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Insurance Processing Clerks perform the clerical duties required to serve as effective intermediaries between insurance companies and their policyholders. There are a large number of clerical duties that can be performed in this capacity, and for that reason, the job is sometimes split into two categories of clerk:

  • Policyholder Information Clerks process the paperwork for new or modified insurance policies. They answer queries from policyholders, make cash value estimates, and interpret policy provisions. They also analyze transactions and adjust company records as needed.
  • Insurance Claims Clerks (also referred to as Claims Interviewers or Customer Service Associates) deal with claims which have been filed. They act in the role of liaison between the insurance company and individuals associated with the claim. They are usually the company's first point of contact with the insured person, from whom they typically collect information.

Responsibilities

Insurance processing clerks are responsible for performing the work required to process or modify insurance policies and/or insurance claims. When dealing with insurance policies, the clerk will interface with the new or existing policyholder by mail, telephone, or in person. They will obtain any information needed to produce a complete and accurate application and will verify the accuracy of any related documents. They will also update existing policies and company records to reflect changes requested by policyholders and/or by insurance company representatives. They will answer questions from customers about their policies, searching company records to obtain information as necessary. Using rate books and tables, clerks will make estimates of loan or cash values of policies for policyholders. They will also facilitate any desired changes to policies (e.g., change of beneficiary or change in method of payment) by interpreting the policy provisions to determine the optimal method of effecting the change. They will then expedite the processing of the necessary paperwork by forwarding required forms to the customer and subsequently routing completed forms to various company departments for processing.

When dealing with claims, insurance processing clerks will first collect information from the insured parties. Once the claim has been submitted, the clerk will review the form and verify the accuracy and completeness of the information contained on it. The clerk will subsequently update company records as required to reflect initial information about the claim as well as any changes that are made later. Clerks also work with customers to simplify the process of making changes to claim forms and will respond to any questions the customer may have.

In addition to the above, clerks are also required to maintain internal records and perform daily tasks to support their customer support duties. A partial list of some of the typical day-to-day tasks performed by an insurance processing clerk might include any or all of the following:

  • Process and submit business or government forms
  • Transcribe data to worksheets
  • Use computers to enter, access or retrieve data
  • Calculate insurance premiums, awards, refunds, and commissions
  • Keep abreast of contract, property, and insurance laws
  • Compose and send letters or correspondence
  • Maintain insurance records
  • Maintain inventory of office forms
  • Prepare and maintain reports
  • Organize and maintain files for each policyholder
  • Verify signatures for financial transactions

Job Characteristics

Most insurance clerks work a standard 40-hour week. Much of this time is spent in an office setting, although clerks who work on claims may occasionally leave the office to visit customers' homes and places of business, or to visit a site associated with a claim. A great deal of a clerk's time is typically spent on the telephone. In some cases, these calls are fielded in call centers, although it is more typical for calls to be handled in an office.

Clerks usually have a great deal of contact with the public, doing things such as helping people complete insurance forms, explaining policies, and interviewing policyholders regarding claims. On the other hand, there is also a significant time spent working alone, as clerks need to review claim forms for completeness, make calculations on claim amounts, prepare paperwork, and distribute forms to appropriate parties.

In order to be successful in this profession, individuals need to be able to pay very close attention to detail, as it is vitally important that all needed information is provided in claims and that customers fully understand what their policies cover and what they do not. Clerks also need to have an aptitude for working with numbers. It is especially important for clerks to maintain a professional demeanor and to be effective communicators, both verbally and in writing.

Employment Outlook

Employment growth in this profession is expected to be somewhat slower than that of the average job category over the next few years. Advances in technology will allow an increasing number of functions traditionally performed by clerks to be assumed by other insurance professionals, who will be freer to supplement their existing duties with additional new ones. Job growth will also be limited by corporate downsizing. On the other hand, there will be some employment growth resulting from the insurance industry's expansion into the broader financial services field and also by newer types of insurance entering the market. Generally speaking, fluctuations in the economy are not expected to affect demand for this occupation as much as some others.

The fastest growing segment of the insurance industry is the medical and health insurance field. The aging of the baby boom generation is expected to spawn a strong market for health insurance and long-term-care policies, as well as for annuities and other forms of pension vehicles sold by insurance companies. There is also expected to be a sustained demand for auto insurance and homeowners insurance during the foreseeable future.

Education, Certification, and Licensing

A high school diploma (or equivalent) is the typical educational prerequisite for an insurance processing clerk position. Candidates can enhance their job prospects by supplementing their high school education with some type of postsecondary business program. Courses in word processing, business math, and computers are definite assets for this job. Many insurance companies expect their employees to take continuing education courses in order to increase their knowledge of the industry and to sharpen their "people skills".

Previous office experience is very helpful for job candidates. Many insurance processing clerks enter the profession after starting out in a lower-level clerical job within the industry. Sales experience is a strong asset, as is experience with spreadsheets, word processing software, and/or electronic billing systems. Once hired, insurance clerks typically receive on-the-job training, often from a supervisor or from a more experienced clerk. A combination of this informal training and the clerk's work experiences generally result in the clerk being able to develop the skills needed for the job within one to twelve months.

Resources

Major Employers

More than half of all insurance processing clerks work for insurance carriers. A few of these carriers are very large establishments which account for many of the jobs in this industry. Almost all other clerks are employed by insurance agencies, brokerages, or providers of other insurance-related services.

Schools for Insurance Claims And Processing Clerks are listed in the column to the left.

Metro Areas Sorted by Total Employment for:
Insurance Claims and Processing Clerks

Listed below are metro areas sorted by the total number of people employed in Insurance Claims and Processing Clerks jobs , as of 2016

2016 Occupational Employment Statistics and 2014-24 Employment Projections, Bureau of Labor Statistics, BLS.gov; 2014-24 State Occupational Projections, Projections Central, projectionscentral.com

     
Metro Area Total Employment Annual Median Salary
Fort Worth 15540 $38,330
Arlington 15540 $38,330
Dallas 15540 $38,330
Long Beach 14360 $41,310
Anaheim 14360 $41,310
Los Angeles 14360 $41,310
Sandy Springs 8470 $37,970
Roswell 8470 $37,970
Atlanta 8470 $37,970
Houston 5890 $37,140
Total Employment for Insurance Processing Clerks - Top 5 Cities Nationwide
Compare Total Employment for Insurance Processing Clerks
STATE
CITIES
EMPLOYMENT
 
Salaries for Insurance Processing Clerks - Top 5 Cities Nationwide
Compare Salaries for Insurance Processing Clerks
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CITIES
SALARY
 
Total Employment and Salary for Professions Similar to Insurance Processing Clerks

Most Popular Industries for :
Insurance Claims and Processing Clerks

Industries representing at least 1% of total jobs for the occupation.

2016 Occupational Employment Statistics and 2014-24 Employment Projections, Bureau of Labor Statistics, BLS.gov; 2014-24 State Occupational Projections, Projections Central, projectionscentral.com

Industry Jobs Percent Annual Median Salary
Insurance 210,820 89% $33,180
Business Management 5,960 2% $33,740
Office Services And Staffing 4,120 1% $31,600
Medical Office 3,170 1% $30,800
Professional And Technical Services 3,100 1% $30,940
Government 2,470 1% $36,120
Click the Visit School Site buttons to go directly to a school's website and learn more about the school and programs it has to offer. School website will open in a new tab.
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Results:  10
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Programs
  • Medical Billing and Coding
  • Offers a free trial period so students can attend classes before paying tuition.
  • Provides blended courses that combine traditional classroom instruction with online learning.
  • Lets students connect with peers at any time, and instructors during office hours with online chat rooms.
  • Gives students the chance to participate in externships and clinical training work under the general supervision of college staff.
  • Has accelerated programs that allow students to take the same coursework in a shorter timeframe.
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Long Beach
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Programs
  • Medical Billing & Coding Specialist

About Brightwood College

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Chula Vista
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Programs
  • Medical Billing & Coding Associate Program
  • Approved A+ rating from the Better Business Bureau (BBB) since 2009.
  • Offers career assistance and resource services to both students and graduates.
  • Several scholarship opportunities are available to students who qualify.
  • Accredited by the Accrediting Council for Independent Colleges and Schools (ACCSC).
  • 4 campus locations in Atascadero, San Luis Obispo, Santa Maria, and Oxnard, California, with online options as well.
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San Luis Obispo
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Programs
  • Administrative Medical Assistant
  • Morning, afternoon, evening and weekend classes are available.
  • Offers lifetime career assistance services to graduates, including resume and cover letter assistance, employer networking, and one-on-one employment counseling.
  • Accredited by the Accrediting Council for Continuing Education and Training (ACCET).
  • 8 campuses located across California, with 3 additional campuses in New Hampshire and Maine and online options.
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Fairfield
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Programs
  • Associate of Science in Medical Administrative Billing and Coding
  • Has students attend one four-week class at a time and take their final exam before moving on to their next class.
  • Offers 24/7 online tech support, with a typical response time of 4 hours or less.
  • Has online help centers that offer assistance with writing, statistics, medical assisting, and more.
  • Provides job placement assistance to all its students and alumni.
  • Researches trends for growing fields to tailor a more effective curriculum.
Programs
  • Medical Billing & Insurance Coding (10-Month Diploma Program)
  • Dedicated to providing  career training since 1975.
  • Has 13 campus locations in Southern California and a campus in Morrow, GA.
  • Provides flexible class times including weekends.
  • Offers curriculum that ranges from 8 month diploma programs to 16-month Associate of Applied Science degree programs.
  • Has admissions professionals available to help students decide which diploma or degree program they should pursue.
  • Gives job placement assistance strengthened by relationships with local employers.
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Anaheim
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Programs
  • Medical Billing and Coding Specialist Program
  • Offers training in various types of massage therapy, physical therapy/sports rehab, and personal fitness training & wellness.
  • Teaches in an environment that promotes learning and encourages empathetic and compassionate therapists.
  • Career service professionals work directly with students from the start of their program, and help them pursue employment in day spas, luxury hotels, cruise ships, and other locations.
  • Students can work in the SOCHI Massage Clinic to gain experience and build their career skills.
  • Financial aid representatives help students develop a personalized financial plan to finance their tuition.
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Reseda
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Programs
  • Degree - Medical Office
  • Many programs require externships, allowing students to gain real-world experience.
  • Approved A+ rating from the Better Business Bureau (BBB) since 1984.
  • Offers 22 accelerated, career-focused program options including business administration, medical assisting, and more.
  • Regionally accredited by the Western Association of Schools and Colleges (WASC).
  • 11 campuses across California, with an online division as well.
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Fresno
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Programs
  • Medical Billing and Coding
  • A Better Business Bureau (BBB) Accredited Business, with an A+ rating.
  • Computer Support Technician program is based on guidelines set by the Computer Technology Industry Association (CompTIA) and Microsoft.
  • Offers free student services, including tutoring, campus internet access, career placement, and a student lounge.
  • Accredited by the Council on Occupational Education (COE).
  • 2 locations in Cathedral City and Twentynine Palms, California.
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Cathedral City
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Programs
  • Medical Administrative Specialist
  • A Los Angeles-based private college offering programs in medical sciences, legal studies, and graphic design since 1985.
  • Has weekend programs, including certified  veterinary technology, nurse assistant, and hemodialysis technician.
  • Showcases visual communication students’ artwork and design through campus magazine.
  • 3 campuses in Southern California.
  • Accredited by the Accrediting Commission of Career Schools and Colleges (ACCSC).
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Riverside
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We have some additional detailed pages at the state level for Insurance Claims and Processing Clerks.

Numbers in parentheses are counts of relevant campus-based schools in the state; online schools may also be available.

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