CompGeo Salary Survey Benchmark Job Summary and Competencies

Insurance Claims Clerks

The Benchmark Job Description below represents the specific Position Characteristics of the job used in the Salary Survey. Benchmark Job Descriptions should be inspected carefully to review the degree of matching between an organizations' Job and the Salary Survey Benchmark. Matching internal Jobs to Salary Survey Benchmark Jobs should not be done on Job Title alone. A thorough comparison of Salary Survey Benchmark to Internal Job Descriptions is recommended. A good overlap should exist on any comparisons used on critical Job Dimensions and Competencies.
 
CompGeo Occupation Group: Insurance
Job Family: Insurance Claims
Benchmark Title: Insurance Claims Clerks
 
Summary Job Description Tasks
Obtain information from insured or designated persons for purpose of settling claim with insurance carrier. Review insurance policy to determine coverage.
 
Prepare insurance claim forms or related documents and review them for completeness.
 
Provide customer service, such as limited instructions on proceeding with claims or referrals to auto repair facilities or local contractors.
 
Organize or work with detailed office or warehouse records, using computers to enter, access, search or retrieve data.
 
Post or attach information to claim file.
 
Pay small claims.
 
Transmit claims for payment or further investigation.
 
Contact insured or other involved persons to obtain missing information.
 
Calculate amount of claim.
 
Apply insurance rating systems.
 
 
CompGeo Occupation Group: Insurance
Job Family: Insurance Claims
Benchmark Title: Insurance Claims Clerks
 
Important Knowledge Competencies Competency Description
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.
 
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.
 
Computers and Electronics Knowledge of circuit boards, processors, chips, electronic equipment, and computer hardware and software, including applications and programming.
 
 
CompGeo Occupation Group: Insurance
Job Family: Insurance Claims
Benchmark Title: Insurance Claims Clerks
 
Important Skill Competencies Competency Description
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.
 
Reading Comprehension Understanding written sentences and paragraphs in work related documents.
 
Speaking Talking to others to convey information effectively.
 
Social Perceptiveness Being aware of others' reactions and understanding why they react as they do.
 
Writing Communicating effectively in writing as appropriate for the needs of the audience.
 
Critical Thinking Using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems.
 
Service Orientation Actively looking for ways to help people.
 
Time Management Managing one's own time and the time of others.
 
Complex Problem Solving Identifying complex problems and reviewing related information to develop and evaluate options and implement solutions.
 
Coordination Adjusting actions in relation to others' actions.
 
Persuasion Persuading others to change their minds or behavior.
 
Judgment and Decision Making Considering the relative costs and benefits of potential actions to choose the most appropriate one.
 
 
CompGeo Occupation Group: Insurance
Job Family: Insurance Claims
Benchmark Title: Insurance Claims Clerks
 
Important Ability Competencies Competency Description
Written Comprehension The ability to read and understand information and ideas presented in writing.
 
Oral Expression The ability to communicate information and ideas in speaking so others will understand.
 
Speech Recognition The ability to identify and understand the speech of another person.
 
Oral Comprehension The ability to listen to and understand information and ideas presented through spoken words and sentences.
 
Speech Clarity The ability to speak clearly so others can understand you.
 
Written Expression The ability to communicate information and ideas in writing so others will understand.
 
Near Vision The ability to see details at close range (within a few feet of the observer).
 
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.
 
Selective Attention The ability to concentrate on a task over a period of time without being distracted.
 
Problem Sensitivity The ability to tell when something is wrong or is likely to go wrong. It does not involve solving the problem, only recognizing there is a problem.
 
Inductive Reasoning The ability to combine pieces of information to form general rules or conclusions (includes finding a relationship among seemingly unrelated events).
 
Category Flexibility The ability to generate or use different sets of rules for combining or grouping things in different ways.
 
Mathematical Reasoning The ability to choose the right mathematical methods or formulas to solve a problem.
 
Number Facility The ability to add, subtract, multiply, or divide quickly and correctly.
 
 
CompGeo Occupation Group: Insurance
Job Family: Insurance Claims
Benchmark Title: Insurance Claims Clerks
 
Prerequisite Qualification Category Education and Experience Level
Required Level of Education High School Diploma (or GED or High School Equivalence Certificate)
 
On-Site or In-Plant Training Over 1 month, up to and including 3 months
 
On-the-Job Training Over 1 month, up to and including 3 months
 
Required Level of Education Some College Courses
 
On-the-Job Training Over 3 months, up to and including 6 months
 
 
CompGeo Occupation Group: Insurance
Job Family: Insurance Claims
Benchmark Title: Insurance Claims Clerks
 
Alternate Job Title(s)
Claim Processing Specialist
Claim Taker
Claims Adjudicator
Claims Adjuster
Claims Assistant
Claims Clerk
Claims Coordinator
Claims Customer Service Representative (Claims CSR)
Claims Examiner
Claims Processor
Claims Representative
Claims Service Representative
Claims Sorter
Claims Technician
Client Support Representative
Commercial Lines Customer Service Representative (Commercial Lines CSR)
Customer Service Representative (CSR)
Health Insurance Claims Processor
Insurance Claims Processor
Insurance Customer Service Representative
Insurance Specialist
Medical Insurance Claims Processor
Personal Lines Insurance Customer Service Representative (Personal Lines Insurance CSR)
Service Specialist
Staff Assistant
Underwriting Clerk
Workers' Compensation Claims Adjuster
 
CompGeo Occupation Group: Insurance
Job Family: Insurance Claims
Benchmark Title: Insurance Claims Clerks
 
 
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