Occupation Summary

Insurance Claims and Policy Processing Clerks

O*NET 43-9041.00

Description:

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.

Annual Wages:
$53,806.00
Employment Rate:
Employment is expected to increase by 6.13%.
Education Level:
High School Diploma - or the equivalent (for example, GED). According to O*Net, the majority of people employed in this occupation have this level of education.
Endorsement:
Business and Industry

  1. Prepare insurance claim forms or related documents, and review them for completeness.
  2. Calculate amount of claim.
  3. Post or attach information to claim file.
  4. Transmit claims for payment or further investigation.
  5. Contact insured or other involved persons to obtain missing information.
  6. Review insurance policy to determine coverage.
  7. Process and record new insurance policies and claims.
  8. Organize or work with detailed office or warehouse records, using computers to enter, access, search or retrieve data.
  9. Provide customer service, such as limited instructions on proceeding with claims or referrals to auto repair facilities or local contractors.
  10. Correspond with insured or agent to obtain information or to inform them of account status or changes.
  11. Review and verify data, such as age, name, address, and principal sum and value of property, on insurance applications and policies.
  12. Compare information from application to criteria for policy reinstatement, and approve reinstatement when criteria are met.
  13. Examine letters from policyholders or agents, original insurance applications, and other company documents to determine if changes are needed and effects of changes.
  14. Transcribe data to worksheets, and enter data into computer for use in preparing documents and adjusting accounts.
  15. Notify insurance agent and accounting department of policy cancellation.
  16. Pay small claims.
  17. Process, prepare, and submit business or government forms, such as submitting applications for coverage to insurance carriers.
  18. Collect initial premiums and issue receipts.
  19. Interview clients and take their calls to provide customer service and obtain information on claims.
  20. Obtain computer printout of policy cancellations, or retrieve cancellation cards from file.
  21. Compose business correspondence for supervisors, managers, and professionals.
  22. Calculate premiums, refunds, commissions, adjustments, or new reserve requirements, using insurance rate standards.
  23. Enter insurance- and claims-related information into database systems.
  24. Modify, update, or process existing policies and claims to reflect any change in beneficiary, amount of coverage, or type of insurance.
  25. Organize or work with detailed office or warehouse records, maintaining files for each policyholder, including policies that are to be reinstated or cancelled.


National Industry Employment Patterns


Industry % of Insurance Claims and Policy Processing Clerks employed Annual Growth Rate
Insurance carriers 44.7 -0.76
Agencies, brokerages, and other insurance related activities 38.7 -0.26
Offices of physicians 2.2 0.35


Labor Market Information


2024 Statewide average hourly wage $25.87
2024 National average hourly wage $24.99
2022 National employment 259,000
2022 Texas employment 22,235
Texas projected employment by 2032 23,598
Texas projected annual employment and Turnover openings through 2032 2,199




TEXAS COUNTY MAP BY WORKFORCE DEVELOPMENT AREA
* Due to confidentiality rules, not all regions may have the data displayed. The sum of all the regions may not be equal to the state total.


Top 10 Relevant Knowledge Areas Relevant Importance Levels
Customer and Personal Service
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.
84.40%
Administrative
Knowledge of administrative and office procedures and systems such as word processing, managing files and records, stenography and transcription, designing forms, and workplace terminology.
77.60%
English Language
Knowledge of the structure and content of the English language including the meaning and spelling of words, rules of composition, and grammar.
71.80%
Computers and Electronics
Knowledge of circuit boards, processors, chips, electronic equipment, and computer hardware and software, including applications and programming.
60.00%
Mathematics
Knowledge of arithmetic, algebra, geometry, calculus, statistics, and their applications.
58.20%
Administration and Management
Knowledge of business and management principles involved in strategic planning, resource allocation, human resources modeling, leadership technique, production methods, and coordination of people and resources.
48.80%
Communications and Media
Knowledge of media production, communication, and dissemination techniques and methods. This includes alternative ways to inform and entertain via written, oral, and visual media.
44.60%
Production and Processing
Knowledge of raw materials, production processes, quality control, costs, and other techniques for maximizing the effective manufacture and distribution of goods.
44.40%
Law and Government
Knowledge of laws, legal codes, court procedures, precedents, government regulations, executive orders, agency rules, and the democratic political process.
43.20%
Economics and Accounting
Knowledge of economic and accounting principles and practices, the financial markets, banking, and the analysis and reporting of financial data.
41.20%


Top 10 Relevant Skill Areas Relevant Importance Levels
Reading Comprehension
Understanding written sentences and paragraphs in work-related documents.
70.00%
Time Management
Managing one's own time and the time of others.
70.00%
Speaking
Talking to others to convey information effectively.
67.60%
Active Listening
Giving 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.
65.00%
Critical Thinking
Using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions, or approaches to problems.
65.00%
Social Perceptiveness
Being aware of others' reactions and understanding why they react as they do.
62.40%
Coordination
Adjusting actions in relation to others' actions.
62.40%
Writing
Communicating effectively in writing as appropriate for the needs of the audience.
62.40%
Service Orientation
Actively looking for ways to help people.
62.40%
Complex Problem Solving
Identifying complex problems and reviewing related information to develop and evaluate options and implement solutions.
60.00%


Top 10 Relevant Abilities Relevant Importance Levels
Oral Comprehension
The ability to listen to and understand information and ideas presented through spoken words and sentences.
72.40%
Written Comprehension
The ability to read and understand information and ideas presented in writing.
72.40%
Oral Expression
The ability to communicate information and ideas in speaking so others will understand.
70.00%
Near Vision
The ability to see details at close range (within a few feet of the observer).
70.00%
Speech Recognition
The ability to identify and understand the speech of another person.
70.00%
Speech Clarity
The ability to speak clearly so others can understand you.
70.00%
Written Expression
The ability to communicate information and ideas in writing so others will understand.
67.60%
Information Ordering
The ability to arrange things or actions in a certain order or pattern according to a specific rule or set of rules (e.g., patterns of numbers, letters, words, pictures, mathematical operations).
67.60%
Deductive Reasoning
The ability to apply general rules to specific problems to produce answers that make sense.
67.60%
Problem Sensitivity
The ability to tell when something is wrong or is likely to go wrong. It does not involve solving the problem, only recognizing that there is a problem.
65.00%


  • Working with Computers
    -- Using computers and computer systems (including hardware and software) to program, write software, set up functions, enter data, or process information.
  • Getting Information
    -- Observing, receiving, and otherwise obtaining information from all relevant sources.
  • Processing Information
    -- Compiling, coding, categorizing, calculating, tabulating, auditing, or verifying information or data.
  • Communicating with Supervisors, Peers, or Subordinates
    -- Providing information to supervisors, co-workers, and subordinates by telephone, in written form, e-mail, or in person.
  • Documenting/Recording Information
    -- Entering, transcribing, recording, storing, or maintaining information in written or electronic/magnetic form.
Other Activities


  • Relationships
    - Occupations that satisfy this work value allow employees to provide service to others and work with co-workers in a friendly non-competitive environment. Corresponding needs are Co-workers, Moral Values and Social Service.
  • Support
    - Occupations that satisfy this work value offer supportive management that stands behind employees. Corresponding needs are Company Policies, Supervision: Human Relations and Supervision: Technical.



Tools

Desktop calculator: 10-key calculators;

Desktop computers: Desktop computers;

Dictation machines: Dictation machines;

Personal computers: Personal computers;


Technology

Accounting software: Billing software; Account management software;

Data base user interface and query software: Alpha Software Alpha Five; Automated information system software; IBM Check Processing Control System CPSC; Claim processing system software; Database software; Microsoft Access; Policy issuance system software; St. Paul Travelers e-CARMA; Xactware Xactimate;

Document management software: InSystems Calligo Enterprise;

Electronic mail software: Microsoft Outlook; IBM Lotus Notes; MicroFocus GroupWise;

Financial analysis software: Insurance rating software;

Instant messaging software: GroupMe;

Internet browser software: Microsoft Internet Explorer; Web browser software;

Medical software: Medical condition coding software; Medical procedure coding software; Healthcare common procedure coding system HCPCS;

Office suite software: Microsoft Office software;

Operating system software: Microsoft Windows;

Presentation software: Microsoft PowerPoint;

Spreadsheet software: Microsoft Excel; Spreadsheet software;

Word processing software: Microsoft Word; Word processing software;


Related O*NET occupational titles for Insurance Claims and Policy Processing Clerks include:
  • 43-3021.00 Billing and Posting Clerks
  • 43-3031.00 Bookkeeping, Accounting, and Auditing Clerks
  • 43-4011.00 Brokerage Clerks
  • 43-4021.00 Correspondence Clerks
  • 43-4041.00 Credit Authorizers, Checkers, and Clerks
  • 43-4051.00 Customer Service Representatives
  • 43-4061.00 Eligibility Interviewers, Government Programs
  • 43-4131.00 Loan Interviewers and Clerks
  • 43-4141.00 New Accounts Clerks
  • 43-9061.00 Office Clerks, General


Sources of Additional Information
  • For more information about financial clerks, visit: American Bankers Association
  • Mortgage Bankers Association
  • CareerOneStop

  • For a career video on brokerage clerks, visit: Brokerage Clerks
  • For a career video on credit authorizers, checkers and clerks, visit: Credit Authorizers, Checkers, and Clerks
  • For a career video on insurance claims and policy processing clerks, visit: Insurance Claims and Policy Processing Clerks
  • For a career video on payroll and timekeeping clerks, visit: Payroll and Timekeeping Clerks
  • Billing and Posting Clerks
  • Brokerage Clerks
  • Credit Authorizers, Checkers, and Clerks
  • Gambling Cage Workers
  • Insurance Claims and Policy Processing Clerks
  • Loan Interviewers and Clerks
  • New Accounts Clerks
  • Payroll and Timekeeping Clerks
  • Procurement Clerks

  • Contact Texas Workforce Commission
    Labor Market and Career Information  |  101 E. 15th Street, Annex Room 0252  |  Austin, Texas 78778
    Official Website  |  1-800-822-PLAN (7526)  |  512.936.3200

    ** The information in this report may be derived from many sources like O*NET, BLS (Bureau of Labor Statistics), OOH (Occupational Outlook Handbook), and Career One Stop.