Insurance Claims Clerks Job Description

The Insurance Claims Clerk must obtain information from insured or designated persons for purpose of settling claim with insurance carrier.

Duties:

The Insurance Claims Clerk reviews insurance policies to determine coverage. The Insurance Claims Clerk prepares insurance claims forms and related documents and reviews them for completeness. The Insurance Claims Clerk provides customer service, such as limited instructions on proceeding with claims or referrals to auto repair facilities or local contractors. The Insurance Claims Clerk organizes and works with detailed office or warehouse records, using computers to enter, access, search and retrieve data. The Insurance Claims Clerk posts or attaches information to claim files. The Insurance claims Clerk often pays small claims. The Insurance Claims Clerk transmits claims for payment or further investigation. The Insurance Claims Clerk contacts insured or other involved persons to obtain missing information. The Insurance Claims Clerk must calculate amount of claim. The Insurance Claims Clerk applies insurance rating systems.

Knowledge:

The Insurance Claims Clerk needs knowledge of principles and processes for providing customer and personal services. This includes customer needs assessment, meeting quality standards for services, and evaluation of customer satisfaction. The Insurance Claims Clerk needs knowledge of administrative and clerical procedures and systems such as word processing, managing files and records, stenography and transcription, designing forms, and other office procedures and terminology. The Insurance Claims Clerk needs knowledge of the structure and content of the English language including the meaning and spelling of words, rules of composition, and grammar. The Insurance Claims Clerk needs knowledge of arithmetic, algebra, geometry, calculus, statistics, and their applications. The Insurance Claims Clerk needs knowledge of circuit boards, processors, chips, electronic equipment, and computer hardware and software, including applications and programming.

Skills:

The Insurance Claims Clerk needs skill in understanding written sentences and paragraphs in work related documents. The Insurance Claims Clerk must give full attention to what other people are saying, taking time to understand the points being made, asking questions as appropriate and not interrupting at inappropriate times. The Insurance Claims Clerk needs to be actively looking for ways to help people. The Insurance Claims Clerk must have the skill to communicate effectively in writing as appropriate for the needs of the audience. The Insurance Claims Clerk needs the skill to select and use the proper training methods and procedures appropriate for the situation when learning or teaching new things. The Insurance Claims Clerk must be aware of others’ reactions and understand why they react as they do. The Insurance Claims Clerk uses logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems. The Insurance Claims Clerk must have the skill to understand the implications of new information for both current and future problem solving and decision making.

Abilities:

The Insurance Claims Clerk needs the ability to read and understand information and ideas presented in writing. The Insurance Claims Clerk needs the ability to communicate information and ideas in speaking so others will understand. The Insurance Claims Clerk needs the ability to identify and understand the speech of another person. The Insurance Claims Clerk needs the ability to listen to and understand information and ideas presented through spoken words and sentences. The Insurance Claims Clerk needs the ability to speak clearly so others understand any direction or explanation presented. The Insurance Claims Clerk needs the ability to see details at a close range within a few feet of the observer. The Insurance Claims Clerk needs the ability to communicate information and ideas in writing soothers will understand.

The Insurance Claims Clerk needs the ability to arrange things or actions in a certain order or pattern according to a specific rule or set of rules such as patterns of numbers, letters, words, pictures, mathematical operations. The Insurance Claims Clerk needs the ability to apply general rules to specific problems to produce answers that make sense. The Insurance Claims Clerk needs the ability to concentrate on a task over a period of time without being distracted. The Insurance Claims Clerk must observe, receive, and otherwise obtain information from all relevant sources. The Insurance Claims Clerk compiles, codes, categorizes, calculates, tabulates, audits, or verifies information or data in order to do their job function.

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