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Occupation Profile for Insurance Claims Clerks

Obtain information from insured or designated persons for purpose of settling claim with insurance carrier.

 
 
 

 
Knowledge
  • Mathematics — Knowledge of arithmetic, algebra, geometry, calculus, statistics, and their applications.
  • Engineering and Technology — Knowledge of the practical application of engineering science and technology. This includes applying principles, techniques, procedures, and equipment to the design and production of various goods and services.
  • Sales and Marketing — Knowledge of principles and methods for showing, promoting, and selling products or services. This includes marketing strategy and tactics, product demonstration, sales techniques, and sales control systems.
  • Medicine and Dentistry — Knowledge of the information and techniques needed to diagnose and treat human injuries, diseases, and deformities. This includes symptoms, treatment alternatives, drug properties and interactions, and preventive health-care measures.
  • Physics — Knowledge and prediction of physical principles, laws, their interrelationships, and applications to understanding fluid, material, and atmospheric dynamics, and mechanical, electrical, atomic and sub- atomic structures and processes.
Skills
  • Equipment Maintenance — Performing routine maintenance on equipment and determining when and what kind of maintenance is needed.
  • Coordination — Adjusting actions in relation to others' actions.
  • Active Learning — Understanding the implications of new information for both current and future problem-solving and decision-making.
  • Writing — Communicating effectively in writing as appropriate for the needs of the audience.
  • Troubleshooting — Determining causes of operating errors and deciding what to do about it.
Abilities
  • Near Vision — The ability to see details at close range (within a few feet of the observer).
  • Stamina — The ability to exert yourself physically over long periods of time without getting winded or out of breath.
  • Explosive Strength — The ability to use short bursts of muscle force to propel oneself (as in jumping or sprinting), or to throw an object.
  • Oral Comprehension — The ability to listen to and understand information and ideas presented through spoken words and sentences.
  • Hearing Sensitivity — The ability to detect or tell the differences between sounds that vary in pitch and loudness.
Tasks
  • Core — Provide customer service, such as limited instructions on proceeding with claims or referrals to auto repair facilities or local contractors.
  • Core — Prepare insurance claim forms and related documents and review them for completeness.
  • Core — Organize and work with detailed office or warehouse records, using computers to enter, access, search and retrieve data.
  • Core — Post or attach information to claim file.
  • Core — Pay small claims.
Activities
  • Monitoring and Controlling Resources — Monitoring and controlling resources and overseeing the spending of money.
  • Guiding, Directing, and Motivating Subordinates — Providing guidance and direction to subordinates, including setting performance standards and monitoring performance.
  • Assisting and Caring for Others — Providing personal assistance, medical attention, emotional support, or other personal care to others such as coworkers, customers, or patients.
  • Repairing and Maintaining Electronic Equipment — Servicing, repairing, calibrating, regulating, fine-tuning, or testing machines, devices, and equipment that operate primarily on the basis of electrical or electronic (not mechanical) principles.
  • Getting Information — Observing, receiving, and otherwise obtaining information from all relevant sources.
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