Office & Administrative Support
Insurance Claims and Policy Processing Clerks
Also called: Claims Adjudicator, Claims Analyst, Claims Clerk, Claims Customer Service Representative (Claims CSR)
US median pay
$49,230
per year, 2025
Job growth 2025–35
-1.9%
declining
Openings a year (US)
17,500
239,100 employed
Typical entry education
High school diploma or equivalent
Preparation 2/5 · Some preparation
What this job is
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.
What they do day to day
- 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.
- Review insurance policy to determine coverage.
- Process and record new insurance policies and claims.
- Organize or work with detailed office or warehouse records, using computers to enter, access, search or retrieve data.
- Provide customer service, such as limited instructions on proceeding with claims or referrals to auto repair facilities or local contractors.
- Correspond with insured or agent to obtain information or to inform them of account status or changes.
Skills and knowledge that matter most
Skills
- Time Management3.5/5
- Social Perceptiveness3.1/5
- Service Orientation3.1/5
- Coordination3.1/5
- Judgment and Decision Making3.0/5
- Complex Problem Solving3.0/5
- Negotiation2.9/5
- Persuasion2.8/5
Knowledge
- Customer and Personal Service4.2/5
- Administrative3.9/5
- English Language3.6/5
- Computers and Electronics3.0/5
- Mathematics2.9/5
- Administration and Management2.4/5
Importance rated by people working in the job (1 = not important, 5 = extremely important).
Education and preparation
Preparation level 2 of 5 — Some preparation. Usually a high school diploma; some previous work experience or training helps.
Typical entry education (BLS): High school diploma or equivalent.
Highest education of people in this job:
- High school diploma55%
- Associate's degree21%
Who this job suits
Mostly Conventional
Organising data, details and procedures
Enterprising
Leading, persuading and starting things
Based on the Holland (RIASEC) interest profile for this occupation.