Jobs / Office and administrative support / 43-9041.00
Insurance Claims and Policy Processing Clerks
Process new insurance policies, modifications to existing policies, and claims forms. Obtain information from policyholders to verify the accuracy and completeness of information on claims forms, applications and related documents, and company records. Update existing policies and company records to reflect changes requested by policyholders and insurance company representatives.
- US jobs
- 214,260
- Median wage
- $49,230 a year
- Job family
- Office and administrative support
Can agents do the work of insurance claims and policy processing clerks?
We read the evidence at the level of the job family, Office and administrative support:
- Task levelStrongOn computer-use and office-task benchmarks, top agents pass most tasks: 90.2% on OSWorld-Verified (humans: 72.4%), 83.1% on SpreadsheetBench, and 63.3% on WorkArena L1 under the standard protocol. Limits: many top entries are self-submitted and not re-run by the maintainers, and on TheAgentCompany's multi-step workplace tasks the best agent resolves 42.9%.
- Project levelPartialOnly adjacent evidence. OpenAI reports that GPT-5.5's GDPval deliverables won or tied against professionals' work in 84.9% of comparisons, but GDPval tasks are one-shot and fully specified. No benchmark in our collection tests multi-day administrative work, such as running a calendar or a purchasing process.
Benchmarks for the job family
These cover work in office and administrative support, not always this occupation's tasks.
- 1846 EloClaude Opus 5.5 (Adaptive Reasoning, Max Effort, Default Fallback) · 23 Sep 2026Unrated
- OSWorld-Verifiedby HKU, Salesforce AI Research, Carnegie Mellon University and University of Waterloo90.2%Intelligence-Indeed Agent · 25 Jul 2026Saturated
- 42.9%TTE-MatrixAgent + DeepSeek-V3.2 · 10 Nov 2025Emerging
Typical tasks
From O*NET 31.0. Core tasks first. Few of these tasks have a benchmark today.
- Prepare insurance claim forms or related documents, and review them for completeness.
- Calculate amount of claim.
- Post or attach information to claim file.
- Transmit claims for payment or further investigation.
- Contact insured or other involved persons to obtain missing information.
- Review insurance policy to determine coverage.
- Process and record new insurance policies and claims.
- Organize or work with detailed office or warehouse records, using computers to enter, access, search or retrieve data.
- Provide customer service, such as limited instructions on proceeding with claims or referrals to auto repair facilities or local contractors.
- Correspond with insured or agent to obtain information or to inform them of account status or changes.
- Review and verify data, such as age, name, address, and principal sum and value of property, on insurance applications and policies.
- Compare information from application to criteria for policy reinstatement, and approve reinstatement when criteria are met.
Other job titles for this occupation (67)
Claims Adjudicator · Claims Analyst · Claims Clerk · Claims Customer Service Representative (Claims CSR) · Claims Processor · Claims Representative (Claims Rep) · Claims Technician (Claims Tech) · Insurance Analyst · Policy Analyst · Underwriting Assistant · Agency Service Representative (Agency Service Rep) · Auto Claims Rep (Automotive Claims Representative) · Auto Liability Claims Rep (Automotive Liability Claims Representative) · Billing and Insurance Coordinator · Bodily Injury Claims Representative (Bodily Injury Claims Rep) · Cancellation Clerk · Claim Representative (Claims Rep) · Claims Assistant · Claims Associate · Claims Coordinator · Claims Processing Specialist (CPS) · Claims Service Representative (Claims Service Rep) · Claims Sorter · Claims Taker · Client Process Specialist · Commercial Lines Underwriting Assistant · Cyber Insurance Policy Specialist · Dental Insurance Coordinator · Document Processor · Document Reviewer · Enrollment Representative · Field Claims Representative · Insurance Assistant · Insurance Associate · Insurance Authorization Specialist · Insurance Biller · Insurance Checker · Insurance Claims Clerk · Insurance Claims Processor · Insurance Clerk · Insurance Coordinator · Insurance Customer Service Representative (Insurance CSR) · Insurance Examining Clerk · Insurance Policy Issue Clerk · Insurance Processing Clerk · Insurance Processor · Insurance Specialist · Insurance Verification Specialist · Liability Claims Representative · Medical Claims Processor · Medical Insurance Claims Processor · Medical Insurance Specialist · Open Claims Representative (OCR) · Personal Lines Insurance Customer Service Representative (Personal Lines Insurance CSR) · Policy Change Clerk · Policy Checker · Policy Issue Clerk · Policy Title Typist · Premium Representative · Processing Clerk · Reimbursement Counselor · Reinsurance Clerk · Reviewer · Revival Clerk · Underwriting Associate · Underwriting Clerk · Workers' Compensation Claims Assistant