Claims Processor Job Description

Claims Processor Duties and Responsibilities

Claims Processor job description should contain a variety of functions and roles including:

• Communicating with insurance agents and beneficiaries.
• Preparing claim forms and related documentation.
• Determining policy coverage and calculating claim amounts.
• Processing claim payments.
• Complying with federal, state, and company regulations and policies.
• Reviewing claim submissions and verifying the information.
• Recording and maintaining insurance policy and claims information in a database system.
• Performing other clerical tasks, as required.

Claims Processor Requirements / Skills / Qualifications

Claims Processor job description should include these common skills and qualifications:

• A Bachelor's degree is desirable.
• At least 2 years of experience as a Claims Processor or in a related role.
• Working knowledge of the insurance industry and relevant federal and state regulations.
• Strong customer service skills.
• Ability to work under pressure.
• High attention to detail.
• Computer literate and proficient in MS Office.
• Excellent critical thinking and decision-making skills.
• Good administrative and organizational skills.

As a hiring manager, recruiting an ideal Claims Processor starts with crafting a good job description. Use this Claims Processor job description template to save yourself time and help you attract the most qualified candidates. Feel free to revise it to meet your specific needs.

Job seekers interviewing for the role of a Claims Processor may also reference it in preparation for the interview.