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Insurance Claims Clerk

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What You Need to Know About Insurance Claims Clerk

Insurance Claims Clerk Example Obtain information from insured or designated persons for purpose of settling claim with insurance carrier.

Insurance Claims Clerk Responsibilities

  • Review insurance policy to determine coverage.
  • Organize or work with detailed office or warehouse records, using computers to enter, access, search or retrieve data.
  • Transmit claims for payment or further investigation.
  • Prepare insurance claim forms or related documents and review them for completeness.
  • Pay small claims.
  • Contact insured or other involved persons to obtain missing information.

What an Insurance Claims Clerk Should Know

These are the skills Insurance Claims Clerks say are the most useful in their careers:

Reading Comprehension: Understanding written sentences and paragraphs in work related documents.

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.

Speaking: Talking to others to convey information effectively.

Critical Thinking: Using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems.

Writing: Communicating effectively in writing as appropriate for the needs of the audience.

Service Orientation: Actively looking for ways to help people.

Types of Insurance Claims Clerk Jobs

  • Claims Service Representative
  • Claim Representative
  • Reimbursement Counselor
  • Claim Processing Specialist
  • Medical Insurance Claims Processor

Job Opportunities for Insurance Claims Clerks

In 2016, there was an estimated number of 308,500 jobs in the United States for Insurance Claims Clerk. New jobs are being produced at a rate of 11.1% which is above the national average. The Bureau of Labor Statistics predicts 34,100 new jobs for Insurance Claims Clerk by 2026. Due to new job openings and attrition, there will be an average of 35,600 job openings in this field each year.

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The states with the most job growth for Insurance Claims Clerk are Utah, Arizona, and Iowa. Watch out if you plan on working in Maine, Vermont, or Oregon. These states have the worst job growth for this type of profession.

Insurance Claims Clerk Average Salary

The salary for Insurance Claims Clerks ranges between about $27,540 and $60,500 a year.

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Insurance Claims Clerks who work in District of Columbia, Connecticut, or Massachusetts, make the highest salaries.

How much do Insurance Claims Clerks make in different U.S. states?

State Annual Mean Salary
Alabama $37,000
Alaska $42,450
Arizona $42,760
Arkansas $35,960
California $42,690
Colorado $48,700
Connecticut $50,300
Delaware $40,540
District of Columbia $56,710
Florida $39,150
Georgia $46,190
Hawaii $40,270
Idaho $40,410
Illinois $43,540
Indiana $39,740
Iowa $43,500
Kansas $40,350
Kentucky $34,370
Louisiana $35,100
Maine $40,180
Maryland $47,600
Massachusetts $48,820
Michigan $38,310
Minnesota $44,700
Mississippi $33,420
Missouri $40,100
Montana $39,020
Nebraska $39,410
Nevada $40,700
New Hampshire $44,500
New Jersey $47,180
New Mexico $37,360
New York $48,740
North Carolina $43,180
North Dakota $41,610
Ohio $39,830
Oklahoma $42,120
Oregon $43,950
Pennsylvania $42,590
Rhode Island $45,300
South Carolina $36,850
South Dakota $33,540
Tennessee $37,880
Texas $39,950
Utah $40,940
Vermont $41,420
Virginia $42,030
Washington $45,810
West Virginia $33,710
Wisconsin $40,340
Wyoming $36,190

What Tools & Technology do Insurance Claims Clerks Use?

Below is a list of the types of tools and technologies that Insurance Claims Clerks may use on a daily basis:

  • Microsoft Excel
  • Microsoft Word
  • Microsoft Office
  • Microsoft PowerPoint
  • Web browser software
  • Data entry software
  • Word processing software
  • Spreadsheet software
  • Database software
  • Medical procedure coding software
  • Healthcare common procedure coding system HCPCS
  • Medical condition coding software
  • Billing software
  • Alpha Software Alpha Five
  • IBM Check Processing Control System CPSC
  • St. Paul Travelers e-CARMA
  • Automated information system software
  • Claim processing system software

How do I Become an Insurance Claims Clerk?

Individuals working as an Insurance Claims Clerk have obtained the following education levels:

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How Long Does it Take to Become an Insurance Claims Clerk?

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Where Insurance Claims Clerks Are Employed

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The table below shows some of the most common industries where those employed in this career field work.

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You May Also Be Interested In…

Those interested in being an Insurance Claims Clerk may also be interested in:

References:

Image Credit: Jace Armstrong via public domain

More about our data sources and methodologies.

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