Data & Research
 
* ELMI Occupation Profile - Insurance Claims and Policy Processing Clerks *
 
Insurance Claims and Policy Processing Clerks
(O*NET 43-9041.00, SOC 43-9041)
What they do
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), Claims Technician (Claims Tech), Insurance Analyst, Policy Analyst, Underwriting Assistant
 
 
Wages
Vermont - 2023
Percentile1HourlyYearly
10% $ 18.52   $38,520  
25% $ 22.51   $46,820  
Median $ 23.57   $49,020  
75% $ 27.39   $56,980  
90% $ 29.54   $61,440  
 
Average $ 24.89   $51,760  
1 What are Percentile Wages?
More at CareerOneStop
 
Industries of Employment
United States - 2022
IndustryPercent of total
  • Insurance carriers and related activities
84%
  • Ambulatory healthcare services
4%
  • Management of companies and enterprises
3%
  • Administrative and support services
3%
  • Professional, scientific, and technical services
2%
More at BLS
 
Knowledge
People in this career often know a lot about:
  • 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.
  • 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.
  • English Language
    Knowledge of the structure and content of the English language including the meaning and spelling of words, rules of composition, and grammar.
  • Computers and Electronics
    Knowledge of circuit boards, processors, chips, electronic equipment, and computer hardware and software, including applications and programming.
More at O*NET
 
Skills
People in this career often have these skills:
  • Reading Comprehension
    Understanding written sentences and paragraphs in work-related documents.
  • Time Management
    Managing one's own time and the time of others.
  • Speaking
    Talking to others to convey information effectively.
  • 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.
  • Critical Thinking
    Using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions, or approaches to problems.
More at O*NET
 
Interests
People in this career often prefer these work environments:
  • Conventional
    Work involves following procedures and regulations to organize information or data, typically in a business setting. Conventional occupations are often associated with office work, accounting, mathematics/statistics, information technology, finance, or human resources.
  • Enterprising
    Work involves managing, negotiating, marketing, or selling, typically in a business setting, or leading or advising people in political and legal situations. Enterprising occupations are often associated with business initiatives, sales, marketing/advertising, finance, management/administration, professional advising, public speaking, politics, or law.
What are your interests? Take the O*NET Interest Profiler
 
Work Styles
People in this career will do well at jobs that need:
  • Attention to Detail
    Job requires being careful about detail and thorough in completing work tasks.
  • Dependability
    Job requires being reliable, responsible, and dependable, and fulfilling obligations.
  • Integrity
    Job requires being honest and ethical.
  • Cooperation
    Job requires being pleasant with others on the job and displaying a good-natured, cooperative attitude.
  • Self-Control
    Job requires maintaining composure, keeping emotions in check, controlling anger, and avoiding aggressive behavior, even in very difficult situations.
More at O*NET
 
Tasks
On the job, you would:
  • Prepare insurance claim forms or related documents, and review them for completeness.
  • Calculate amount of claim.
  • Post or attach information to claim file.
  • Transmit claims for payment or further investigation.
  • Contact insured or other involved persons to obtain missing information.
More at O*NET
 
Related Occupations
More at O*NET
 
 
Career Video
Watch at CareerOneStop with transcript or at YouTube.
 
Projected Employment
 Vermont
2022 employment 300
2032 employment 276
Annual percent change
(compounded)
-0.8%
Annual projected job openings
(due to change and separations)
24
More at Occupational Projections
 
Education and Experience:
  • Typical education needed for entry
    High school diploma or equivalent
  • Work experience in a related occupation
    None
  • Typical on-the-job training needed to attain competency
    Moderate-term on-the-job training
Based on BLS Education and Training Classifications
 
Physical Work Activity
Performing physical activities that require considerable use of your arms and legs and moving your whole body, such as climbing, lifting, balancing, walking, stooping, and handling materials.
 
  • Physical activity is Somewhat Important
  • Level of activity is Very Low
Importance
Low   High
Level
Compare Occupations at O*NET
 
Job Zone
Some Preparation Needed
  • Specific Vocational Preparation Range
    (4.0 to < 6.0) - A typical worker will require over 3 months up to and including 1 year of training to achieve average performance in this occupation.
Based on O*Net Job Zones and SVP
 
Education Level
How much education do most people in this career have?
Education level Percent of
U.S. Workers
Doctoral or professional degree
or post-MA certificate
  0%
Master's degree or
post-BA certificate
  0%
Bachelor's degree   7%
Associate's degree   21%
Certificate or some college,
no degree
  17%
High school diploma
or equivalent
  55%
Less than high school diploma   0%
More at O*NET
 
Abilities
People in this career often have talent in:
  • Oral Comprehension
    The ability to listen to and understand information and ideas presented through spoken words and sentences.
  • Written Comprehension
    The ability to read and understand information and ideas presented in writing.
  • Near Vision
    The ability to see details at close range (within a few feet of the observer).
  • Oral Expression
    The ability to communicate information and ideas in speaking so others will understand.
  • Speech Clarity
    The ability to speak clearly so others can understand you.
More at O*NET
 
Work Activities
In general, what you might do:
  • 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.
More at O*NET
 
Detailed Work Activities
What you might do in a day:
  • Prepare documentation for contracts, transactions, or regulatory compliance.
  • Check data for recording errors.
  • Execute sales or other financial transactions.
  • Calculate costs of goods or services.
  • Compile data or documentation.
More at O*NET
 
Other Resources
  • CareerOneStop
    resource for job seekers, students, businessess and career professionals
  • O*NET Online
    nation's primary source of occupational information
 
O*NET in-it

This page includes information from the O*NET 29.0 Database by the U.S. Department of Labor, Employment and Training Administration (USDOL/ETA). Used under the CC BY 4.0 license. O*NET® is a trademark of USDOL/ETA.

BLS

This page includes information produced in cooperation with the U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics and State Occupational Projections programs.

 
 
 
 
Vermont.gov State of Vermont Department of Labor