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 for the whole job family, Office and administrative support: Most tasks (no change in 12 months)
Agents complete 60% or more of the tasks (or projects) on two direct benchmarks from independent institutions.
Evidence: OSWorld-Verified, 90.2% of tasks completed; SpreadsheetBench, 83.1% of tasks completed.
23% of this occupation's work, by O*NET work activities, is measured by a direct benchmark.
- 15%Examine financial activities, operations, or systemsNot measured
- 14%Provide information to guests, clients, or customersNot measured
- 10%Process digital or online dataMeasured
- 8%Evaluate the quality or accuracy of dataNot measured
- 6%Prepare documentation for contracts, applications, or permitsNot measured
- 6%Compile records, documentation, or other dataNot measured
- 6%Process shipments or mailNot measured
- 5%Maintain operational recordsMeasured
Benchmarks for the job family
These cover work in office and administrative support, not always this occupation's tasks.
Direct evidence
Work benchmarks mapped primary to this family. They set the step when they report how many tasks agents complete.
- 45.9%Claude Opus 4.6 · 16 Mar 2026Emerging
- OSWorld-Verifiedby HKU, Salesforce AI Research, Carnegie Mellon University and University of Waterloo90.2%Intelligence-Indeed Agent · 25 Jul 2026Saturated
Also relevant
These benchmarks cover part of this family's work, or have no result yet. They do not set its step.
- 54.5%arito · 13 Sep 2026Emerging
Context only
These benchmarks span many occupations, or they test how agents behave. They give context but do not set the step.
- 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