Health Information Technology Jobs: Insurance Claims and Policy Processing Clerk


Healthcare IT Jobs

According to Bureau of labor statistics www.bls.gov

Job Description

The objective of an insurance claims clerk is to gather information from an insured person and settle their insurance claims with their insurance provider. The tools they use on a daily basis are desktop computers, calculators, accounting billing software, Microsoft Word and Microsoft Excel.

Job Duties

  • 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.

Skills Required

  • Active listening
  • Reading comprehension
  • Speaking
  • Social perceptiveness
  • Critical thinking
  • Writing
  • Service orientation
  • Time management

Posted in Health Information Technology Jobs.