17.0% 1.40 Plains States $48,472 7.1% 1.17 Rocky Mountains $48,286 2.2% 0.60 Great Lakes $47,443 16.1% 1.17 Southeast $45,477 27.8% 1.20 Top Metro Areas Metro area State Median annual wage Employment Manchester-Nashua, NH NH $63,710 330 San Jose-Sunnyvale-Santa Clara, CA CA $61,360 Barnstable Town, MA MA $61,350 130 Bozeman, MT MT $61,180 50 San Francisco-Oakland-Fremont, CA CA $60,550 2,740 Hartford-West Hartford-East Hartford, CT CT $60,530 1,200 Santa Rosa-Petaluma, CA CA $60,440 250 Rochester, MN MN $60,410 70 Industry Breakdown The largest employers of insurance claims and policy processing clerks are concentrated in the following sectors: Industry Employment Median annual wage Finance and Insurance 179,320 $48,980 Health Care and Social Assistance 13,520 $44,840 Management of Companies and Enterprises 9,390 $47,790 Professional, Scientific, and Technical Services 7,260 $46,960 Retail Trade 1,910 $46,090 Information 820 $35,740 Real Estate and Rental and Leasing 500 $49,270 Wholesale Trade 490 $48,470 Insurance Claims and Policy Processing Clerks work in the following industries: Software Insurance Claims and Policy Processing Clerks Use Data base user interface and query software : Microsoft Access (hot technology) Spreadsheet software : Microsoft Excel (hot technology) Office suite software : Microsoft Office software (hot technology) Electronic mail software : Microsoft Outlook (hot technology) Presentation software : Microsoft PowerPoint (hot technology) Operating system software : Microsoft Windows (hot technology) Word processing software : Microsoft Word (hot technology) Work Environment The work environment for insurance claims and policy processing clerks tends to involve the following characteristics: E-Mail Spend Time Sitting Telephone Conversations Importance of Being Exact or Accurate Importance of Repeating Same Tasks Getting Started in This Career Most insurance claims and policy processing clerks positions require a high school diploma or equivalent as the typical entry-level education. The role falls in Some Preparation Needed (Job Zone 2), reflecting the level of preparation typically expected. Related Careers Similar Occupations Claims Adjusters, Examiners, and Investigators (Supplemental) Compensation, Benefits, and Job Analysis Specialists (Supplemental) Insurance Underwriters (Supplemental) Tax Examiners and Collectors, and Revenue Agents (Supplemental) Title Examiners, Abstractors, and Searchers (Supplemental) Medical Records Specialists (Supplemental) Insurance Sales Agents (Supplemental) Sales Representatives of Services, Except Advertising, Insurance, Financial Services, and Travel (Supplemental) Degree Programs Students preparing for insurance claims and policy processing clerks often complete programs in: Business, Management, Marketing, and Related Support Services 1 programs across 1 majors Business Support & Assistance References Statistics shown above are sourced from the following authoritative sources: U.S. Bureau of Labor Statistics — Occupational Employment and Wage Statistics (OEWS) for employment and wage data by state and industry. BLS Employment Projections for total employment and growth forecasts. O*NET (Occupational Information Network) for skills, knowledge, tasks, work activities, work context, technology, and education-zone data. SOC code: 43-9041.00 (Insurance Claims and Policy Processing Clerks). Find Schools Near You Our free school finder matches students with accredited colleges across the U.S. Explore Schools Course Advisor provides higher-education, college and university, degree, program, career, salary, and other helpful information to students, faculty, institutions, and other internet audiences. Presented information and data are subject to change. Inclusion on this website does not imply or represent a direct relationship with the company, school, or brand. Information, though believed correct at time of publication, may not be correct, and no warranty is provided. Contact the schools to verify any information before relying on it. Financial aid may be available for those who qualify. 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