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Career overview · SOC 43-9041

Insurance Claims and Policy Processing Clerks

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.

Also called: Claims Adjudicator · Claims Analyst · Claims Clerk · Claims Customer Service Representative (Claims CSR) · Claims Processor · Claims Representative (Claims Rep)

Median pay (national)
$48,450
$36,900–$73,100 (10th–90th)
Employed (US)
229,070
BLS OEWS, May 2024
Outlook 2024–34
-3.7%
~20,300 openings/yr
Typical entry
High school diploma or equivalent

What the numbers say

Refit analysis ·Pay for insurance claims and policy processing clerks shows a broad range: the top 10% earn $73,100 versus $36,900 at the bottom 10% — 2.0x. The median of $48,450 leaves roughly 51% of headroom to the 90th percentile, which is where seniority, specialization, and the skills below tend to pay off.
Refit analysis ·Employment is projected to change -3.7% from 2024 to 2034 — a projected decline, against +3% across all occupations. Even so, BLS projects about 20,300 openings a year, mostly to replace workers who retire or change careers.
Refit analysis ·Where you work moves the number a lot. Across the 54 states with released data, Washington pays the most for this role (median $59,190, +22% vs the national median), while Guam sits lowest at $24,220 — a 144% spread for the same job title.
Refit analysis ·O*NET rates Reading Comprehension, Speaking, Active Listening as the highest-importance skills here — so a resume aimed at this role should lead with evidence of those, not a generic skills list. On the tools side, O*NET flags Microsoft Excel, Microsoft Office software, Microsoft Outlook, Microsoft PowerPoint as in-demand technologies for this role.

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Top skills employers ask for

Ranked by O*NET importance for this occupation.

  • Reading Comprehension
  • Speaking
  • Active Listening
  • Critical Thinking
  • Writing
  • Monitoring
  • Active Learning
  • Learning Strategies
  • Mathematics
  • Science

What they actually do

Core O*NET tasks for this role.

  • Prepare insurance claim forms or related documents, and review them for completeness.
  • Transmit claims for payment or further investigation.
  • Contact insured or other involved persons to obtain missing information.
  • Review insurance policy to determine coverage.
  • Provide customer service, such as limited instructions on proceeding with claims or referrals to auto repair facilities or local contractors.
  • Post or attach information to claim file.
  • Organize or work with detailed office or warehouse records, using computers to enter, access, search or retrieve data.
  • Calculate amount of claim.
  • 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.

Tools & technology

  • Microsoft Excel
  • Microsoft Office software
  • Microsoft Outlook
  • Microsoft PowerPoint
  • Microsoft Word
  • Microsoft Windows
  • Account management software
  • Alpha Software Alpha Five
  • Automated information system software
  • Billing software
  • Claim processing system software
  • Database software
  • GroupMe
  • Healthcare common procedure coding system HCPCS
  • IBM Check Processing Control System CPSC
  • IBM Lotus Notes

Knowledge areas

  • Customer and Personal Service
  • Administrative
  • English Language
  • Computers and Electronics
  • Mathematics
  • Administration and Management
  • Communications and Media
  • Production and Processing