Insurance Claims Clerks

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

tasks jobzones knowledge skills abilities work_activities work_context interests work_styles work_values

Tasks

• Apply insurance rating systems.

• Contact insured or other involved persons to obtain missing information.

• Transmit claims for payment or further investigation.

• Pay small claims.

• Post or attach information to claim file.

• Calculate amount of claim.

• Organize and work with detailed office or warehouse records, using computers to enter, access, search and retrieve data.

• Provide customer service, such as giving limited instructions on how to proceed with claims or providing referrals to auto repair facilities or local contractors.

• Prepare and review insurance-claim forms and related documents for completeness.

• Review insurance policy to determine coverage.

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Job Zone

• Name: Job Zone Two: Some Preparation Needed

• Experience: Some previous work-related skill, knowledge, or experience may be helpful in these occupations, but usually is not needed. For example, a teller might benefit from experience working directly with the public, but an inexperienced person could still learn to be a teller with little difficulty.

• Education: These occupations usually require a high school diploma and may require some vocational training or job-related course work. In some cases, an associate's or bachelor's degree could be needed.

• Job training: Employees in these occupations need anywhere from a few months to one year of working with experienced employees.

• Examples: These occupations often involve using your knowledge and skills to help others. Examples include sheet metal workers, forest fire fighters, customer service representatives, pharmacy technicians, salespersons (retail), and tellers.

• Svp range: (4.0 to < 6.0)

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Knowledge

Browse Knowledge

• 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.

• Clerical
  Knowledge of administrative and clerical procedures and systems such as word processing, managing files and records, stenography and transcription, designing forms, and other office procedures and terminology.

• Computers and Electronics
  Knowledge of circuit boards, processors, chips, electronic equipment, and computer hardware and software, including applications and programming.

• English Language
  Knowledge of the structure and content of the English language including the meaning and spelling of words, rules of composition, and grammar.

• Mathematics
  Knowledge of arithmetic, algebra, geometry, calculus, statistics, and their applications.

• 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.

• Law and Government
  Knowledge of laws, legal codes, court procedures, precedents, government regulations, executive orders, agency rules, and the democratic political process.

• Education and Training
  Knowledge of principles and methods for curriculum and training design, teaching and instruction for individuals and groups, and the measurement of training effects.

• Economics and Accounting
  Knowledge of economic and accounting principles and practices, the financial markets, banking and the analysis and reporting of financial data.

• 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.

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Skills

Browse Skills

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

• Service Orientation
  Actively looking for ways to help people.

• 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.

• Speaking
  Talking to others to convey information effectively.

• Learning Strategies
  Selecting and using training/instructional methods and procedures appropriate for the situation when learning or teaching new things.

• Time Management
  Managing one's own time and the time of others.

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

• Social Perceptiveness
  Being aware of others' reactions and understanding why they react as they do.

• Active Learning
  Understanding the implications of new information for both current and future problem-solving and decision-making.

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Abilities

Browse Abilities

• Oral Expression
  The ability to communicate information and ideas in speaking so others will understand.

• Near Vision
  The ability to see details at close range (within a few feet of the observer).

• Written Comprehension
  The ability to read and understand information and ideas presented in writing.

• Oral Comprehension
  The ability to listen to and understand information and ideas presented through spoken words and sentences.

• Speech Recognition
  The ability to identify and understand the speech of another person.

• Written Expression
  The ability to communicate information and ideas in writing so others will understand.

• 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).

• Deductive Reasoning
  The ability to apply general rules to specific problems to produce answers that make sense.

• Inductive Reasoning
  The ability to combine pieces of information to form general rules or conclusions (includes finding a relationship among seemingly unrelated events).

• Speech Clarity
  The ability to speak clearly so others can understand you.

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Work Activities

Browse Work Activities

• Processing Information
  Compiling, coding, categorizing, calculating, tabulating, auditing, or verifying information or data.

• Evaluating Information to Determine Compliance with Standards
  Using relevant information and individual judgment to determine whether events or processes comply with laws, regulations, or standards.

• Organizing, Planning, and Prioritizing Work
  Developing specific goals and plans to prioritize, organize, and accomplish your work.

• Establishing and Maintaining Interpersonal Relationships
  Developing constructive and cooperative working relationships with others, and maintaining them over time.

• Communicating with Supervisors, Peers, or Subordinates
  Providing information to supervisors, co-workers, and subordinates by telephone, in written form, e-mail, or in person.

• Identifying Objects, Actions, and Events
  Identifying information by categorizing, estimating, recognizing differences or similarities, and detecting changes in circumstances or events.

• Making Decisions and Solving Problems
  Analyzing information and evaluating results to choose the best solution and solve problems.

• Documenting/Recording Information
  Entering, transcribing, recording, storing, or maintaining information in written or electronic/magnetic form.

• Getting Information
  Observing, receiving, and otherwise obtaining information from all relevant sources.

• Communicating with Persons Outside Organization
  Communicating with people outside the organization, representing the organization to customers, the public, government, and other external sources. This information can be exchanged in person, in writing, or by telephone or e-mail.

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Work Context

• Telephone
  How often do you have telephone conversations in this job?

• Letters and Memos
  How often does the job require written letters and memos?

• Spend Time Sitting
  How much does this job require sitting?

• Face-to-Face Discussions
  How often do you have to have face-to-face discussions with individuals or teams in this job?

• Importance of Being Exact or Accurate
  How important is being very exact or highly accurate in performing this job?

• Contact With Others
  How much does this job require the worker to be in contact with others (face-to-face, by telephone, or otherwise) in order to perform it?

• Importance of Repeating Same Tasks
  How important is repeating the same physical activities (e.g., key entry) or mental activities (e.g., checking entries in a ledger) over and over, without stopping, to performing this job?

• Freedom to Make Decisions
  How much decision making freedom, without supervision, does the job offer?

• Electronic Mail
  How often do you use electronic mail in this job?

• Frequency of Decision Making
  How frequently is the worker required to make decisions that affect other people, the financial resources, and/or the image and reputation of the organization?

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Interests

Browse Interests

• Conventional
  Conventional occupations frequently involve following set procedures and routines. These occupations can include working with data and details more than with ideas. Usually there is a clear line of authority to follow.

• Enterprising
  Enterprising occupations frequently involve starting up and carrying out projects. These occupations can involve leading people and making many decisions. Sometimes they require risk taking and often deal with business.

• Social
  Social occupations frequently involve working with, communicating with, and teaching people. These occupations often involve helping or providing service to others.

• Realistic
  Realistic occupations frequently involve work activities that include practical, hands-on problems and solutions. They often deal with plants, animals, and real-world materials like wood, tools, and machinery. Many of the occupations require working outside, and do not involve a lot of paperwork or working closely with others.

• Investigative
  Investigative occupations frequently involve working with ideas, and require an extensive amount of thinking. These occupations can involve searching for facts and figuring out problems mentally.

• Artistic
  Artistic occupations frequently involve working with forms, designs and patterns. They often require self-expression and the work can be done without following a clear set of rules.

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Work Styles

• Dependability
  Job requires being reliable, responsible, and dependable, and fulfilling obligations.

• Attention to Detail
  Job requires being careful about detail and thorough in completing work tasks.

• Integrity
  Job requires being honest and ethical.

• Cooperation
  Job requires being pleasant with others on the job and displaying a good-natured, cooperative attitude.

• Adaptability/Flexibility
  Job requires being open to change (positive or negative) and to considerable variety in the workplace.

• Initiative
  Job requires a willingness to take on responsibilities and challenges.

• Stress Tolerance
  Job requires accepting criticism and dealing calmly and effectively with high stress situations.

• Self Control
  Job requires maintaining composure, keeping emotions in check, controlling anger, and avoiding aggressive behavior, even in very difficult situations.

• Concern for Others
  Job requires being sensitive to others' needs and feelings and being understanding and helpful on the job.

• Achievement/Effort
  Job requires establishing and maintaining personally challenging achievement goals and exerting effort toward mastering tasks.

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Work Values

Browse Work Values

• Moral Values
  Workers on this job are never pressured to do things that go against their sense of right and wrong.

• Supervision, Human Relations
  Workers on this job have supervisors who back up their workers with management.

• Working Conditions
  Workers on this job have good working conditions.

• Activity
  Workers on this job are busy all the time.

• Company Policies and Practices
  Workers on this job are treated fairly by the company.

• Support-Mean Extent
  Occupations that satisfy this work value offer supportive management that stands behind employees. Corresponding needs are Company Policies, Supervision: Human Relations and Supervision: Technical.

• Independence
  Workers on this job do their work alone.

• Security
  Workers on this job have steady employment.

• Advancement
  Workers on this job have opportunities for advancement.

• Relationships-Mean Extent
  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.

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