Discover the essential requirements, duties, responsibilities, and skills needed for a Claims Processor job description.
What does a Claims Processor do?
A claims processor, also known as a claims clerk, is a job in the insurance industry that involves handling insurance claims. This means they review claim submissions, check and confirm information, communicate with insurance agents and beneficiaries, and process payments for claims.
Job Description
We are looking for a detail-oriented individual to join our insurance team as a claims processor. Your main responsibilities will include filling out claim forms, checking information, and corresponding with agents and beneficiaries. You will also handle client inquiries, review policies, determine coverage, calculate claim amounts, and process payments.
To be successful in this role, you should have excellent organizational and communication skills. You should also be able to work well under pressure and pay close attention to detail when performing various administrative tasks.
Job Duties and Responsibilities
- Communicate with insurance agents and beneficiaries.
- Fill out claim forms and other necessary documents.
- Review and confirm information on claim submissions.
- Maintain and update insurance policy and claim information in a database.
- Determine coverage and calculate claim amounts.
- Process claim payments.
- Follow federal, state, and company regulations and policies.
- Perform other administrative tasks as needed.
Requirements and Qualifications
- At least 2 years of experience as a claims processor or in a related role.
- Familiarity with the insurance industry and relevant federal and state regulations.
- Proficiency in using computers and MS Office.
- Excellent critical thinking and decision-making skills.
- Strong organizational and administrative abilities.
- Great customer service skills.
- Able to handle pressure and work with high attention to detail.