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Insurance Claims Clerks interview and obtain information from insured persons in order to prepare and submit reports and claims for damages against insurance companies.
JOB DUTIES
Insurance Claims Clerks may:
Interview, call, or write the insured to obtain information on damages or losses
Prepare reports and insurance claim forms
Review the insurance policy to determine coverage
Calculate the amount of the claim
Forward reports of claims or claim forms to the appropriate insurance company personnel for processing and determination of payment or denial
Notify the claims supervisor if further investigation is needed
Act as an intermediary between the company and the insured person
Assist in settling claims
Tools and equipment used may include:
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* Computer terminals
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* Insurance policies
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* Typewriters
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* Charts and forms
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* Calculators
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* Manuals
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* Telephones
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* Schedules and tables
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* Facsimile machines
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OCCUPATIONAL SPECIALTIES
241.362-010 INSURANCE CLAIMS CLERKS interview and obtain information from insured persons in order to prepare and submit reports and claims for damages against insurance companies. Insurance Claims Clerks may specialize in only checking claim forms for completeness and reviewing policies to determine clients' coverage.
205.367-018 LOSS-CLAIM CLERK
In addition to learning about these specialties, you may also find it helpful to explore the following MOIScripts:
WORKING CONDITIONS AND REQUIREMENTS
Insurance Claims Clerks work under the direction of a claims supervisor or office supervisor. They usually work in an office setting which is well lighted and air-conditioned.
Most work an average workweek of 35 to 40 hours. They may be required to work overtime during peak times.
You Should Prefer:
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Activities concerned with communicating ideas or information to
people
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Activities involving business contact with people
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Activities of a routine, organized nature
You Should Be Able To:
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See detail/errors in numbers/spelling/punctuation in written
materials
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Rate information using standards that can be measured or checked
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Perform arithmetical operations quickly and accurately
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Rate information by using personal judgement
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Deal with people beyond giving and receiving instructions
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Communicate well, orally and in writing
Math Problem You Should Be Able to Solve:
If a person's claim for a car accident is $1,092 and they have a $500 deductible, how much money is the insurance company responsible for?
Reading Example You Should Be Able to Read and Comprehend:
Coverage becomes effective on the 31st day of an Associate's employment. The portion of the premium paid by the Associate will begin to be deducted from the Associate's paycheck at that time.
Writing Example You Should Be Able to Produce:
You should be able to write a report explaining the details of an insurance claim.
Thinking Skill You Should Be Able to Demonstrate:
You should be able to look at an individual's policy and then decide if he or she is covered.
High school graduation with a good background in basic grammar, reading, and arithmetic skills may be sufficient, but business education classes that provide basic clerical skills, typing, and knowledge of office practices are preferred.
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EDUCATION AND PREPARATION OPPORTUNITIES
NOTE: A High School Diploma or Equivalent or a Certificate (program of up to one year of study beyond high school) or an Associate Degree (two years of study beyond high school) may qualify a person for this occupation.
The following education and preparation opportunities are helpful in preparing for occupations in the MOIScript:
***SCHOOL SUBJECTS***
0600 BUSINESS , 0700 CAREERS , 0900 COMMUNICATIONS , 1000 COMPUTERS , 2200 MATH , 3300 TECHNOLOGY
***VOCATIONAL EDUCATION PROGRAMS***
There are no Vocational Education Programs related to this MOIScript
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Students should obtain the local Career Preparation Consumer Report for information on what happens to students who successfully complete a program. This information is available at each high school or career/technical center.
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***POSTSECONDARY PROGRAMS***
138 GENERAL OFFICE CLERK TRAINING
Programs in General Office Clerk Training are designed for the individuals who wish to learn the basic clerical skills needed for employment in the various office settings. The programs will prepare students to perform such duties as duplicating data, compiling records and reports, tabulating and posting data in record books, sorting and filing correspondence and records, handling mail, and operating office machines.
Courses vary from school to school but may include:
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Business Communications
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Introduction to Data Processing
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Business Record Keeping
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Office Procedures
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Clerical Accounting
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Rules of Filing
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Duplicating Equipment
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Typing
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Office Machines
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Word Processing
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Search for a College and/or Instructional Program
***APPRENTICESHIP OPPORTUNITIES***
There are no Apprenticeships related to this MOIScript
***MILITARY TRAINING PROGRAMS***
There are no Military Programs related to this MOIScript
E-Learning Courses and Programs
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OPPORTUNITIES FOR EXPERIENCE AND METHODS OF ENTRY
Postsecondary education programs in general office clerk training might offer part-time co-op opportunities for practical experience. Summer employment also may allow students to gain practical office
School-to-Work opportunities include:
informal apprenticeships
mentorships
job shadow experiences
touring a local Insurance Claims Clerk employer
internships
volunteer work with a Insurance Claims Clerk employer
community service work with an agency
The most common method of entry is direct application to insurance companies and brokers. Assistance is available at school placement offices and local offices of Michigan Works!. Newspaper want ads often list job openings. Applications may be accepted at federal, state, or local civil service offices. In addition, you should access and search the Internet's on-line employment services sites such as:
Michigan Talent Bank
America's Job Bank
Classifieds Employment
Yahoo! Careers
MONSTER.COM
You should also enter an electronic resume on these on-line services.
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EARNINGS AND ADVANCEMENT
Salaries of Insurance Claims Clerks may vary according to these individuals' experience, level of responsibility, qualifications, and the size and location of the employer.
Nationally, Insurance Claims Clerks earned between $13,638 and $40,872 per year in 1995.
In the
Detroit
area, Insurance Claims Clerks had salaries ranging from $16,825 to $28,302 annually in 1996.
Medical Benefits Reviewers employed by the State of
Michigan
had annual earnings ranging between $21,026 and $30,652 in 1996.
Depending on the employer, fringe benefits for Insurance Claims Clerks may include paid vacations, life and medical insurance, paid holidays, and pension plans. These benefits are usually paid for, at least in part, by the employer.
Insurance Claims Clerks usually begin as trainees and may advance to claims supervisor then to department manager. Advancement of Insurance Claims Clerks usually depends on work performance, education, and experience. Some companies pay a large portion of the tuition costs for employees who take college courses. Most firms usually fill higher positions by promoting from within the organization.
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EMPLOYMENT AND OUTLOOK
Nationally, there were 119,200 Insurance Claims Clerks employed in 1994. Employment is expected to grow about as fast as the average for all occupations through the year 2005. The industry distribution for Insurance Claims Clerks looked like this:
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SIC Code
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Industry
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% Employed
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70631
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Life Insurance
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21.3
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70633
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Fire, marine, and Casualty Insurance
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18.9
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70632
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Medical Service and Health Insurance
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17.8
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70640
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Insurance Agents, Brokers, and Service
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17.1
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80800
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Health Services
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16.4
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90910
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Federal Government
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5.3
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70635
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Pension Funds and Insurance, NEC
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3.1
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- -
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Other
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0.1
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Employment of Insurance Claims Clerks may grow if the demand for financial services provided by insurance companies increases, and the economy continues to grow. The high turnover rate in clerical positions may also result in more Insurance Claims Clerk jobs. Most financial services analysts expect that banks will be deregulated, permitting them to engage in insurance activities. This may improve long-term employment opportunities of Claims Clerks.
Approximately 2,000 Insurance Claims Clerks are employed in
Michigan
. Most worked in the insurance industry for insurance companies, agents, and brokers. Some worked for the Federal Government in programs such as Medicare and Medicaid.
The employment of Insurance Claims Clerks in
Michigan
is expected to increase about as fast as the average for all occupations through the year 2005. An average of 40 openings is expected annually, with 20 due to growth and 20 due to replacement of workers who retire or leave the occupation for other reasons. Additional openings will occur as workers change jobs or occupations.
MICHIGAN
'S EMPLOYMENT OUTLOOK TO 2005
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EMPLOYMENT AND
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NUMBER
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PERCENT
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PROJECTED YEARLY
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OUTLOOK REGIONS
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EMPLOYED
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GROWTH
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JOB OPENINGS
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State Total
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2,000
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11.8%
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40
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SOURCES OF ADDITIONAL INFORMATION
Printed Occupational information is available upon written request from the sources below.
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Life Insurance Marketing and
Research Association Library
P.O. Box 208
Hartford , CT 06141
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Insurance Information Institute
110 William Street
New York , NY 10038
1-212-669-9200
http://www.iii.org
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Independent Insurance
Agents of
Michigan
1141
Centennial Way
Lansing , MI 48917
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Professional Insurance Agents
of
Michigan
200
Washington
Sq. N. Suite 310
Lansing, MI
48933
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Michigan Works!
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School Placement Offices
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MOISCRIPTS are Copyright 2003, Michigan Department of Career Development