A typical day involves reviewing insurance claims forms for completeness and accuracy, then transmitting approved claims for payment or further investigation. Clerks spend significant time on computers entering data, accessing customer records, and using Microsoft Office applications to manage documentation. They regularly contact policyholders by phone to obtain missing information or clarify details on claims forms. Much of their work involves calculating claim amounts, reviewing policy coverage to determine what's covered, and updating customer files with new information. They also provide basic customer service, explaining procedures and referring customers to appropriate resources like auto repair facilities.
Successful insurance claims clerks are highly detail-oriented individuals who can maintain accuracy while working with large volumes of paperwork and data. They possess strong communication skills for interacting with customers over the phone and in writing, demonstrating patience when dealing with stressed policyholders filing claims. These professionals thrive on routine administrative work and enjoy helping people navigate insurance processes. Their conventional personality type means they work well within established procedures and systems, while their dependability ensures consistent performance in processing time-sensitive claims.
Computer-based data entry and information processing activities make portions of this role susceptible to automation, particularly routine claims data input and basic eligibility verification. However, the high importance of customer communication and problem-solving when dealing with complex or incomplete claims provides protection against full automation.
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| TERM | COUNT | FREQ | BAR | SOURCE ATTRIBUTION |
|---|---|---|---|---|
| tendency | 42 | 0.0156 | onet dimensi 100% | |
| others | 39 | 0.0145 | onet dimensi 97% dwas 3% | |
| insurance | 31 | 0.0115 | inference 42% onet tasks 32% | |
| equipment | 23 | 0.0085 | onet dimensi 100% | |
| claims | 20 | 0.0074 | inference 65% onet tasks 35% | |
| customer | 17 | 0.0063 | inference 47% onet dimensi 24% | |
| principles | 16 | 0.0059 | onet dimensi 100% | |
| procedures | 12 | 0.0045 | onet dimensi 67% inference 17% | |
| includes | 12 | 0.0045 | onet dimensi 100% | |
| control | 12 | 0.0045 | onet dimensi 100% | |
| objects | 12 | 0.0045 | onet dimensi 100% | |
| services | 11 | 0.0041 | onet dimensi 55% dwas 18% | |
| materials | 11 | 0.0041 | onet dimensi 91% dwas 9% | |
| ideas | 11 | 0.0041 | onet dimensi 100% | |
| administrative | 10 | 0.0037 | inference 60% onet dimensi 40% | |
| resources | 10 | 0.0037 | onet dimensi 90% inference 10% | |
| techniques | 10 | 0.0037 | onet dimensi 100% | |
| financial | 10 | 0.0037 | dwas 60% onet dimensi 30% | |
| activities | 10 | 0.0037 | onet dimensi 90% inference 10% | |
| body | 10 | 0.0037 | onet dimensi 100% | |
| service | 9 | 0.0033 | inference 56% onet tasks 22% | |
| records | 9 | 0.0033 | dwas 33% onet tasks 22% | |
| applications | 9 | 0.0033 | onet dimensi 44% onet tasks 33% | |
| standards | 9 | 0.0033 | onet dimensi 89% onet tasks 11% | |
| problems | 9 | 0.0033 | onet dimensi 100% | |
| needs | 9 | 0.0033 | onet dimensi 89% inference 11% | |
| management | 9 | 0.0033 | onet dimensi 78% wikipedia 11% | |
| quickly | 9 | 0.0033 | onet dimensi 100% | |
| orientation | 9 | 0.0033 | onet dimensi 100% | |
| customers | 9 | 0.0033 | dwas 44% onet dimensi 33% |
Provenance Window — Full Source Record · 43-9041.00 · Insurance Claims and Policy Processing Clerks 7 source blocks · click to expand
[Core] [97% incumbents] Prepare insurance claim forms or related documents, and review them for completeness. DWAs: Check data for recording errors. | Prepare documentation for contracts, transactions, or regulatory compliance. [Core] [97% incumbents] Transmit claims for payment or further investigation. DWAs: Send information, materials or documentation. [Core] [97% incumbents] Contact insured or other involved persons to obtain missing information. DWAs: Discuss account status or activity with customers or patrons. [Core] [97% incumbents] Review insurance policy to determine coverage. DWAs: Review customer insurance information. [Core] [97% incumbents] Provide customer service, such as limited instructions on proceeding with claims or referrals to auto repair facilities or local contractors. DWAs: Explain regulations, policies, or procedures. [Core] [96% incumbents] Post or attach information to claim file. DWAs: Compile data or documentation. [Core] [96% incumbents] Organize or work with detailed office or warehouse records, using computers to enter, access, search or retrieve data. DWAs: Enter information into databases or software programs. [Supplemental] [96% incumbents] Pay small claims. DWAs: Execute sales or other financial transactions. [Core] [94% incumbents] Calculate amount of claim. DWAs: Calculate costs of goods or services. [Core] [63% incumbents] Correspond with insured or agent to obtain information or to inform them of account status or changes. DWAs: Provide notifications to customers or patrons. [Core] [63% incumbents] Review and verify data, such as age, name, address, and principal sum and value of property, on insurance applications and policies. DWAs: Verify accuracy of financial or transactional data. [Core] [63% incumbents] Compare information from application to criteria for policy reinstatement, and approve reinstatement when criteria are met. DWAs: Review customer insurance information. [Core] [63% incumbents] Examine letters from policyholders or agents, original insurance applications, and other company documents to determine if changes are needed and effects of changes. DWAs: Review customer insurance information. [Core] [63% incumbents] Transcribe data to worksheets, and enter data into computer for use in preparing documents and adjusting accounts. DWAs: Enter information into databases or software programs. [Core] [63% incumbents] Notify insurance agent and accounting department of policy cancellation. DWAs: Provide information to coworkers. [Supplemental] [63% incumbents] Process, prepare, and submit business or government forms, such as submitting applications for coverage to insurance carriers. DWAs: Prepare documentation for contracts, transactions, or regulatory compliance. [Supplemental] [63% incumbents] Obtain computer printout of policy cancellations, or retrieve cancellation cards from file. DWAs: Obtain personal or financial information about customers or applicants. [Supplemental] [63% incumbents] Compose business correspondence for supervisors, managers, and professionals. DWAs: Prepare business correspondence. [Core] [62% incumbents] Process and record new insurance policies and claims. DWAs: Maintain operational records. [Supplemental] [62% incumbents] Interview clients and take their calls to provide customer service and obtain information on claims. DWAs: Interview employees, customers, or others to collect information. | Answer telephones to direct calls or provide information. [Supplemental] [61% incumbents] Collect initial premiums and issue receipts. DWAs: Collect deposits, payments or fees. [None] Calculate premiums, refunds, commissions, adjustments, or new reserve requirements, using insurance rate standards. DWAs: Calculate financial data. | Calculate costs of goods or services. [None] Enter insurance- and claims-related information into database systems. DWAs: Enter information into databases or software programs. [None] Modify, update, or process existing policies and claims to reflect any change in beneficiary, amount of coverage, or type of insurance. DWAs: Maintain financial or account records. [None] Organize or work with detailed office or warehouse records, maintaining files for each policyholder, including policies that are to be reinstated or cancelled. DWAs: Maintain financial or account records.
--- SKILLS --- Reading Comprehension (imp:3.50 lvl:3.50) — Understanding written sentences and paragraphs in work-related documents. Speaking (imp:3.38 lvl:3.25) — Talking to others to convey information effectively. Active Listening (imp:3.25 lvl:3.50) — Giving full attention to what other people are saying, taking time to understand Critical Thinking (imp:3.25 lvl:3.38) — Using logic and reasoning to identify the strengths and weaknesses of alternativ Writing (imp:3.12 lvl:3.12) — Communicating effectively in writing as appropriate for the needs of the audienc Monitoring (imp:3.00 lvl:2.88) — Monitoring/Assessing performance of yourself, other individuals, or organization Active Learning (imp:2.62 lvl:2.75) — Understanding the implications of new information for both current and future pr Learning Strategies (imp:2.62 lvl:2.38) — Selecting and using training/instructional methods and procedures appropriate fo Mathematics (imp:2.38 lvl:2.38) — Using mathematics to solve problems. Science (imp:1.12 lvl:0.12) — Using scientific rules and methods to solve problems. --- KNOWLEDGE --- Customer and Personal Service (imp:4.22 lvl:5.17) — Knowledge of principles and processes for providing customer and personal servic Administrative (imp:3.88 lvl:5.02) — Knowledge of administrative and office procedures and systems such as word proce English Language (imp:3.59 lvl:3.39) — Knowledge of the structure and content of the English language including the mea Computers and Electronics (imp:3.00 lvl:3.54) — Knowledge of circuit boards, processors, chips, electronic equipment, and comput Mathematics (imp:2.91 lvl:3.02) — Knowledge of arithmetic, algebra, geometry, calculus, statistics, and their appl Administration and Management (imp:2.44 lvl:2.40) — Knowledge of business and management principles involved in strategic planning, Communications and Media (imp:2.23 lvl:2.34) — Knowledge of media production, communication, and dissemination techniques and m Production and Processing (imp:2.22 lvl:1.58) — Knowledge of raw materials, production processes, quality control, costs, and ot Law and Government (imp:2.16 lvl:1.66) — Knowledge of laws, legal codes, court procedures, precedents, government regulat Economics and Accounting (imp:2.06 lvl:1.83) — Knowledge of economic and accounting principles and practices, the financial mar Education and Training (imp:1.99 lvl:1.89) — Knowledge of principles and methods for curriculum and training design, teaching Telecommunications (imp:1.92 lvl:0.90) — Knowledge of transmission, broadcasting, switching, control, and operation of te Personnel and Human Resources (imp:1.84 lvl:0.96) — Knowledge of principles and procedures for personnel recruitment, selection, tra Psychology (imp:1.80 lvl:1.40) — Knowledge of human behavior and performance; individual differences in ability, Sales and Marketing (imp:1.75 lvl:1.33) — Knowledge of principles and methods for showing, promoting, and selling products Medicine and Dentistry (imp:1.73 lvl:0.90) — Knowledge of the information and techniques needed to diagnose and treat human i Public Safety and Security (imp:1.65 lvl:1.01) — Knowledge of relevant equipment, policies, procedures, and strategies to promote Therapy and Counseling (imp:1.46 lvl:0.80) — Knowledge of principles, methods, and procedures for diagnosis, treatment, and r Sociology and Anthropology (imp:1.44 lvl:0.75) — Knowledge of group behavior and dynamics, societal trends and influences, human Transportation (imp:1.35 lvl:0.68) — Knowledge of principles and methods for moving people or goods by air, rail, sea Geography (imp:1.34 lvl:0.70) — Knowledge of principles and methods for describing the features of land, sea, an Philosophy and Theology (imp:1.31 lvl:0.79) — Knowledge of different philosophical systems and religions. This includes their Biology (imp:1.29) — Knowledge of plant and animal organisms, their tissues, cells, functions, interd Building and Construction (imp:1.28 lvl:0.31) — Knowledge of materials, methods, and the tools involved in the construction or r Foreign Language (imp:1.22 lvl:0.29) — Knowledge of the structure and content of a foreign (non-English) language inclu Engineering and Technology (imp:1.21 lvl:0.39) — Knowledge of the practical application of engineering science and technology. Th Mechanical (imp:1.19 lvl:0.32) — Knowledge of machines and tools, including their designs, uses, repair, and main Physics (imp:1.17 lvl:0.29) — Knowledge and prediction of physical principles, laws, their interrelationships, History and Archeology (imp:1.10) — Knowledge of historical events and their causes, indicators, and effects on civi Design (imp:1.09) — Knowledge of design techniques, tools, and principles involved in production of Fine Arts (imp:1.04) — Knowledge of the theory and techniques required to compose, produce, and perform Food Production (imp:1.01) — Knowledge of techniques and equipment for planting, growing, and harvesting food Chemistry (imp:1.01) — Knowledge of the chemical composition, structure, and properties of substances a --- ABILITIES --- Oral Comprehension (imp:3.62 lvl:3.50) — The ability to listen to and understand information and ideas presented through Written Comprehension (imp:3.62 lvl:3.62) — The ability to read and understand information and ideas presented in writing. Oral Expression (imp:3.50 lvl:3.50) — The ability to communicate information and ideas in speaking so others will unde Near Vision (imp:3.50 lvl:3.75) — The ability to see details at close range (within a few feet of the observer). Speech Recognition (imp:3.50 lvl:3.62) — The ability to identify and understand the speech of another person. Speech Clarity (imp:3.50 lvl:3.00) — The ability to speak clearly so others can understand you. Written Expression (imp:3.38 lvl:3.25) — The ability to communicate information and ideas in writing so others will under Deductive Reasoning (imp:3.38 lvl:2.62) — The ability to apply general rules to specific problems to produce answers that Information Ordering (imp:3.38 lvl:3.00) — The ability to arrange things or actions in a certain order or pattern according Problem Sensitivity (imp:3.25 lvl:2.62) — The ability to tell when something is wrong or is likely to go wrong. It does no Inductive Reasoning (imp:3.12 lvl:2.62) — The ability to combine pieces of information to form general rules or conclusion Category Flexibility (imp:3.12 lvl:3.12) — The ability to generate or use different sets of rules for combining or grouping Selective Attention (imp:2.88 lvl:2.50) — The ability to concentrate on a task over a period of time without being distrac Perceptual Speed (imp:2.75 lvl:2.38) — The ability to quickly and accurately compare similarities and differences among Mathematical Reasoning (imp:2.62 lvl:2.25) — The ability to choose the right mathematical methods or formulas to solve a prob Number Facility (imp:2.62 lvl:3.00) — The ability to add, subtract, multiply, or divide quickly and correctly. Flexibility of Closure (imp:2.62 lvl:2.62) — The ability to identify or detect a known pattern (a figure, object, word, or so Time Sharing (imp:2.62 lvl:2.25) — The ability to shift back and forth between two or more activities or sources of Far Vision (imp:2.62 lvl:2.00) — The ability to see details at a distance. Fluency of Ideas (imp:2.38 lvl:2.38) — The ability to come up with a number of ideas about a topic (the number of ideas Memorization (imp:2.38 lvl:2.25) — The ability to remember information such as words, numbers, pictures, and proced Speed of Closure (imp:2.38 lvl:2.38) — The ability to quickly make sense of, combine, and organize information into mea Originality (imp:2.25 lvl:2.12) — The ability to come up with unusual or clever ideas about a given topic or situa Auditory Attention (imp:2.25 lvl:2.00) — The ability to focus on a single source of sound in the presence of other distra Trunk Strength (imp:2.12 lvl:1.62) — The ability to use your abdominal and lower back muscles to support part of the Visual Color Discrimination (imp:2.12 lvl:1.88) — The ability to match or detect differences between colors, including shades of c Visualization (imp:2.00 lvl:1.62) — The ability to imagine how something will look after it is moved around or when Finger Dexterity (imp:2.00 lvl:1.25) — The ability to make precisely coordinated movements of the fingers of one or bot Hearing Sensitivity (imp:2.00 lvl:1.62) — The ability to detect or tell the differences between sounds that vary in pitch Arm-Hand Steadiness (imp:1.88 lvl:1.00) — The ability to keep your hand and arm steady while moving your arm or while hold Manual Dexterity (imp:1.88 lvl:1.00) — The ability to quickly move your hand, your hand together with your arm, or your Control Precision (imp:1.88 lvl:1.12) — The ability to quickly and repeatedly adjust the controls of a machine or a vehi Wrist-Finger Speed (imp:1.88 lvl:1.62) — The ability to make fast, simple, repeated movements of the fingers, hands, and Dynamic Strength (imp:1.62 lvl:0.75) — The ability to exert muscle force repeatedly or continuously over time. This inv Spatial Orientation (imp:1.25 lvl:0.38) — The ability to know your location in relation to the environment or to know wher Multilimb Coordination (imp:1.25 lvl:0.25) — The ability to coordinate two or more limbs (for example, two arms, two legs, or Response Orientation (imp:1.25 lvl:0.38) — The ability to choose quickly between two or more movements in response to two o Rate Control (imp:1.25 lvl:0.25) — The ability to time your movements or the movement of a piece of equipment in an Reaction Time (imp:1.25 lvl:0.38) — The ability to quickly respond (with the hand, finger, or foot) to a signal (sou Speed of Limb Movement (imp:1.25 lvl:0.25) — The ability to quickly move the arms and legs. Depth Perception (imp:1.25 lvl:0.25) — The ability to judge which of several objects is closer or farther away from you Static Strength (imp:1.12 lvl:0.12) — The ability to exert maximum muscle force to lift, push, pull, or carry objects. Stamina (imp:1.12 lvl:0.12) — The ability to exert yourself physically over long periods of time without getti Extent Flexibility (imp:1.12 lvl:0.12) — The ability to bend, stretch, twist, or reach with your body, arms, and/or legs. Peripheral Vision (imp:1.12 lvl:0.25) — The ability to see objects or movement of objects to one's side when the eyes ar Glare Sensitivity (imp:1.12 lvl:0.25) — The ability to see objects in the presence of a glare or bright lighting. Sound Localization (imp:1.12 lvl:0.12) — The ability to tell the direction from which a sound originated. Explosive Strength (imp:1.00) — The ability to use short bursts of muscle force to propel oneself (as in jumping Dynamic Flexibility (imp:1.00) — The ability to quickly and repeatedly bend, stretch, twist, or reach out with yo Gross Body Coordination (imp:1.00) — The ability to coordinate the movement of your arms, legs, and torso together wh Gross Body Equilibrium (imp:1.00) — The ability to keep or regain your body balance or stay upright when in an unsta Night Vision (imp:1.00) — The ability to see under low-light conditions. --- WORK ACTIVITIES --- Working with Computers (imp:4.42 lvl:3.11) — Using computers and computer systems (including hardware and software) to progra Getting Information (imp:4.20 lvl:3.85) — Observing, receiving, and otherwise obtaining information from all relevant sour Processing Information (imp:4.11 lvl:4.13) — Compiling, coding, categorizing, calculating, tabulating, auditing, or verifying Communicating with Supervisors, Peers, or Subordinates (imp:4.08 lvl:3.81) — Providing information to supervisors, co-workers, and subordinates by telephone, Documenting/Recording Information (imp:4.07 lvl:3.59) — Entering, transcribing, recording, storing, or maintaining information in writte Evaluating Information to Determine Compliance with Standards (imp:4.02 lvl:3.69) — Using relevant information and individual judgment to determine whether events o Communicating with People Outside the Organization (imp:3.77 lvl:3.50) — Communicating with people outside the organization, representing the organizatio Establishing and Maintaining Interpersonal Relationships (imp:3.75 lvl:4.08) — Developing constructive and cooperative working relationships with others, and m Making Decisions and Solving Problems (imp:3.63 lvl:3.64) — Analyzing information and evaluating results to choose the best solution and sol Updating and Using Relevant Knowledge (imp:3.62 lvl:4.25) — Keeping up-to-date technically and applying new knowledge to your job. Performing Administrative Activities (imp:3.54 lvl:3.36) — Performing day-to-day administrative tasks such as maintaining information files Organizing, Planning, and Prioritizing Work (imp:3.52 lvl:4.01) — Developing specific goals and plans to prioritize, organize, and accomplish your Identifying Objects, Actions, and Events (imp:3.45 lvl:3.52) — Identifying information by categorizing, estimating, recognizing differences or Interpreting the Meaning of Information for Others (imp:3.38 lvl:2.77) — Translating or explaining what information means and how it can be used. Monitoring Processes, Materials, or Surroundings (imp:3.21 lvl:3.49) — Monitoring and reviewing information from materials, events, or the environment, Analyzing Data or Information (imp:3.01 lvl:2.79) — Identifying the underlying principles, reasons, or facts of information by break Resolving Conflicts and Negotiating with Others (imp:2.96 lvl:2.66) — Handling complaints, settling disputes, and resolving grievances and conflicts, Training and Teaching Others (imp:2.66 lvl:2.41) — Identifying the educational needs of others, developing formal educational or tr Assisting and Caring for Others (imp:2.62 lvl:2.12) — Providing personal assistance, medical attention, emotional support, or other pe Performing for or Working Directly with the Public (imp:2.60 lvl:2.18) — Performing for people or dealing directly with the public. This includes serving Developing and Building Teams (imp:2.54 lvl:1.81) — Encouraging and building mutual trust, respect, and cooperation among team membe Judging the Qualities of Objects, Services, or People (imp:2.53 lvl:2.43) — Assessing the value, importance, or quality of things or people. Thinking Creatively (imp:2.24 lvl:2.07) — Developing, designing, or creating new applications, ideas, relationships, syste Providing Consultation and Advice to Others (imp:2.21 lvl:1.60) — Providing guidance and expert advice to management or other groups on technical, Coordinating the Work and Activities of Others (imp:2.19 lvl:2.04) — Getting members of a group to work together to accomplish tasks. Estimating the Quantifiable Characteristics of Products, Events, or Information (imp:2.16 lvl:1.89) — Estimating sizes, distances, and quantities; or determining time, costs, resourc Developing Objectives and Strategies (imp:2.15 lvl:1.75) — Establishing long-range objectives and specifying the strategies and actions to Scheduling Work and Activities (imp:2.13 lvl:2.06) — Scheduling events, programs, and activities, as well as the work of others. Inspecting Equipment, Structures, or Materials (imp:2.11 lvl:1.55) — Inspecting equipment, structures, or materials to identify the cause of errors o Coaching and Developing Others (imp:2.07 lvl:2.01) — Identifying the developmental needs of others and coaching, mentoring, or otherw Selling or Influencing Others (imp:1.94 lvl:1.05) — Convincing others to buy merchandise/goods or to otherwise change their minds or Monitoring and Controlling Resources (imp:1.68 lvl:1.20) — Monitoring and controlling resources and overseeing the spending of money. Handling and Moving Objects (imp:1.66 lvl:1.51) — Using hands and arms in handling, installing, positioning, and moving materials, Guiding, Directing, and Motivating Subordinates (imp:1.65 lvl:0.92) — Providing guidance and direction to subordinates, including setting performance Controlling Machines and Processes (imp:1.61 lvl:0.77) — Using either control mechanisms or direct physical activity to operate machines Performing General Physical Activities (imp:1.54 lvl:0.86) — Performing general physical activities includes doing activities that require co Staffing Organizational Units (imp:1.23 lvl:0.41) — Recruiting, interviewing, selecting, hiring, and promoting employees in an organ Operating Vehicles, Mechanized Devices, or Equipment (imp:1.15 lvl:0.29) — Running, maneuvering, navigating, or driving vehicles or mechanized equipment, s Repairing and Maintaining Electronic Equipment (imp:1.15) — Servicing, repairing, calibrating, regulating, fine-tuning, or testing machines, Drafting, Laying Out, and Specifying Technical Devices, Parts, and Equipment (imp:1.04) — Providing documentation, detailed instructions, drawings, or specifications to t Repairing and Maintaining Mechanical Equipment (imp:1.02) — Servicing, repairing, adjusting, and testing machines, devices, moving parts, an --- WORK STYLES --- Dependability (imp:3.00) — A tendency to be reliable, responsible, and consistent in meeting work-related o Attention to Detail (imp:2.74) — A tendency to be detail-oriented, organized, and thorough in completing work. Dependability (imp:2.62) — A tendency to be reliable, responsible, and consistent in meeting work-related o Integrity (imp:2.10) — A tendency to be honest and ethical at work. Attention to Detail (imp:2.00) — A tendency to be detail-oriented, organized, and thorough in completing work. Cautiousness (imp:1.86) — A tendency to be careful, deliberate, and risk-avoidant when making work-related Cooperation (imp:1.41) — A tendency to be pleasant, helpful, and willing to assist others at work. Self-Control (imp:1.25) — A tendency to remain calm and composed and to manage emotions effectively in res Stress Tolerance (imp:1.07) — A tendency to cope and function effectively in stressful situations at work. Sincerity (imp:1.05) — A tendency to be genuine and sincere in interactions with others at work, withou Integrity (imp:1.00) — A tendency to be honest and ethical at work. Perseverance (imp:0.90) — A tendency to exhibit determination and resolve to perform or complete tasks in Social Orientation (imp:0.81) — A tendency to seek out, enjoy, and be energized by social interaction at work. Empathy (imp:0.79) — A tendency to show concern for others and be sensitive to others' needs and feel Achievement Orientation (imp:0.75) — A tendency to establish and maintain personally challenging work-related goals, Humility (imp:0.64) — A tendency to be modest and humble when interacting with others at work. Adaptability (imp:0.55) — A tendency to be open to and comfortable with change, new experiences, or ideas Self-Confidence (imp:0.48) — A tendency to believe in one's work-related capabilities and ability to control Optimism (imp:0.43) — A tendency to exhibit a positive attitude and positive emotions at work, even un Initiative (imp:0.33) — A tendency to be proactive and take on extra responsibilities and tasks that may Intellectual Curiosity (imp:0.12) — A tendency to seek out and acquire new work-related knowledge and obtain a deep Innovation () — A tendency to be inventive, to be imaginative, and to adopt new perspectives on Achievement Orientation () — A tendency to establish and maintain personally challenging work-related goals, Intellectual Curiosity () — A tendency to seek out and acquire new work-related knowledge and obtain a deep Tolerance for Ambiguity () — A tendency to be comfortable with ambiguity and uncertainty at work. Initiative () — A tendency to be proactive and take on extra responsibilities and tasks that may Adaptability () — A tendency to be open to and comfortable with change, new experiences, or ideas Self-Confidence () — A tendency to believe in one's work-related capabilities and ability to control Perseverance () — A tendency to exhibit determination and resolve to perform or complete tasks in Leadership Orientation () — A tendency to lead, take charge, offer opinions, and provide direction at work. Humility () — A tendency to be modest and humble when interacting with others at work. Sincerity () — A tendency to be genuine and sincere in interactions with others at work, withou Empathy () — A tendency to show concern for others and be sensitive to others' needs and feel Cooperation () — A tendency to be pleasant, helpful, and willing to assist others at work. Optimism () — A tendency to exhibit a positive attitude and positive emotions at work, even un Social Orientation () — A tendency to seek out, enjoy, and be energized by social interaction at work. Cautiousness () — A tendency to be careful, deliberate, and risk-avoidant when making work-related Stress Tolerance () — A tendency to cope and function effectively in stressful situations at work. Self-Control () — A tendency to remain calm and composed and to manage emotions effectively in res Tolerance for Ambiguity (imp:-0.32) — A tendency to be comfortable with ambiguity and uncertainty at work. Innovation (imp:-0.52) — A tendency to be inventive, to be imaginative, and to adopt new perspectives on Leadership Orientation (imp:-0.52) — A tendency to lead, take charge, offer opinions, and provide direction at work. --- TRANSFERABLE SKILLS --- Time Management (imp:3.50 lvl:3.00) — Managing one's own time and the time of others. Social Perceptiveness (imp:3.12 lvl:2.88) — Being aware of others' reactions and understanding why they react as they do. Coordination (imp:3.12 lvl:2.75) — Adjusting actions in relation to others' actions. Service Orientation (imp:3.12 lvl:3.25) — Actively looking for ways to help people. Complex Problem Solving (imp:3.00 lvl:2.88) — Identifying complex problems and reviewing related information to develop and ev Judgment and Decision Making (imp:3.00 lvl:2.88) — Considering the relative costs and benefits of potential actions to choose the m Negotiation (imp:2.88 lvl:2.88) — Bringing others together and trying to reconcile differences. Persuasion (imp:2.75 lvl:2.75) — Persuading others to change their minds or behavior. Systems Analysis (imp:2.62 lvl:2.38) — Determining how a system should work and how changes in conditions, operations, Systems Evaluation (imp:2.62 lvl:2.12) — Identifying measures or indicators of system performance and the actions needed Instructing (imp:2.50 lvl:2.25) — Teaching others how to do something. Management of Personnel Resources (imp:2.00 lvl:2.00) — Motivating, developing, and directing people as they work, identifying the best Operations Monitoring (imp:1.88 lvl:1.25) — Watching gauges, dials, or other indicators to make sure a machine is working pr Programming (imp:1.62 lvl:0.88) — Writing computer programs for various purposes. Quality Control Analysis (imp:1.62 lvl:0.75) — Conducting tests and inspections of products, services, or processes to evaluate Management of Financial Resources (imp:1.50 lvl:0.75) — Determining how money will be spent to get the work done, and accounting for the Operations Analysis (imp:1.38 lvl:0.62) — Analyzing needs and product requirements to create a design. Management of Material Resources (imp:1.38 lvl:0.62) — Obtaining and seeing to the appropriate use of equipment, facilities, and materi Operation and Control (imp:1.25 lvl:0.38) — Controlling operations of equipment or systems. Technology Design (imp:1.12 lvl:0.12) — Generating or adapting equipment and technology to serve user needs. Troubleshooting (imp:1.12 lvl:0.12) — Determining causes of operating errors and deciding what to do about it. Equipment Selection (imp:1.00) — Determining the kind of tools and equipment needed to do a job. Installation (imp:1.00) — Installing equipment, machines, wiring, or programs to meet specifications. Equipment Maintenance (imp:1.00) — Performing routine maintenance on equipment and determining when and what kind o Repairing (imp:1.00) — Repairing machines or systems using the needed tools.
--- NATIONAL WAGES --- total_employment : 214,260 annual_median : $49,230 annual_pct10 : $37,560 annual_pct25 : $44,270 annual_pct75 : $60,490 annual_pct90 : $73,590 annual_mean : $52,920 hourly_median : $23.67 --- GEOGRAPHIC DISPERSION --- highest_state : New Hampshire ($60,650) lowest_state : Puerto Rico ($30,910) dispersion_ratio : 1.962x --- TOP STATES BY WAGE (50 total) --- Finance and Insurance emp: 170,640 median: $ 49,850 Health Care and Social Assistance emp: 12,690 median: $ 45,900 Administrative and Support and Waste Management and Remediation Services emp: 11,170 median: $ 43,300 Management of Companies and Enterprises emp: 6,710 median: $ 50,200 Professional, Scientific, and Technical Services emp: 5,730 median: $ 48,360 Federal, State, and Local Government, excluding State and Local Government Schools and Hospitals and the U.S. Postal Service (OEWS Designation) emp: 2,170 median: $ 60,270 Retail Trade emp: 2,130 median: $ 43,390 Wholesale Trade emp: 720 median: $ 43,830 Other Services (except Public Administration) emp: 490 median: $ 57,160 Real Estate and Rental and Leasing emp: 460 median: $ 50,840 --- TOP INDUSTRIES BY EMPLOYMENT (15 total) --- Finance and Insurance emp: 170,640 median: $ 49,850 Health Care and Social Assistance emp: 12,690 median: $ 45,900 Administrative and Support and Waste Management and Remediation Services emp: 11,170 median: $ 43,300 Management of Companies and Enterprises emp: 6,710 median: $ 50,200 Professional, Scientific, and Technical Services emp: 5,730 median: $ 48,360 Federal, State, and Local Government, excluding State and Local Government Schools and Hospitals and the U.S. Postal Service (OEWS Designation) emp: 2,170 median: $ 60,270 Retail Trade emp: 2,130 median: $ 43,390 Wholesale Trade emp: 720 median: $ 43,830 Other Services (except Public Administration) emp: 490 median: $ 57,160 Real Estate and Rental and Leasing emp: 460 median: $ 50,840
exact_match_status : no_exact_match matched_title : N/A match_score : 0.0000 wikidata_qid : N/A word_count : 0 wikipedia_url : N/A license : CC BY-SA 4.0 fetched_at : 2026-06-02T22:32:19.458681Z --- SEMANTIC NEIGHBORS (5) --- Title: Insurance (similarity: 0.3333) URL: https://en.wikipedia.org/wiki/Insurance QID: Q43183 Extract: Insurance is a means of protection from financial loss in which, in exchange for a fee, a party agrees to compensate another party in the event of a certain loss, damage, or injury. It is a form of risk management, primarily used to protect against the risk of a contingent or uncertain loss. Title: Women in the United States (similarity: 0.2535) URL: https://en.wikipedia.org/wiki/Women_in_the_United_States QID: Q17514041 Extract: The legal status of women in the United States has advanced significantly over the past two centuries, but not yet equal to that of men in comparison to other high-income democracies. Title: Medical billing (similarity: 0.2667) URL: https://en.wikipedia.org/wiki/Medical_billing QID: Q6806472 Extract: Medical billing, a payment process in the United States healthcare system, is the process of reviewing a patient's medical records and using information about their diagnoses and procedures to determine which services are billable and to whom they are billed. Title: Insurance in the United States (similarity: 0.4533) URL: https://en.wikipedia.org/wiki/Insurance_in_the_United_States QID: Q6042385 Extract: Insurance in the United States refers to the market for risk in the United States, the world's largest insurance market by premium volume. According to Swiss Re, of the $7.186 trillion of global direct premiums written worldwide in 2023, $3.226 trillion (44.9%) were written in the United States. Title: Aetna (similarity: 0.0800) URL: https://en.wikipedia.org/wiki/Aetna QID: Q26049 Extract: Aetna Inc. is an American managed health care company that sells traditional and consumer directed health care insurance and related services, such as medical, pharmaceutical, dental, behavioral health, long-term care, and disability plans, primarily through employer-paid insurance and benefit progr
model_pass1 : claude-sonnet-4-20250514
model_pass2 : claude-haiku-4-5-20251001
inference_confidence : high
confidence_notes : Strong confidence based on comprehensive O*NET data including detailed work activities, skills, and wage information from BLS OEWS May 2025. Rich task descriptions and clear industry employment patterns support reliable inferences.
inferred_at : 2026-06-03T22:50:42.363415+00:00
tokens_input : 4,530
tokens_output : 4,025
cost_usd : $0.043002
wikipedia_used : False
wikipedia_title : None
wikipedia_note : No exact Wikipedia match found. The closest semantic match was 'Insurance in the United States' which provides general industry context but lacks specific occupational detail for clerks and processors.
--- PROSE FIELDS ---
ROLE SUMMARY:
Insurance Claims and Policy Processing Clerks handle the administrative backbone of insurance operations, processing new policies, modifications, and claims forms while ensuring accuracy and completeness. They serve as the primary interface between insurance companies and policyholders, obtaining missing information and updating company records. These clerks combine customer service skills with detailed administrative work to maintain the flow of insurance transactions.
DAY IN THE LIFE:
A typical day involves reviewing insurance claims forms for completeness and accuracy, then transmitting approved claims for payment or further investigation. Clerks spend significant time on computers entering data, accessing customer records, and using Microsoft Office applications to manage documentation. They regularly contact policyholders by phone to obtain missing information or clarify details on claims forms. Much of their work involves calculating claim amounts, reviewing policy coverage to determine what's covered, and updating customer files with new information. They also provide basic customer service, explaining procedures and referring customers to appropriate resources like auto repair facilities.
WHO THRIVES:
Successful insurance claims clerks are highly detail-oriented individuals who can maintain accuracy while working with large volumes of paperwork and data. They possess strong communication skills for interacting with customers over the phone and in writing, demonstrating patience when dealing with stressed policyholders filing claims. These professionals thrive on routine administrative work and enjoy helping people navigate insurance processes. Their conventional personality type means they work well within established procedures and systems, while their dependability ensures consistent performance in processing time-sensitive claims.
CAREER ENTRY:
Most positions require only a high school diploma, with 54.9% of workers entering with this level of education, though 21.1% have associate's degrees. On-the-job training typically covers insurance regulations, company-specific software systems, and customer service protocols. Entry-level candidates benefit from strong computer skills, particularly with Microsoft Office applications, and any prior customer service or administrative experience.
CAREER TRAJECTORY:
Insurance claims clerks can advance to specialized roles like claims adjusters, underwriting assistants, or customer service supervisors within insurance companies. Some transition to related administrative roles in banking, healthcare billing, or government program eligibility. With additional education or professional certifications, opportunities exist to move into insurance sales, underwriting, or claims management positions.
MARKET INTELLIGENCE:
The field employs 214,260 workers nationally with a median annual wage of $49,230 according to BLS OEWS May 2025, ranging from $37,560 to $73,590 for the 10th to 90th percentiles. Geographic wage variation is moderate with New Hampshire offering the highest wages at $60,650 compared to Puerto Rico's $30,910, a 1.96x ratio. The vast majority of employment (170,640 positions) is concentrated in the Finance and Insurance sector, with smaller concentrations in Healthcare and Administrative Support services. Job Zone 2 classification indicates stable demand for workers with basic preparation needs.
AUTOMATION OUTLOOK:
Computer-based data entry and information processing activities make portions of this role susceptible to automation, particularly routine claims data input and basic eligibility verification. However, the high importance of customer communication and problem-solving when dealing with complex or incomplete claims provides protection against full automation.
--- REASONED EDGES ---
[skill_overlap] Customer Service Representatives (43-4051.00) — confidence:high
reasoning: Both roles share high importance in customer communication, problem-solving, and service orientation with similar RIASEC profiles emphasizing conventional work.
data: Customer service emphasis
data: Phone communication skills
data: Problem resolution
[task_similarity] Billing and Posting Clerks (43-3021.00) — confidence:high
reasoning: Both process financial documents, calculate amounts, enter data into computer systems, and maintain detailed records for transactions.
data: Calculate amount of claim
data: Data entry focus
data: Financial document processing
[riasec_cluster] Loan Interviewers and Clerks (43-4131.00) — confidence:medium
reasoning: Both have dominant Conventional RIASEC codes and similar job zones, involving detailed administrative work with financial documents and customer interaction.
data: Conventional personality dominance
data: Job Zone 2 classification
data: Financial services context
[knowledge_overlap] Eligibility Interviewers, Government Programs (43-4061.00) — confidence:medium
reasoning: Both roles require evaluating information against standards and determining coverage or eligibility, using similar administrative and customer service knowledge.
data: Evaluating Information to Determine Compliance
data: Administrative knowledge
data: Customer service skills
[transferable_skill] Bookkeeping, Accounting, and Auditing Clerks (43-3031.00) — confidence:medium
reasoning: Shared emphasis on attention to detail, data accuracy, and mathematical calculations for financial record-keeping and processing.
data: Attention to Detail work style
data: Mathematical calculations
data: Financial record maintenance
--- NORMALIZER SIGNALS ---
match_keywords : ['insurance claims', 'policy processing', 'claims clerk', 'insurance clerk', 'claims processing', 'policy clerk', 'claims specialist', 'insurance processing']
exclude_keywords : ['adjuster', 'underwriter', 'agent', 'broker', 'investigator']
title_patterns : ['Claims *', 'Insurance * Clerk', 'Policy * Clerk', '* Claims Rep*', 'Claims Processing *']
common_variations: ['Claims Clerk', 'Insurance Processing Clerk', 'Policy Processing Clerk', 'Claims Processing Specialist', 'Auto Claims Rep', 'Claims Representative', 'Claims Coordinator', 'Claims Assistant']
total_terms : 40 top_words : ['tendency', 'others', 'insurance', 'equipment', 'claims', 'customer', 'principles', 'procedures', 'includes', 'control', 'objects', 'services', 'materials', 'ideas', 'administrative', 'resources', 'techniques', 'financial', 'activities', 'body'] source_layers : onet_tasks | onet_dimensions | dwas | wikipedia | inference TERM COUNT FREQ DOMINANT SOURCE SOURCE BREAKDOWN ────────────────────────────────────────────────────────────────────────────────────────── tendency 42 0.01558 onet_dimensions onet_dimensions:100% others 39 0.01447 onet_dimensions onet_dimensions:97% dwas:3% insurance 31 0.01150 inference inference:42% onet_tasks:32% wikipedia:16% equipment 23 0.00853 onet_dimensions onet_dimensions:100% claims 20 0.00742 inference inference:65% onet_tasks:35% customer 17 0.00631 inference inference:47% onet_dimensions:24% dwas:18% principles 16 0.00594 onet_dimensions onet_dimensions:100% procedures 12 0.00445 onet_dimensions onet_dimensions:67% inference:17% dwas:8% includes 12 0.00445 onet_dimensions onet_dimensions:100% control 12 0.00445 onet_dimensions onet_dimensions:100% objects 12 0.00445 onet_dimensions onet_dimensions:100% services 11 0.00408 onet_dimensions onet_dimensions:55% dwas:18% wikipedia:18% materials 11 0.00408 onet_dimensions onet_dimensions:91% dwas:9% ideas 11 0.00408 onet_dimensions onet_dimensions:100% administrative 10 0.00371 inference inference:60% onet_dimensions:40% resources 10 0.00371 onet_dimensions onet_dimensions:90% inference:10% techniques 10 0.00371 onet_dimensions onet_dimensions:100% financial 10 0.00371 dwas dwas:60% onet_dimensions:30% wikipedia:10% activities 10 0.00371 onet_dimensions onet_dimensions:90% inference:10% body 10 0.00371 onet_dimensions onet_dimensions:100% service 9 0.00334 inference inference:56% onet_tasks:22% onet_dimensions:22% records 9 0.00334 dwas dwas:33% onet_tasks:22% inference:22% applications 9 0.00334 onet_dimensions onet_dimensions:44% onet_tasks:33% inference:22% standards 9 0.00334 onet_dimensions onet_dimensions:89% onet_tasks:11% problems 9 0.00334 onet_dimensions onet_dimensions:100% needs 9 0.00334 onet_dimensions onet_dimensions:89% inference:11% management 9 0.00334 onet_dimensions onet_dimensions:78% wikipedia:11% inference:11% quickly 9 0.00334 onet_dimensions onet_dimensions:100% orientation 9 0.00334 onet_dimensions onet_dimensions:100% customers 9 0.00334 dwas dwas:44% onet_dimensions:33% inference:22% obtain 8 0.00297 onet_tasks onet_tasks:50% onet_dimensions:25% dwas:12% needed 8 0.00297 onet_dimensions onet_dimensions:88% onet_tasks:12% written 8 0.00297 onet_dimensions onet_dimensions:75% wikipedia:25% monitoring 8 0.00297 onet_dimensions onet_dimensions:100% performance 8 0.00297 onet_dimensions onet_dimensions:88% inference:12% problem 8 0.00297 onet_dimensions onet_dimensions:88% inference:12% rules 8 0.00297 onet_dimensions onet_dimensions:100% processing 8 0.00297 onet_dimensions onet_dimensions:50% inference:50% production 8 0.00297 onet_dimensions onet_dimensions:100% events 8 0.00297 onet_dimensions onet_dimensions:100%