Job description

Insurance Claims Processor

Insurance Claims Processor job overview

An insurance processor or claims processor is responsible for handling the entire claims process from acquiring personal information from potential policyholders for the insurance application to reviewing claim submissions. They regularly interface with insurance agents and beneficiaries to accurately and efficiently process claim payments. Insurance claims processors must also have a thorough understanding of policies, regulations, and coverage limits to perform additional job duties such as fielding customer inquiries, calculating claim values, issue payments, and ensuring the accuracy of insurance company records. Insurance policy processing clerks may work for individual insurance carriers or at an insurance company, firm, or corporation.

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Insurance Claims Processor job template

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Insurance Claims Processor job summary

Are you an organized, detail-oriented professional looking for a well-rounded role that offers mentorship, advancement opportunities, and continued education? Our insurance agency needs a multifaceted insurance processor eager to help our team members assist our clients. The right candidate will have innate communication skills and a knack for the accurate data entry necessary for maintaining client records. If this job description sounds like you, be sure to apply today!

Location

Ashburn, VA

Insurance Claims Processor responsibilities

Communicate regularly with insurance agents, policyholders, beneficiaries, and more to prepare claim forms and other related documentation
Review and verify personal information including names, addresses, ages, assets, and other data when reviewing claim submissions
Adhere to company policies and local, state, and federal guidelines when facilitating insurance processing
Evaluate insurance policy coverage and calculate respective claim amounts to issue premiums, adjustments, refunds, and more
Keep track of policy records and perform data entry to maintain accurate client information

Insurance Claims Processor qualifications

Associate’s degree in business administration or other related field a plus; high school diploma or GED mandatory
Data entry, recordkeeping, or insurance claims computer programs experience highly beneficial
Should have some years of experience fielding phone calls and emails in a high-volume setting such as in a customer service representative position
Must have strong critical thinking, problem-solving, decision-making, and communication skills
Fluency in CRM, basic computer systems like Microsoft Office, and/or risk assessment software required