Claims Processor Interview Questions & Answers

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Claims Processors work in the insurance industry and are responsible for handling insurance claims. They review claim submissions, obtain and verify information, correspond with insurance agents and beneficiaries, and process claim payments.

Whether you're a job seeker preparing to be interviewed for the role of Claims Processor or an employer preparing to interview candidates for Claims Processor position, these Claims Processor interview questions will help you prepare yourself for the job interview session.

Claims Processor Interview Questions

Below are a list of some skill-based Claims Processor interview questions.

1. Why should you be hired for the insurance claims processor position? 
2. Provide an example of a time when you had to go above and beyond to help a customer and resolve their claim issue.
3. If you made a mistake while processing a claim, what would you do to correct the issue?
4. What would you do if you were unsure about how to proceed with a claim and needed additional training?
5. How well do you understand the insurance industry and the different types of policies that are available?
6. Describe your academic achievements?
7. How important is customer service to you?
8. How do you plan and organize your work to meet deadlines?
9. How do you maintain high levels of accuracy in your work?
10. When processing a claim, do you have a process for verifying the validity of a claim and determining liability?
11. How do you stay up to date with state and federal regulations relevant to the insurance industry?
12. How would you deal with an angry call from a client whose claim was rejected?
13. Talk about a time when you've resolved a problem for a frustrated customer
14. Which claim types are you most familiar with?
15. Do you have experience using insurance software to process claims? Which programs are you most familiar with?
16. What critical component of this position as Claims Processor makes the work challenging?
17. What is your greatest strength as Claims Processor?
18. Your client is upset with you for a mistake you made, how do you react?
19. What have you learned from mistakes on the insurance claims processor job? 
20. We want to improve our response time for claim processing. How would you implement a strategy to streamline the process and meet deadlines?
21. What challenges are you looking for in this insurance claims processor position?
22. What types of situations do you consider "unfixable"?
23. Talk about a time when you had to work with a difficult or disruptive person. It may be a client, manager, or coworker. How did you handle the situation? What was the outcome?
24. Describe a time you went above and beyond for a customer
25. Are you familiar with the requirements for submitting a claim to an insurance company?
26. What is your process for keeping organized when you have multiple claims to process at once?
27. Have you ever had to negotiate in order to get your way when working in a group?
28. When you are working on multiple cases at once as a claims specialist, how do you decide which one takes priority over the others?
29. Describe a situation in which you've been required to use your communication skills in order to get the job done.

Claims Processor Interview Questions and Answers

Every interview is different and the questions may vary. However, there are lots of general questions that get asked at every interview.

Below are some common questions you'd expect during Claims Processor interviews. Click on each question to see how to answer them.

1. Why Do You Want To Leave Your Current Job?
2. What is Your Greatest Strength?
3. Tell Me About Yourself
4. Why Do You Want This Job?
5. Are You a Leader or a Follower?
6. What Is Your Greatest Accomplishment?
7. What is Your Salary Expectation?
8. Do You Have Any Questions for Us?
9. Why Should We Hire You?
10. What is Your Greatest Weakness?

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